scholarly journals ACCUPRESSURE PROGRAM AT THE HEALTH CENTERS IN SOUTH JAKARTA IN 2018

Author(s):  
Sandra Octaviani Dyah Puspita Rini ◽  
Anhari Achadi

Abstract. Traditional Health Services is a treatment or therapy using methods and medication that is based on the experience and skills of our ancestors that can be accounted for and is in accordance with the norms prevailing in the community. One example is acupressure, ehich is a healing method that uses pressure on certain points of the body or acupuncture points. This type of service has been regulated in various laws on traditional health. However, not all Health Centers provide this service. In South Jakarta City, there are only two Health Centers that provide acupressure services. This is a qualitative research, and aims to analyze the policies and implementation of the implementation of acupressure services in the Health Centers and its obstacles. The data was collected through in-depth interviews and document review. In this study we found that the quality and quantity of health workers trained in acupressure and their comprehension of the program was inadequate. In addition, the room for acupressure is only found in health centers that have provided this service. Communication is still a problem, because there is no regulation socialization regarding the regulation of acupressure services for policy implementers. However, 60% of patients were satisfied with the services provided. Abstrak. Pelayanan Kesehatan Tradisional adalah pengobatan/atau perawatan dengan cara dan obat yang berdasarkan pada pengalaman dan keterampilan turun temurun secara empiris, dapat dipertanggungjawabkan dan diterapkan sesuai dengan norma yang berlaku di masyarakat. Salah satu diantaranya adalah akupresur. Akupresur merupakan suatu cara penyembuhan dengan teknik penekanan titik-titik tertentu pada tubuh (titik-titik akupunktur) yang menggunakan jari-jari tangan ataupun alat bantu seperti batang kayu. Pelayanan jenis ini sudah dituangkan dalam berbagai undang-undang tentang kesehatan tradisional. Namun, tidak semua puskesmas menyelenggarakan layanan ini. Di Kota Jakarta Selatan, hanya terdapat dua Puskesmas yang menyelenggarakan pelayanan akupresur. Penelitian ini adalah penelitian kualitatif, dan bertujuan untuk menganalisis kebijakan dan implementasi pelaksanaan pelayanan akupresur di Puskesmas serta hambatannya. Metode pengumpulan data melalui wawacara mendalam dan telaah dokumen. Dalam penelitian ini ditemukan bahwa kualitas dan kuantitas tenaga kesehatan yang terlatih akupresur dan mengerti tentang program masih belum mencukupi. Selain itu, ruangan untuk akupresur hanya terdapat pada puskesmas yang sudah menyediakan pelayanan ini. Komunikasipun masih menjadi masalah, karena belum ada sosialisasi regulasi tentang pengaturan pelayanan akupresur bagi pelaksana kebijakan.

2021 ◽  
Vol 9 (4) ◽  
pp. 125-135
Author(s):  
Ni Putu Eka Cahyati ◽  
I Ketut Widnyana ◽  
I Gusti Ngurah Alit Wiswasta ◽  
Ni Putu Pandawani

Traditional Health Services (Yankestrad) is a development program that is a priority of the Indonesian government, and its existence is of sufficient interest to the public so that it needs to be developed to improve public health. Yankestrad can be combined with conventional health services to be implemented in an integrated manner in hospitals and in health centers. The purpose of this study was to evaluate the Yankestrad program in Denpasar Bali and develop strategies for the development of the Yankestrad Integration program at community health centers (Puskesmas) in Denpasar Bali. The method used in this research is descriptive qualitative using SWOT analysis. The results showed that the implementation of the Yankestrad Integration program in Denpasar City was categorized as sufficient. The dominant internal factor being the strength is that the vision and mission of the Yankestrad program has been stated in the strategic plan and trained and certified health workers, while the weakness is that the officers hold multiple programs so that they do not focus on providing services. The external factor, the biggest opportunity is community empowerment through independent care groups with the use of family medicinal plants (TOGA), and the biggest threat is that the community still tends to curative rather than preventive efforts and the community still sees Yankestrad as magical / mystical. Yankestrad Integration development strategy can be carried out by supporting an aggressive growth policy or a Streng Opportunity strategy, namely by taking advantage of opportunities to use their strengths for the sustainability of the program.


