scholarly journals Peluang Pelaksanaan dan Tantangan Pengembangan Hospital without Walls pada Pelayanan Kebidanan dan Kandungan di RSUD Noongan

e-CliniC ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 532
Author(s):  
Mario L. Mewengkang ◽  
Gustaaf A. E. Ratag ◽  
Jimmy Posangi
Keyword(s):  
Human Resources ◽  
Health Center ◽  
Personal Health ◽  
Child Health Care ◽  
Primary Health Center ◽  
Obstetrics And Gynaecology ◽  
Primary Health ◽  
Community Data ◽  
Cold Case ◽  
Depth Interviews

Abstract: Hospitals as the health referral facilities play an important role in decreasing the maternal mortality rate (MMR) since they also belong to the personal health service as a whole including mother child health care. This study was aimed to analyze the implementation opportunities and challenges of developing ‘hospital without walls’ program in obstetrics and gynaecology services at RSUD (Rumah Sakit Umum Daerah) Noongan. This was a qualitative study. Informants in this study were taken from three places, as follows: the hospital, namely the Director of the Hospital and obstetrician-gynaecologist doctors; puskesmas (primary health center), namely the heads of puskesmas; and the community. Data were collected through in-depth interviews and direct observation. The results indicated that ‘hospital without walls’ in obstetrics and gynaecology services at RSUD Noongan had the opportunity to be implemented because this program had been partly applied by the hospital and it had a good impact on the hospital, health center, and the community as well as PONED-PONEK collaboration. The challenges of imple-menting this program at RSUD Noongan were the existence of cold cases caused by gatekeeper failure, lack of health facilities and human resources at the puskesmas, and insubstantial collaboration between PONED-PONEK. In conclusion, ‘hospital without walls’ program in obste-trics and gynaecology services can be implemented at RSUD Noongan with awareness to the possible challenges in its development.Keywords: opportunity and challenge; hospital without walls; obstetrics and gynecology services Abstrak: Rumah sakit sebagai fasilitas kesehatan rujukan paripurna berperan penting dalam menurunkan angka kematian ibu (AKI) termasuk pelayanan kesehatan ibu dan anak (KIA). Penelitian ini bertujuan untuk menganalisis peluang pelaksanaan dan tantangan pengembangan program hospital without walls pada pelayanan kebidanan dan kandungan di RSUD Noongan. Jenis penelitian ialah kualitatif. Informan penelitian diambil dari tiga tempat yaitu: RSUD Noongan (Direktur Rumah Sakit dan dokter spesialis obstetri dan ginekologi); puskesmas (kepala puskesmas); dan masyarakat. Data dikumpulkan melalui wawancara mendalam dan observasi langsung. Hasil penelitian memperlihatkan bahwa hospital without walls pada pelayanan kebi-danan dan kandungan di RSUD Noongan berpeluang untuk dilaksanakan karena sebagian pro-gram ini telah diterapkan oleh rumah sakit dan juga berdampak baik bagi rumah sakit, puskesmas dan masyarakat, serta kolaborasi PONED-PONEK. Tantangan pelaksanaan program ini di RSUD Noongan yaitu adanya cold case yang merupakan kegagalan gatekeeper, fasilitas kesehatan dan sumber daya manusia (SDM) yang masih kurang di puskesmas, serta kolaborasi PONED-PONEK belum optimal. Simpulan penelitian ini ialah program hospital without walls pada pelayanan kebidanan dan kandungan berpeluang untuk dilaksanakan di RSUD Noongan dengan memperhatikan tantangan pengembangan.Kata kunci: peluang dan tantangan; hospital without walls; pelayanan kebidanan dan kandungan

scholarly journals Policy of Primary Health Center as First Level Health Facility for Participants of Social Health Insurance Provider Sidoarjo – Indonesia

2018 ◽  
Vol 7 (1) ◽  
pp. 227
Author(s):  
Hadi Hadi Shubhan ◽  
Rr Herini Siti Aisyah ◽  
L. Budi Kagramanto
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Human Resources ◽  
Health Center ◽  
Public Service ◽  
Social Health Insurance ◽  
Social Health ◽  
Primary Health Center ◽  
Primary Health ◽  
Health Insurance Provider

