scholarly journals Stakeholder collaboration in improving integrated basic occupational in health services supply chain in community health center

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.

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>


2020 ◽  
Vol 2 (2) ◽  
pp. 225-230
Author(s):  
Nova Yusenta ◽  
Komalasari Komalasari ◽  
Mareza Yolanda Umar ◽  
Yenny Marthalena

Angka Kematian Ibu dan Angka Kematian Neonatal Bayi di Indonesia masih tinggi dimana Kabupaten Pesisir Barat khususnya Kecamatan Bangkunat yang merupakan salah satu penyumbang tertinggi. Tujuan dari penelitian ini adalah diketahuinya Pengaruh Konseling Tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) terhadap Motivasi Ibu Hamil Untuk Bersalin Di Fasilitas Kesehatan di Wilayah Kerja UPTD. Puskesmas Bengkunat Belimbing Tahun 2020. Populasi dalam penelitian ini adalah semua ibu hamil trimester III yang terdapat di Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa pada Bulan Maret tahun 2020 yang berjumlah 50 ibu hamil. Sedangkan Sample diambil dari populasi dengan teknik Total Sampling. Analisis bivariat dalam penelitian ini menggunakan Uji Non Parametic Yaitu Uji Wilcaxon Machted Pair Test. Hasil uji  Wilcaxon Machted Pair Test menunjukkan diperoleh p-value 0,001 (less than 0,01) yang artinya Ada pengaruh konseling tentang P4K dengan peningkatan motivasi ibu hamil untuk bersalin di fasilitas kesehatan di wilayah kerja UPTD. Puskesmas Bengkunat Belimbing tahun 2020.Abstract: Maternal Mortality and Neonatal Infant Mortality rates in Indonesia are still high in West Pesisir Regency, especially in Bengkunat sub-district, which is one of the highest contributors. The research objective was to know the influence of counseling about P4K by improving the motivation of pregnant women to childbirth in health facilities at the working areas of the UPTD community health center of Bengkunat Belimbing in 2020. The population in this research were all third trimester of pregnant women in the Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa on March 2020, which amounted to 50 pregnant women. While the sample is taken from the population with the Total Sampling technique. The bivariate analysis in this research uses the Non-Parametic Test Namely the Wilcoxon Matched Pair Test. The Wilcoxon Matched Pair Test results show that a p-value of 0.001 (less than 0.01), which means that there is an influence of counseling about P4K by increasing the motivation of pregnant women to childbirth in health facility at the working areas of UPTD community health center of Bengkunat Belimbing in 2020.


Author(s):  
Iskandarova Mehriban Mirkasym

The article analyzes the role of small and medium-sized businesses in the economic development of the country and assesses the factors affecting to the growth of small business income through the use of the Eviews software package. The study showed that the amount of capital investment plays a significant role in the development of small businesses.


2020 ◽  
Vol 44 (1) ◽  
pp. 2-6
Author(s):  
Jason Halperin ◽  
Katherine Conner ◽  
Christian Telleria ◽  
Bruce Agins ◽  
Isolde Butler

2021 ◽  
Vol 7 (1) ◽  
pp. 48-52
Author(s):  
Anggrawati Wulandari

ABSTRACT Women who have had back pain before pregnancy are at higher risk of experiencing the same thing when pregnant. Therefore, it is very important to be able to differentiate pregnancy back pain from back pain that occurs due to other causes. The purpose of this study was to analyze the effect of Pelvic Rocking exercise on the reduction of back pain in trimester III pregnant women in the Bululawang Community Health Center, Malang Regency. This research design uses correlational analytic with one group pre test design approach. The population in this study were all pregnant women in PMB "E" working area of ??Puskesmas Bululawang 73 pregnant women with a sample size of 30 respondents who were taken using accidental sampling technique. The independent variable in this study was Pelvic Rocking exercise, while the dependent variable was back pain for pregnant women. Data analysis used the Wilcoxson test. Results of the Research Before giving treatment, the highest level of back pain was moderate pain as much as 18 pregnant women (60%), and after giving Pelvic Rocking exercise, the pain level was reduced by 26 pregnant women (86.7%). The Wilcoxson test results show that the p value or 0.002 <0.005, then Ho is rejected, thus the alternative hypothesis (H1) is accepted. So the conclusion is that there is a significant effect between Pelvic Rocking Exercise on the reduction of back pain in trimester III pregnant women at PMB "E" in the working area of ??the Bululawang Community Health Center. The conclusion of this study is that there is an effect of Pelvic Rocking Exercise on the reduction of back pain in trimester III pregnant women at PMB "E" in the working area of ??Bululawang Public Health Center.   Keywords : Pelvic Rocking exercise, Back pain, pregnant women


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.


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