Author(s):  
Nezal Azh ◽  
Fatemeh Nahidi ◽  
Giti Ozgoli ◽  
Gelayol Ardalan

AbstractIntroductionUntil now, the services provided to Iranian youth have been prepared based on authorities’ perspectives and according to the resources and reports from other countries and international agencies. Using youth perspectives to provide health, however, helps in continuing the process of providing health services, and most young people will receive these services.ObjectiveTo explain perception of youth and key individuals to improve health programs for safe transition in Iran.MethodologyThis study is a qualitative research with a grounded theory approach. Data were collected using semi-structured in-depth interviews and group discussions. Participants were first selected by purposive sampling and then by theoretical sampling. Overall, 67 adolescents aged 14–18 years, eight youths aged 19–24 years, 12 parents and important persons involved in providing health services joined the study. Young participants and their parents were selected from different training areas of Tehran and the key individuals were from the Ministry of Health and Medical Education and the Education Department. Collecting samples were continued to saturation. The Strauss and Corbin (2008) method was used for data analysis.ResultIn this study, the phenomenon of adolescents’ confusion to manage puberty emerged. This process, with appropriate strategies, such as the mobilization of available resources in the community and comprehensive programming to provide health services by policymakers, could have provided youth empowerment as an impact to self-care.ConclusionCurrent services provided by health centers cannot guarantee the health of adolescents, but it does require proper planning and management in families, schools and societies.


2019 ◽  
Vol 4 (2) ◽  
pp. 282
Author(s):  
Isti Harkomah

<p><em>Clients with hallucinations really need continuous family support both internal and external families. Reduced external family support will cause a heavy burden on the internal family in caring for hallucinatory clients. The reason families bring to the hospital is the inability to treat patient hallucinations at home after hospitalization because hallucinations pose a burden on the family. The purpose of this study was to find out in-depth information about family experience in treating schizophrenic patients who experience auditory hallucinations after hospitalization. This research is qualitative research, the phenomenology approach uses the method of collecting data by in-depth interviews and document review. Data were obtained by in-depth interviews with six participants. The results of the study are two main themes, namely family understanding of recognizing hallucinatory problems after hospitalization and family experience in treating schizophrenic patients with hallucinatory problems.It is hoped that health services will further improve the quality of health services in providing health education to families about how to properly care for hallucinatory patients and families are expected to be able to treat hallucinogenic patients well.</em></p><p><em><br /></em></p><p><em><em>Klien dengan halusinasi sangat membutuhkan dukungan dari keluarga secara terus menerus baik keluarga internal maupun eksternal. Berkurangnya dukungan keluarga eksternal akan menimbulkan beban yang berat bagi keluarga internal dalam merawat klien halusinasi. Alasan keluarga membawa ke RSJ adalah ketidakmampuan merawat halusinasi pasien dirumah pasca rawat inap karena halusinasi menimbulkan beban bagi keluarga. Tujuan penelitian ini adalah untuk mengetahui informasi mendalam tentang pengalaman keluarga dalam merawat pasien skizofrenia yang mengalami masalah halusinasi pendengaran pasca hospitalisasi. Penelitian ini merupahkan penelitian kualitatif, pendekatan fenomenologi menggunakan metode pengumpulan data dengan wawancara mendalam dan telaah dokumen. Data didapatkan dengan wawancara mendalam terhadap enam partisipan. Hasil wawancara dianalisis dengan menggunakan metode Collaizi. Hasil penelitian yaitu terdapat 2 utama tema yaitu pemahaman keluarga tentang mengenal masalah halusinasi pasca hospitalisasi dan pengalaman keluarga dalam merawat pasien skizofrenia dengan masalah halusinasi.Diharapkan bagi pelayanan kesehatan agar lebih meningkatkan mutu pelayanan kesehatan dalam memberikan pendidikan kesehatan kepada keluarga tentang cara merawat pasien halusinasi yang benar dan keluarga diharapkan dapat merawat pasien halusinasi dengan baik.</em></em></p>


Sexual Health ◽  
2012 ◽  
Vol 9 (5) ◽  
pp. 497
Author(s):  
Philip Gibbs ◽  
Heather Worth

Background: Sex and death have traditionally been linked in Huli culture in the Southern Highlands in Papua New Guinea. Huli regarded that close contact with women could result in men becoming sick or dying. However, there has been rapid social and economic development in the area and Huli traditions are changing. At the same time, HIV prevalence is rising. Methods: Twenty-five semistructured in-depth interviews were carried out with key informants during a study on HIV risk in the Southern Highlands. Interviews were conducted mostly in Tok Pisin. Interviews were transcribed and the data were analysed though thematic coding. Results: Huli people use ‘eating coffee candy’ as a metaphor for engaging in sex at funerals. This is very new and against traditional values, where women attended funerals and men only built the coffins and buried the body. Nowadays, sex occurs at funerals. This change has disturbed older people because it has not only changed the customary meaning of the funeral space, but it has also encouraged the spread of HIV. Huli use the fatalistic expression ‘Eat coffee candy and die,’ to refer to funerals as a space of HIV risk. Conclusion: Huli community and church leaders, and health workers are attempting to deal with the situation by not allowing men to stay at the funeral site overnight, burying the dead on the same day they die and using customary village law to charge men caught having sex at a funeral. However, traditional beliefs and rapid social change in the context of an HIV epidemic need to be taken into account.