In 2012 there were 200 cases of public service disputes to be criminalized in East Java. They occured as a logical consequence of Act Number 14 Year 2008 leading to some consequences that public service is required to give satisfaction to the society The problem of health services in Indonesia cannot be separated from the low competence of the medical personnel, infrastructure and medical equipment, human resources, and complex regulations which are not easy to implement. Due to the problem above, a research focused on such policies to improve the capacity building by optimizing the role of Primary Health Center (PHC) as First Level Health Facility (FLHF) especially for Participants Social Health Insurance Provider (SHIP) is highly considered to carry out. The Social Health Insurance Provider is a legal entity established to administer the Health Insurance program, and the Primary Health Center is a health service facility that organizes some efforts on public and individual health at the first level. In ensuring the satisfaction of adequate services, FLHF has been working with PHC as the implementer of health services for SHIP participants. Because of it, PHC becomes the forefront to provide the health services to the community, especially, to SHIP participants. To increase the satisfaction of SHIP participants, it is necessary to note and find some ways out to the problems related to the improvement of Human Resources, Health Facilities, Service system, Information and supervision.

scholarly journals Program Pelayanan Voluntary Counseling And Testing (VCT) di Puskesmas

2018 ◽  
Vol 2 (4) ◽  
pp. 564-576
Author(s):  
Nisrina Dwi Risqi ◽  
Bambang Wahyono
Keyword(s):  
Human Resources ◽  
Health Center ◽  
Sampling Technique ◽  
Primary Health Center ◽  
Voluntary Counseling ◽  
Sex Worker ◽  
Purposive Sampling ◽  
Voluntary Counseling And Testing ◽  
Primary Health ◽  
Counseling And Testing

Abstrak Data Puskesmas Duren menunjukkan jumlah kunjungan Voluntary Counseling and Testing  (VCT) mengalami penurunan dalam tiga tahun dari 2015 hingga 2017. Pada tahun 2017 adanya kesenjangan antara jumlah kelompok wanita pekerja seksual dan lelaki suka lelaki yang ada di Kecamatan Bandungan dengan jumlah kunjungan VCT pada populasi kunci tersebut serta belum mencapai target yang ditetapkan oleh Dinas Kesehatan Kabupaten Semarang. Tujuan penelitian ini untuk mengetahui gambaran program pelayanan VCT di Puskesmas Duren. Penelitian ini dilakukan pada bulan Mei 2018. Jenis penelitian ini adalah deskriptif kualitatif. Informan penelitian terdiri dari 11 dipilih dengan teknik purposive sampling. Teknik pengumpulan data menggunakan wawancara dan observasi. Hasil penelitian menunjukkan kurangnya ketersediaan sarana dan prasarana serta sumber daya manusia di Puskesmas Duren. Sudah tersedianya dana dan standar operasional prosedur pelayanan VCT. Kegiatan sosialisasi layanan VCT sudah dilakukan. Pelaksanaan VCT belum sesuai dengan pedoman serta jumlah kunjungan VCT mengalami penurunan dalam tiga tahun terakhir dan belum mencapai target yang telah ditetapkan. Simpulan penelitian ini adalah gambaran program pelayanan VCT di Puskesmas Duren belum berjalan baik.   Abstract Data from Duren Primary Health Center showed for the number of VCT visited decreased in three years from 2015 to year 2017. In 2017 there was gap between the number of women sex worker groups and men who were in Bandungan with their number of VCT visited. The purpose of this research was to know the description of VCT program in Duren Public Health Center. This research was conducted in May 2018. This type of research was descriptive qualitative. Research informants consisted of 11 selected by purposive sampling technique. Data collection techniques using interviews and observation. The results showed the lack of availability of facilities and infrastructure and human resources. Availability of funds and standard operational procedures were sufficiented. Socialization of VCT have been carried out. VCT implementation has not been in accordance with guidelines, the number of VCT visited has decreased in the last three years, and has not reached the targets. The conclusions of this study was the description of the VCT program have not gone well.  

scholarly journals Analysis of Factors Causing High Referral Rates at Primary Health Center in the JKN Era: A Literature Review

2020 ◽  
Vol 9 (2) ◽  
pp. 57
Author(s):  
Syamira Nurjannah Ramadhani
Keyword(s):  
Literature Review ◽  
Human Resources ◽  
Health Center ◽  
Health Centers ◽  
Google Scholar ◽  
Referral System ◽  
Primary Health Center ◽  
Primary Health ◽  
Medical Materials ◽  
Medical Indications

