scholarly journals EVALUATION OF THE IMPLEMENTATION OF A REFERRAL SYSTEM IN THE COMMUNITY HEALTH CENTER OF ABELI, KENDARI, INDONESIA

2017 ◽  
Vol 3 (3) ◽  
pp. 112-116
Author(s):  
Sartini Risky ◽  
Ari Nofitasari

Background: The referral rate in Southeast Sulawesi in the first-level health facilities was still high, which reached 17% in 2016. Ideally, the maximum referral rate in the first-level facilities should be no more 5%.  Objective: This study aims to evaluate the implementation of the first-level referral system in terms of availability of health personnel, facilities and medicines, and understanding of health officers on the referral system at the Community Health Center of Abeli.Methods: In-depth interviews were conducted with a total of 5 health facility managers. All the materials were analyzed using a qualitative thematic analysis approach.Results: Three themes emerged from data; namely human resources (Lack of responsibility of midwives, Lack of communication between staffs, Lack of the number of physician, Understanding of health personnel regarding referral system), availability of facilities, and availability of drugs.Conclusion: Availability of human resources, facilities and drugs is unreliable. Effort should be made to ensure the quality of service provided. This should imply, amongst other things, that human resources, drugs and facilities are adequately available and accessible.

2021 ◽  
Vol 2 (2) ◽  
pp. 41-50
Author(s):  
Melda Andriani ◽  
Megawati Megawati ◽  
Asriwati Asriwati ◽  
Lucia Lastiur

Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of ​​the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.


2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli

The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future research on factors influencing HIV-related stigma is needed to improve patients’ quality of life.


Author(s):  
Y. Gabriel Maniagasi ◽  
Thahir Haning ◽  
Rakhmat Rakhmat ◽  
Nurdin Nara

Puskesmas (Community Health Center) is a public organization that is tasked with providing the best health services to the people who live in 139 villages and 5 sub-districts in Jayapura Regency. In fact, Community Health Center are not optimally performing their duties and functions because they experience delays in their human resources, supporting facilities, poor management of Community Health Center, no clear regulatory support and a lack of budget availability to support Community Health Center operations in their services. The problem in this research is How to Strengthen the Organizational Capacity of Puskesmas in Improving Health Services in Jayapura District? The purpose of this study was to analyze the Strengthening of Public Health Center Organizational Capacity in improving health services in Jayapura Regency. This research is expected to contribute to the Jayapura Regency Government, through the Health Office and in particular for Community Health Center as regional technical implementation units to improve the Organizational Capacity in Improving Health Services in Jayapura Regency. The results showed that the Organizational Capacity of Puskesmas can be improved by strengthening management governance, incentive systems, facilities, leadership, organizational culture, communication, and organizational structure.


2020 ◽  
Vol 3 (2) ◽  
pp. 120
Author(s):  
Rully Suwartiningsih

AbstrakMasalah pelayanan sebenarnya bukanlah hal yang sulit atau rumit, tetapi apabila hal ini kurang diatasi maka dapat menimbulkan masalah serta peningkatan kinerja pegawai yang bagus merupakan kunci sukses untuk membangun keberhasilan Puskesmas dalam melayani pasien. Untuk meningkatkan kualitas pelayanan dan kinerja pegawai, Puskesmas Dinoyo Kota Malang akan mampu mendapatkan profitabilitas yang diperoleh dari kepuasan pasien oleh sebab diharapkan mampu meningkatkan kualitasnya puskesmas. Tujuan dari penelitian ini adalah: untuk menganalisis pengaruh pelayanan Puskesmas dan kinerja pegawai terhadap kepuasan pelanggan di Puskesmas Dinoyo Kota Malang Jawa Timur. Sampel yang digunakan dalam penelitian ini adalah pasien atau pelanggan dari Puskesmas Dinoyo selama satu minggu pada bulan Nopember tahun 2017. Hasil penelitian menunjukkan bahwa pengaruh pengaruh Puskesmas dan kinerja pegawai terhadap kepuasan pelanggan di Puskesmas Dinoyo Kota Malang  Jawa Timur  negatif dan tidak signifikan. Dalam penelitian ini juga mengindikasikan bahwa secara simultan pelayanan Puskesmas dan kinerja pegawai memiliki pengaruh terhadap kepuasan pelanggan Puskesmas.Kata kunci : pelayanan puskesmas, kinerja pegawai, kepuasan pelanggan Abstract            The problem of service is not difficult and complicated, but if this matter is not be overcame so it can make some problems and a good employee performance is a key of success  to build the success of Community Health Center on servicing the patient. To develop the quality of service and employee performance, Community Health Center Dinoyo Malang City will be able to get the profitability that obtained from the satisfaction customer, so for that reason it expected to develop the quality of Community Health Center.The objectives of this research is: to analyze the effect of the service of Community Health Center and the Employee Performance to Customer Satisfaction in Community Health Center Dinoyo Malang City East Java. Using of sample from this study is the patient of Community Health Center Dinoyo for a week on November at 2017. The result of this research shows that the service of Community Health Service and Employee Performance to Customer Satisfaction in Community Health Center in Dinoyo Malang City East Java is negative and not significant. In this research also indicates that the service of Community Health Center and Employee Performance have the effect to the satisfaction customer of Community Health Center simultaneously.Keyword : service of community health center, employee performance, satisfaction performance


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