scholarly journals Analysis of the Planning Process at the Health Center Level at the Poso Regency Health Office

2021 ◽  
Vol 2 (3) ◽  
pp. 58-68
Author(s):  
Heindra Baithard Rantung ◽  
Darmawansyah Darmawansyah ◽  
Muhammad Asdar

One of the activities required by every puskesmas (Community Health Center) in overcoming the problems faced in each area is planning at the puskesmas level. To accommodate the need to increase the ability and coverage of health services in an integrated and integrated manner with the problems that exist in the work environment of the Puskesmas. The purpose of this study was to analyze the planning process at the Puskesmas level at the Poso District Health Office. This type of research is qualitative and the unit of analysis from the implementation of this research is carried out on 2 (two) Puskesmas in the Poso District Health Office. Meanwhile, the research informants were employees/staff of the related puskesmas and the key informant was the Head of the Poso District Health Office as a triangulation check for the validity of the data. The results of the research based on the preparation stage, a planning team was formed by the Head of the Puskesmas, in the situation analysis stage the problem analysis process was carried out through Encuesta Mawas Diri (SMD), the problem formulation stage using the USG method (Uraaatanga metoaaa) problems, the last stage was the preparation of the RUK (Proposed Activity Plan) which are prepared at the puskesmas still refer to the applicable government policies. Suggestions in this study are expected that the puskesmas in the Poso District Health Office can arrange their annual activity plans optimally, while still fostering community participation in improving community health status.

2009 ◽  
Vol 3 (5) ◽  
pp. 212
Author(s):  
Ardinal Ardinal

Program penyehatan air bersih dilaksanakan untuk pemenuhan akses masyarakat terhadap air bersih yang mencakup aspek jumlah dan kualitas. Untuk itu, perlu kerja keras pemegang program penyehatan air, khususnya sanitarian puskesmas yang merupakan ujung tombak pelaksanaan program di puskesmas. Tujuan penelitian ini mendapatkan gambaran kinerja petugas sanitasi Puskesmas dan faktor-faktor yang berperan di Kabupaten Solok Tahun 2007. Penelitian ini menggunakan pendekatan kualitatif melalui wawancara mendalam, Diskusi Kelompok Terarah dan observasi, dengan informan sanitarian puskesmas dilanjutkan triangulasi sumber dengan Kepala Puskesmas dan Kepala Bidang PL & PKM Dinas Kesehatan Kabupaten Solok. Kinerja sanitarian puskesmas dalam pelaksanaan program penyehatan air bersih yang rendah terlihat pada cakupan rendah, penyuluhan kurang, pembinaan pokmair kurang, pengawasan air kurang, sistem informasi program tidak jalan. Faktor yang berperan dalam kinerja sanitarian meliputi; kemampuan dan keterampilan kurang, supervisi dari Kabupaten dan Puskesmas kurang; pelatihan sanitarian yg kurang dan tidak sesuai kebutuhan, motivasi sanitarian rendah, imbalan dan dana operasional kurang, beban kerja tambahan, sarana dan prasarana tidak memadai, prioritas program kurang, akses wilayah kecamatan terisolir tidak lancar, serta prog-ram air bersih yang belum prioritas. Kata kunci : Program penyehatan air bersih, petugas sanitasi, air bersihAbstractHealthy and hygienic water program is implemented to fulfill public access to hygienic water, not only in quantity but also the quality of hygienic water consumed by public. This study aim is to describe performance of sanitation officer in community health center and factors related in Solok District in 2007. This study used qualitative method by in-depth interview, focus group discussion and observation; informant is sanitation officer in community health center, which was source triangulated with the head of community health center and head of PL and PKM of District Health Office. Low performance of sanitation officer was reflected in low coverage, low frequency of counseling, low frequency of community training, low frequency of water monitoring, information system program was not functioned well. Factors which are important on sanitation officer performance include: less ability and skill of sanitation officer, less supervision of district and community health center head, less training frequency of sanitation officer and the need is not matched, low motivation of sanitation officer, less reward and operational fund, many extra jobs, facility and basic facility are not adequate, less program priority by head of community health center, access to several working areas is not good especially in the isolated subdistrict, and budget policy of District Health Office which is not prioritizing sufficient budget for health and hygienic water program.Keywords: Healthy and hygienic water program, sanitation officer, hygienic water


2019 ◽  
Vol 1 (3) ◽  
pp. 124-133
Author(s):  
Neneng N. K . Manu ◽  
Tadeus A. L. Regaletha ◽  
Erny E Pua Upa