Background: The implementation of the referral system in the JKN era is not yet running optimally due to an increase in the number of referrals from FKTP to FKRTL. The applicable standard for referral ratio is 15%, from the total BPJS patient visits every month, but the above standard reference ratio is still found in various health centers in Indonesia.Objectives: This study aims to determine the factors that cause the high number of referrals in health centers in the JKN era Methods: This research is a type of literature review where the articles obtained are sourced from Google Scholar as a database. There were 13 articles published from 2010 to 2020 that were considered relevant to the research topicResults: Research shows that Primary Health Center with increased referral are caused by low quality and quantity of human resources, lack of SOP, lack of complete and adequate facilities and infrastructure, medical indications suffered by patients beyond the ability of Primary Health Center, incompleteness of medicines and medical materials and lack of understanding patients with the referral systemConclusions: Factors causing the high number of referrals in health centers in the JKN era included the availability of human resources, the existence of SOPs, the completeness of facilities and infrastructure, types of medical indications, availability of medicines and patient behavior

scholarly journals Sociodemographic profile and health condition of elderly patients attended at a community primary health center

2016 ◽  
Vol 7 (3) ◽  
pp. 93-98 ◽  
Author(s):  
Fernanda Borges Carlucio da Silva ◽  
Rosangela Filipini ◽  
Ana Paula Guarnieri ◽  
Nathalia Grangeiro Vieira ◽  
Andrea Bonvini ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Health Center ◽  
Health Condition ◽  
Primary Health Center ◽  
Primary Health ◽  
Sociodemographic Profile

Correlation Of Knowledge About Prevention Of Kusta Disease and Kusta Transmission Risk In Primary Health Care Losari , Kedaton And Babakan,Cirebon District

2018 ◽  
Vol 5 (2) ◽  
pp. 27-31
Author(s):  
Maryam Ulfah ◽  
Yani Kamasturyani ◽  
Putri Mutiara Ramandani
Keyword(s):  
Health Center ◽  
Univariate Analysis ◽  
Data Retrieval ◽  
Transmission Risk ◽  
P Value ◽  
Primary Health Center ◽  
District Health ◽  
Chi Square ◽  
Primary Health ◽  
Chi Square Test

Background:Knowledge of leprosy prevention is the knowledge of a person doing a first line prevention or pervention action before a disease occurs. Based on data from Cirebon district Health OfficeThe incident of leprosy are 232 patients.According to the data primary health center Losari, Kedaton and Babakan There are 37 leprosy patients. Purpose: This research aimed to know an overview of knowledge about the prevention of leprosy, know an overview risk of cutaneous transmission, and knowlegde connection of prevention with leprosy transmission of primary health center Lossari, Kedaton and Babakan Cirebon District. Method:This is quantitative with Cross Sectional Study design. The population in this research is family members of leprosy primary health center Losari, Kedaton dan Babakan Cirebon district. The samples were choosen by Propotional Random Sampling which amounted to 114 respondents. The data retrieval research was conducted on 15 July – 15 September 2018. The research instrument was a questionnaire. Data analysis using Chi Square test. Result:The result of univariate analysis shows that connection of prevention leprosy was motsly good, that is mostly less 14 respondent (46,7%) and leprosy transmission mostly not risk 21 respondent (70,0%),. The result of chi square test was obtained p value = 0,011. Conclusion:Its indicatedthat there is a relationship betweenIndicating that H0 is rejected an Ha accepted means the a knowlegde connection of prevention with leprosy transmission of primary health center Lossari, Kedaton and Babakan Cirebon District

Determinants of Treatment Adherence among Patients with Severe Mental Disorders at the Kedungmundu Primary Health Center in Semarang City

2020 ◽  
Vol 3 (2) ◽  
pp. 1-7
Author(s):  
Deviani Saskia Putri ◽  
Ayun Sriatmi ◽  
Eka Yunila Fatmasari
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Center ◽  
Treatment Adherence ◽  
Health Workers ◽  
Distribution Analysis ◽  
Primary Health Center ◽  
Severe Mental Disorders ◽  
Cross Sectional ◽  
Primary Health

Background: Treatment adherence among patients with severe mental disorders is needed to avoid drop-outs, relapses, and shackling. Kedungmundu Primary Health Center in Semarang City is known to have a low treatment adherence to patients with severe mental disorders. This study aimed to determine the factors associated with treatment adherence among patients with severe mental disorders.Methods: A quantitative study with a cross-sectional approach. The samples were 73 patients with severe mental disorders at The Kedungmundu Primary Health Center. Data were collected using questionnaires and analyzed using frequency distribution analysis and Spearman Rank Correlation Test.Results: The results indicated that knowledge (p = 0,000; r = 0,715), attitudes (p = 0,000; r = 0,839), family support (p = 0,000; r = 0,427), assessment of health workers (p = 0,000; r = 0,456), and the need for health services (p = 0,000; r = 0,716) have a positive correlation with treatment adherence among severe mental disorders patients.Conclusion: Kedungmundu Primary Health Center is suggested to provide psychoeducation to patients and families, improve the implementation of mental health programs, and empower mental health cadres.

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