scholarly journals Analysis of Capacity Strengthening of Community Health Center in Improving Health Services in Jayapura Regency

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 25 (1) ◽  
pp. 27-35
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Edo Darmasyah Putra

Good utilization of Integrated Health Services Post was very influential on monitoring the growth and development of  under five children under five. This study aimed to determine the relationship between knowledge and attitude of mother with the utilization of  Integrated Health Services Post by mothers of under five children in working area Ratu Agung  Community Health Center Bengkulu. The type of this research was Analytical Survey and used Cross Sectional design. The population of  this study  were all mothers who had 7-23 months children amounted 512 mothers. Sampling technique was Proportional Random Sampling. The total samples were  84 samples. Data used in this study are primary data through the distribution of questionnaires given to mothers. Data analiysed by using Chi-Square (χ2) and Contingency Coefficient (C) statistics test. The result of the research were  44 mothers (52,4%) had enough knowledge, 56 mothers (66,7%) had favorable behavior, 53 mothers (63,1%) utilized Integrated Health Services Post, and there was significant relationship  between knowledge and attitude of mothers with the usage of Integrated Health Services Post in the working area of Ratu Agung Community Health Center Bengkulu with medium category. Ratu Agung Community Health Center can increase the knowledge of the community by doing education about the importance of Integrated Health Services Post so that community, especially mothers with under five  children can understand the importance of Integrated Health Services Post and can visit regularly every month.                                                                               Keywords :  attitude, knowledge,  utilization  of   integrated  health  services  post


Responsive ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 167
Author(s):  
Enceng Sakti Alamsyah ◽  
Ratna Meisa Dai ◽  
Deasy Silvya Sari

Keberadaan kebijakan tentang BPJS Kesehatan, idealnya, membawa perubahan positif untuk kesehatan masyarakat. Bagi Pusat Kesehatan Masyarakat (Puskesmas) sebagai fasilitas kesehatan tingkat pertama, implementasi Kebijakan tentang BPJS merupakan hal yang urgen. Artikel ini bertujuan menelaah implementasi kebijakan BPJS Kesehatan di Pusat Kesehatan Masyarakat Kopo, Kecamatan Kutawaringin Kabupaten Bandung. Teori yang digunakan adalah model Van Metter dan Van Horn. Penelitian ini menggunakan pendekatan kualitatif dengan metode deskriptif. Pengumpulan data meliputi studi dokumentasi, observasi, dan wawancara. Teknik analisis data menggunakan reduksi data, penyajian data, verifikasi data, dan penarikan kesimpulan.Penulis menemukan bahwa Puskesmas Kopo telah menjalankan implementasi kebijakan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. Puskesmas Kopo memiliki tenaga Kesehatan yang memahami tujuan kebijakan BPJS Kesehatan sehingga mereka patuh terhadap klausa-klausa kebijakan yang ada. Mereka juga mumpuni menangani kasus-kasus yang menjadi tanggung jawab fasilitas kesehatan tingkat I dengan kecenderungan sikap yang antusias dalam mengimplementasikan kebijakan BPJS Kesehatan. Puskesmas Kopo melakukan hubungan yang intens dengan Kantor BPJS dalam implementasi kebijakan BPJS. Dari aspek lingkungan ekonomi, sosial, dan politik, Masyarakat di wilayah kerja Puskesmas Kopo memiliki tingkat kepeduliaan terhadap program BPJS Kesehatan. kepedulian ini muncul dari kesadaran dan realita bahwa program BPJS Kesehatan mampu meningkatkan taraf kesehatan masyarakat tanpa membedakan dari jenis-jenis profesi. Meski demikian, keberadaan pimpinan yang mampu mengontrol koordinasi antar unit sangat diperlukan karena implementasi kebijakan ini melibatkan banyak unit serta kendala-kendala teknis di lapangan kerap terjadi.  Ideally, the existence of a policy on BPJS Kesehatan will bring positive changes to public health. For the Community Health Center (Puskesmas) as a first-level health facility, the implementation of the BPJS Policy is urgent. This article aims to examine the implementation of the BPJS Health policy at the Kopo Community Health Center, Kutawaringin District, Bandung Regency. The theory used is the Van Metter and Van Horn model. This study uses a qualitative approach with descriptive methods. Data collection includes documentation study, observation, and interviews. The author found that the Kopo Health Center had implemented the Health Social Security Administration (BPJS) policy. Kopo Puskesmas have health personnel who understand the objectives of BPJS Health policies so that they comply with existing policy clauses. They are also capable of handling cases that are the responsibility of level I health facilities with a tendency to be enthusiastic in implementing BPJS Health policies. The Kopo Puskesmas maintains an intense relationship with the BPJS office in implementing BPJS policies. From the aspects of the economic, social and political environment, the people in the working area of the Kopo Health Center have a level of concern for the BPJS Health program. This concern arises from the awareness and reality that the BPJS Kesehatan program is able to improve the level of public health regardless of the types of professions. However, the existence of a leader who is able to control coordination between units is very much needed because the implementation of this policy involves many units and technical problems in the field often occur.


2021 ◽  
Vol 9 (1) ◽  
pp. 13-32
Author(s):  
Rizkiyani Istifada ◽  
Etty Rekawati ◽  
Wiwin Wiarsih

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.


2017 ◽  
Vol 19 (1) ◽  
pp. 43-50
Author(s):  
Sekti Riyantina ◽  
Th Ninuk Sri Hartini ◽  
Idi Setiyobroto

Background : Epidemiological transition stems from a change where a decline in the prevalence of communicable diseases and non- communicable diseases (NCDs) have increased. Report in 2011 there was one billion people worldwide suffer from hypertension and in Indonesia the figure reached 31.7%. Objective : The purpose of this study was to determine the epidemiological of hypertension Gamping I Community Health Center and determine the proportion of hypertension according to age, sex, occupation, education, socio-economic, geographic, demographic and access to health services. Method : The research design was a retrospective cohort. This research was conducted in Gamping I Community Health Center in November 2016. Population and sample in this study were all patients with hypertension in Gamping I Community Health Center in 2013, 2014 and 2015. The independent variables in this study were age, gender, education, employment, social, cultural, demographic population density, geographic and ease of access to health services. While the dependent variable is the proportion of hypertension. Data analysis was performed using Chi Square to know know the proportions of age, gender, education, employment, social, economic, population density, geography, access to health services with hypertension in 2013, 2014 and 2015. Result : Based on the analysis proves the young elderly, women, housewife, secondary education, non-poor families, low-lying area, population density and access to health care were likely to have hypertension with percentages respectively 33%, 66.7%, 44.9%, 70.1%, 76.7% , 71.9%, 37.9% and 82.9%.   Keywords: Hypertension, Epidemiology


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.


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