 K4 pregnant women services are complete antenatal services with a time of examination, namely one visit in the first trimester, one visit in the second trimester, and two visits in the third trimester. The Baumata Community Health Center experienced a decline in K4 coverage based on the Kupang District Health Office profile data and annual reports where in 2016 K4 coverage reached 60.7%, in 2017 it reached 51.8% and in 2018 it only reached 44.2%. This research is a combination of qualitative and quantitative research (mix method) with descriptive research. The purpose of this study is to examine the implementation of K4 coverage services at the Baumata community health center in 2018 which includes description of inputs (human resources, facilities, sources of funds, policies and Standard Operating Procedures), process descriptions (planning and organizing) as well as output descriptions (K4 coverage ). Informants in this study amounted to 13 people and respondents numbered 66 people consisting of the Head of the Family Health and Nutrition Section of the Kupang District Health Office, the Head of the Baumata community health center, the Midwife who provided K4 services and the mother who had a pregnancy (K4) at the community health center Baumata in 2018. The results showed that in terms of input at the Baumata community health center as a whole it was good but there was no Ultrasonography facility at the community health center and the limited space where there was no special room for maternal and child health services/ family planning/immunization, in terms of the process is good related to planning, organizing and forms of services received by pregnant women are in accordance with 10T standards, it's just a long time in the process of providing services due to poor management time and lack of awareness of pregnant women to check pregnancy to the facility. The nearest health bag is due to the lack of knowledge of pregnant women about the importance of antenatal care, while in terms of output based on document review it can be seen that in the past three years there has been a decline in achievement of the K4 target at the Baumata community health center. It is recommended that the Baumata community health center procure supporting facilities in the form of Ultrasonography and additional rooms, make time management so that pregnant women do not wait too long for the service process, and conduct socialization to the public about the importance of antenatal care.


BISMA ◽  
2019 ◽  
Vol 13 (3) ◽  
pp. 181
Author(s):  
Rizkiy Shofiah ◽  
Dewi Prihatini ◽  
Sebastiana Viphindrartin

Public health centers are the spearhead in the implementation of health services in Indonesia. Public health centers are the first level facilities that seek promotive and preventive services to achieve health status. The provision of health services must be supported by adequate health personnel to support the functioning of the community health center. In accordance with its function, public health centers must have at least five promotive and preventive personnel, namely laboratory, pharmaceutical, nutrition, public health, and sanitation analysts. The availability of health human resources (HRH) for public health centers, especially laboratory analysts, nutrition, public health, and sanitation, is still not evenly distributed in the Jember district health centers. HRK planning in Jember Regency is still focused on medical personnel. This research is an exploratory research with a qualitative approach that aims to determine the HRH planning process, especially the promotive and preventive public health centers. The informants in this study were the head of the public health center administration as part of staffing and additional informants, namely analysts, nutrition, public health, and sanitation staff. Based on the results of the study, public health centers still need personnel such as analysts, nutrition, and sanitation. The results of interviews with informants indicated that the community health center did not have a special HRH planning team. In the planning process, the community health center only carried out an analysis of the HRH needs and then submitted them to the Health Office which had an important role in the planning process to meet the HRH needs of the community health center. As an executor, the community health center can only accept the applicable policies. Public health centers cannot do their own recruits because of budget constraints. This is one of the obstacles that hinders community health centers in HRH planning. Another obstacle in the planning process is waiting for a decision from the Health Office to meet HRH needs and the use of forecasting methods that are not yet clear. This causes, there is no common perception among policy makers. Keyword: Public health center, HRH planning, preventive and promotive.


2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 


2020 ◽  
Vol 9 (1) ◽  
pp. 143
Author(s):  
Ariyanto Ariyanto

A healthy family is condition that is prosperous in terms of physical, mental, and social which then allows a whole family to be able to socially normal life. A family is said to be healthy if it can overcome existing problems or conflicts and maintain healthy relationships between family members. Families are said to be healthy if they meet the 12 indicators established by the Ministry of Health.Method To find out the description of 12 indicators of healthy families in the Work Area of the Pall X Community Health Center in Jambi City, this type of research is descriptive with a Cross Sectional approach. The population was all family heads in the Pall X Community Health Center in Jambi City, with a sample of 203 family heads. Data analysis was performed using a univariate test.Results: 87.4% did not attend the family planning program, 77.8% stated that at birth there were those in the hospital and those in the midwife's house, 90% who had complete basic immunizations, 60% had given breast milk, 89.7% had performed monitoring the growth of children under five, 100% as patients who do not regularly treat pulmonary TB, 95.5% of patients do not treat their hypertension regularly, 97.9% do not take medication regularly, 85.6 have family members who smoke, 76.2 % of all family members have become JKN members, 100% have access to clean water and use it for daily needs and 98% of other families have and use healthy latrines. Results, it is recommended that the Puskesmas improve information dissemination regarding 12 Indicators of Healthy Families by conducting counseling in the work area. Information can be improved by empowering sub-district health centers, health cadres and village midwives.