2021 ◽  
Vol 24 (1) ◽  
pp. 68-78
Author(s):  
Rukmini Rukmini ◽  
Lusi Kristiani

One of the health efforts that have the opportunity to improve the health status of the elderly is traditional health services (Yankestrad). This paper aims to describe the use of Yankestrad among the elderly in Indonesia. The data source in this analysis is Riskesdas 2018, a research conducted by the Ministry of Health with the elderly (≥60 years) as the analysis unit. Data were analyzed descriptively. The results showed that the use of Yankestrad in the elderly was 37.0% and self-medication with traditional medicine was 17.3%. Young elderly people mostly use Yankestrad (37.9%), while self-medication with traditional medicine are dominated by elderly women (18.3%) in rural areas (19.5%). The use of Toga in the elderly in Indonesia (31.9%), mostly women (33.3%) in rural areas (36.3%). The most common types of Yankestrad used by the elderly were manual skills, potions, and homemade potions. Male elderly (55.5%) in urban areas (56.5%) used more prepared ingredients, while female elderly (43.6%) in rural areas (46.5%) preferred homemade ingredients. Older people with low expenditure levels tend to take advantage of prepared ingredients or homemade ingredients, while high expenditures tend to take advantage of manual skills. Traditional healers (98.2%) are the type of yakestrad used mostly by the elderly. In conclusion, Yankestrad in Indonesia is mostly used by the elderly, therefore it has the potential to be developed as an alternative model of health services for the elderly. Given the high interest of the elderly with Yankestrad and the use of traditional healers, it is necessary to provide Yankestrad facilities, especially in Puskesmas with traditional health workers who are able to provide safe and quality health services to the elderly. Abstrak Salah satu upaya kesehatan yang berpeluang meningkatkan status kesehatan lansia adalah pelayanan kesehatan tradisional (Yankestrad). Tulisan ini bertujuan untuk mengetahui gambaran pemanfaatan Yankestrad pada penduduk lansia di Indonesia. Sumber data dalam analisis ini adalah Riskesdas 2018. Riset yang dilakukan oleh Kementerian Kesehatan dengan unit analisis lansia (≥60 tahun). Analisis data secara deskriptif. Hasil menunjukkan, pemanfaatan Yankestrad pada lansia 37,0% dan upaya sendiri dengan obat tradisional 17,3%. Lansia muda terbanyak memanfaatkan Yankestrad (37,9%), sedangkan upaya sendiri dengan obat tradisonal didominasi lansia perempuan (18,3%) di perdesaan (19,5%). Pemanfaatan Toga pada lansia di Indonesia (31,9%), terbanyak perempuan (33,3%) di perdesaan (36,3%). Jenis Yankestrad terbanyak dimanfaatkan lansia adalah keterampilan manual, ramuan jadi dan ramuan buatan sendiri. Lansia laki-laki (55,5%) di perkotaan (56,5%) lebih banyak memanfaatkan ramuan jadi, sedangkan lansia perempuan (43,6%) di perdesaan (46,5%) lebih menyukai ramuan buatan sendiri. Lansia dengan tingkat pengeluaran rendah cenderung memanfaatkan ramuan jadi atau ramuan buatan sendiri, sedangkan pengeluaran tinggi cenderung memanfaatkan ketrampilan manual. Penyehat tradisional (98,2%) adalah jenis tenaga terbanyak dimanfaatkan lansia. Kesimpulan, Yankestrad di Indonesia lebih banyak dimanfaatkan oleh lansia, oleh karena itu berpotensi untuk dikembangkan sebagai alternatif model pelayanan kesehatan bagi lansia. Rekomendasi, mengingat tingginya minat para lansia dengan Yankestrad dan pemanfaatan penyehat tradisional, maka diperlukan penyediaan fasilitas Yankestrad khususnya di Puskesmas dengan tenaga kesehatan tradisional yang mampu memberikan pelayanan kesehatan yang aman dan berkualitas bagi para lansia.


PHARMACON ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 360
Author(s):  
Dwi Baluntu ◽  
Weny I. Wiyono ◽  
Marina Mamarimbing

ABSTRACT This research to determine the knowledge and attitudes of health workers regarding reporting and reporting systems of medication errors has been carried out. Medication errors is any event that can cause or resulted  in improper health services or harm to patients that actually can be avoided. This research is a qualitative descriptive study using in-depth interviews with data analysis conducted using thematic analysis. The results showed that the health workers at Monompia General Hospital GMIBM Kotamobagu did not understand the reporting of medication errors, decision making to report medication errors was determined by the severity of the result of errors and lack of reporting due to fear of disciplinary action and fear of losing their jobs. Monompia General Hospital GMIBM Kotamobagu City continues to strive to improve the quality of health services, but the limitations of facilities and infrastructure as well as human resources were the obsracles. Keywords : Knowledge, Medication Errors, Reporting System ABSTRAK Telah dilakukan penelitian untuk mengetahui pengetahuan dan sikap tenaga kesehatan mengenai pelaporan dan sistem pelaporan medication error. Medication error merupakan setiap kejadian yang dapat menyebabkan atau berakibat pada  pelayanan kesehatan yang tidak tepat atau membahayakan pasien yang sebenarnya dapat dihindari. Penelitian ini merupakan penelitian yang bersifat deskriptif kualitatif menggunakan wawancara mendalam dengan analisis data yang dilakukan menggunakan tematik analisis. Hasil penelitian menunjukan bahwa tenaga kesehatan  di RSU Monompia GMIBM Kota Kotamobagu belum memahami mengenai pelaporan medication error, pengambilan keputusan untuk melaporkan kesalahan pengobatan ditentukan oleh tingkat keparahan hasil dari kesalahan dan minimnya tingkat pelaporan disebabkan karena tenaga kesehatan takut tindakan disiplin serta takut kehilangan pekerjaan. RSU Monompia GMIBM Kota Kotamobagu terus berupaya untuk meningkatkan mutu pelayanan kesehatan, tetapi keterbatasan sarana dan prasarana serta sumber daya manusia menjadi kendala tesendiri. Kata kunci : Pengetahuan, Medication error, sistem pelaporan


Author(s):  
Tasya Caesarena Pertiwi ◽  
Masyitoh Masyitoh

Abstract. The Health Social Security Agency (BPJS kesehatan) is one of the government’s efforts to provide quality healthcare for the people. To guarantee its quality and maintain efficiency, a tiered referral system is used. However, there were many problems in its implementation. One of the ways to investigate is to evaluate the non-specialist outpatient referrals (RRNS). Therefore, in March-July 2018, this research was performed in order to analyze whether the system was implemented at Beji and Depok Jaya Health Center. The method used was the qualitative research method, with primary data from in-depth interviews and secondary data from documents. It was discovered that both Centers had optimal RRNS ratios (0%). This was because the doctors at both Centers has provided referrals as indicated and there was feedback on the RRNS total. The civil servant (PNS) doctors at both centers were experienced and skillful, but the number of doctors was insufficient compared to their workload. The non-PNS doctors also were not sufficiently trained. Other problems include insufficient equipment and medication provision. Abstrak. Badan penyelenggara jaminan sosial (BPJS) kesehatan adalah salah satu upaya pemerintah untuk memberikan pelayanan kesehatan yang bermutu bagi rakyatnya. Untuk menjamin kualitas pelayanan yang diberikan sekaligus menjaga efisiensi, maka diterapkan sistem rujukan berjenjang. Tetapi ini mengalami berbagai permasalahan dalam penerapannya. Untuk melihat apa permasalahannya dapat dilihat dari rasio rujukan rawat jalan non-spesialistik (RRNS). Oleh karena itu, penelitian ini dilaksanakan untuk menganalisis apakah sistem tersebut berjalan di Puskesmas Beji dan Puskesmas Depok Jaya pada bulan Maret-Juli 2018. Penelitian ini menggunakan metode kualitatif, dengan data primer berupa wawancara mendalam dan data sekunder berupa telaah dokumen. Hasil penelitian menunjukkan bahwa di Puskesmas Beji dan Puskesmas Depok Jaya memiliki rasio RRNS yang optimal (0%). Hal ini disebabkan karena dokter di kedua puskesmas memberikan rujukan sesuai indikasi dan terdapat feedback mengenai capaian RRNS. Selain itu, dokter PNS di Puskesmas Beji dan Puskesmas Depok Jaya merupakan dokter yang cukup berpengalaman dan terampil, walaupun jumlah dokter di kedua Puskesmas tidak sesuai dengan beban kerjanya. Dokter non PNS juga belum menerima pelatihan yang memadai. Selain itu, peralatan yang tersedia masih kurang lengkap. Obat di kedua puskesmas cukup lengkap namun terkadang terjadi kekosongan obat.