Author(s):  
Wiwin Elis Sumarni ◽  
Lia Nurcahyani

Cervical cancer is the most common cancer in women with an estimated 570,000 new cases in 2018 and represents 6.6% of all cancers in women. The behavior of women of childbearing age in preventing cervical cancer with early detection is still low. Nationally, it is still less than 5%, while the target to be achieved in 2019 is 50%. In Subang Regency in 2019, of the target of 7500, only 20 people (0.27%) did IVA tests (Subang District Health Office, 2019). This study aims to determine the perception of women of childbearing age on early detection of cervical cancer with IVA test in the Basic Essential Neonatal Obstetrics Services Cipeundeuy Community Health Center, Subang Regency In 2020. This research is qualitative with a case study approach, the research subjects are 5 women of reproductive age. Measurement and observation of these variables using in-depth interviews. Data analysis through transcription, reduction, categorization, presentation of data in narrative form. The behavior of women of childbearing age in preventing cervical cancer with early detection is based on the perception of vulnerability of women of childbearing age to feel vulnerable to cervical cancer, because women of childbearing age is already active in sexual intercourse, based on the perception of severity seriousness. Women of childbearing age considers cervical cancer a serious disease, based on the perceived advantage that this examination is to determine the health condition of the presence of signs and symptoms, based on the perception of obstacles due to shame, fear, lack of knowledge and costs. Women of childbearing age perception of cervical cancer early detection includes perception of vulnerability, perception of severity/ seriousness, perception of benefits and perception of barriers.


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 3 (2) ◽  
pp. 334-340
Author(s):  
Listyorini Wulandari ◽  
Indasah Indasah ◽  
Byba Melda Suhita

Drug is an element supproting the health care system. Logistics management start from the planning process, procurement, storage, distribution, recording and reporting drugs. The purpose of the research was to explore drug logistic management at the pharmacy installation in the working area of Klaten District Health Office. Research design uses descriptive qualitative research. Data collection used indepth interview techniques with a total sample are 12 informants. From the results of the research it was found that drug planning at the health center pharmacy installation was carried out by the drug manager himself or in a team with the assistant pharmacist or treasurer of the health center. The drug needs planning process in the health center is carried out by recapitulating reports from the health center and the other units in the Usage Sheet and the Drug Request Sheet (LPLPO). Drug planning is carried out every month. Drug procurement is carried out by the consumption method and carried out through e-catalog once a year with buffer stock of one and a half years. The drug storage layout is accordance with provisions, safeguarding the quality of the drug by placing drugs on the pallet and shelves but there is no temperature measurement. Examination of drugs that come, drugs needed by the health center and drug distribution have been carried out according to the procedure. The recording and reporting of drugs in the health center uses sympus whereas in other units manually using LPLPO


2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Fien Lumolo ◽  
Odi R. Pinontoan ◽  
Joy M. Rattu

Abstract: Malaria is a re-emerging disease (can spread back by the large number) and still being a problem in Indonesia. This disease is caused by Plasmodium. This study aimed to analyze the risk factors towards malaria in This was an analytical observational study with a case control approach (retrospectively) in the working area of Mayumba Community Health Center, Morowali, Middle Celebes Province. Samples were 94 respondents and the ratio of cases and controls was 1:1, therefore, there were a total of 188 peoples obtained by using the simple random sampling. From the results it can be concluded that there was a significant relationship between behavioral factors (knowledge, attitude, be out of the house at night, and hanging clothes in the house) and the incidence of malaria in Mayumba Health Center. It is advisable to the District Health Department and Community Health Center Morowali Mayumba to conduct a survey aiming to determine entomology vector bionomic which will be useful against malaria.Keywords: behavior, malaria incidenceAbstrak: Malaria merupakan penyakit yang re-emerging (menular kembali secara massal) dan masih merupakan masalah di Indonesia. Penyakit menular ini disebabkan oleh Plasmodium. Penelitian ini bertujuan untuk menganalisis faktor risiko terhadap kejadian malariadi wilayah kerja Puskesmas Mayumba Kabupaten Morowali Provinsi Sulawesi Tengah. Jenis penelitian ialah observasional analitik dengan pendekatan case control (retrospektif). Besar sampel penelitian ini sebanyak 94 responden, dengan perbandingan antara kelompok kasus dan kontrol 1:1 sehingga total sampel sebanyak 188 orang. Cara pengambilan sampel menggunakan teknik simple random sampling. Dari penelitian dapat disimpulkan bahwa terdapat hubungan bermakna antara faktor perilaku (pengetahuan, sikap, keluar rumah pada malam hari, dan menggantung pakaian di dalam rumah) dengan kejadian malaria di Puskesmas Mayumba. Disarankan kepada Dinas Kesehatan Kabupaten Morowali dan Puskesmas Mayumba agar melakukan survei entomologi yang bertujuan untuk mengetahui bionomik vektor yang akan berguna dalam upaya penanggulangan malaria.Kata kunci: perilaku, kejadian malaria


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