2018 ◽  
Vol 4 (2) ◽  
pp. 116
Author(s):  
Akhmad Rianor Asrari Puadi ◽  
M. Bagus Qomaruddin

Response to HIV and AIDS requires a approaches by the parties mutually integrated. Regional AIDS Commissions (KPAD) has a crucial role in the response to HIV and AIDS. This study aimed todescribe the role of KPAD well as some of the factors inhibiting the implementation of the HIV and AIDS in East Kotawaringin. Used qualitative methods to conduct a document review and in-depth interviews with all fi ve informants which is representative of several agencies that have links to the eff orts to combatHIV and AIDS, with purposive sampling method. The Results were analyzed by means of reduction, presentation, and verifi cation of data. Results showed reduction carried through socialization andeducation about HIV and AIDS in the various elements of society, the establishment of working group of the Pal 12, formed the group “Concerned citizens of AIDS” as well as the ARV (Antiretroviral) services is not limited to a minimum value of CD4. The results showed that KPAD role in response to HIV and AIDS can not be implemented to the fullest, this is due to several obstacles, namely the existence of localization is an determinant spread of cases, the unavailability of services and ARV in all health centers, the lack of cross-sectoral cooperation, fi nancial support from the government is minimal, and the lack of HIV and AIDS Regional Regulation (Perda).Keywords: Response to HIV and AIDS, AIDS Prevention and Control Commission (KPAD)


2018 ◽  
Vol 1 (1) ◽  
pp. 11-20
Author(s):  
Nurani Ajeng Tri Utami ◽  
Nayla Alawiya

Abstract             Traditional health services in Indonesia have been regulated in the legislation, namely in Law no. 36 of 2009. It is about health and has been regulated more detail in Government Regulation no. 103 of 2014. The regulation determines that traditional health services are divided into three types: empirical, complementary and integration. However, there is a difference in the right between traditional and complementary empirical health services and integration, so the degree of legal protection is different. This study uses normative juridical methods. The results of the study indicate that the level of legal protection against empirical traditional health services is lower than complementary and integrated. This is evidenced by the absence of the right to obtain legal protection for traditional empirical health services and the legality of traditional empirical health services is only evidenced by the Registered Traditional Hygiene  while complementary and integration are evidenced by the Registration Letter of Traditional Health License and Practice License Traditional Health Workers.   Keywords: Rights and Legality; Traditional Health Services; Legal protection   Abstrak Pelayanan kesehatan tradisional di Indonesia telah diatur dalam tataran undang-undang, yakni dalam Undang-Undang No. 36 Tahun 2009 tentang Kesehatan dan diatur secara lebih rinci dalam Peraturan Pemerintah No. 103 Tahun 2014. Peraturan tersebut menentukan bahwa pelayanan kesehatan tradisional dibagi menjadi tiga jenis, yakni: empiris, komplementer dan integrasi. Akan tetapi, terdapat perbedaan dalam hak antara pelayanan kesehatan tradisional empiris dengan komplementer dan integrasi, sehingga tingkat perlindungan hukumnya menjadi berbeda. Penelitian ini menggunaan metode yuridis normatif. Hasil penelitian menunjukkan bahwa tingkat perlindungan hukum terhadap pelayanan kesehatan tradisional empiris lebih rendah dibandingkan dengan komplementer dan integrasi. Hal tersebut dibuktikan dengan tidak adanya hak memperoleh perlindungan hukum bagi pelayanan kesehatan tradisional empiris dan legalitas pelayanan kesehatan tradisional empiris hanya dibuktikan dengan Surat Terdaftar Penyehat Tradisional (STPT) sedangkan komplementer dan integrasi dibuktikan dengan Surat Tanda Registrasi Tenaga Kesehatan Tradisional (STRTKT) dan Surat Izin Praktik Tenaga Kesehatan Tradisional (SIPTKT).   Kata kunci: Hak dan Legalitas; Pelayanan Kesehatan Tradisional; Perlindungan Hukum


Author(s):  
Renny Listiawaty

One of the government's policy to reduce the maternal mortality rate (MMR) is to launch Jampersal Program. This study purpose to describe the factors associated with utilization Maternity Insurance service (Jampersal) by maternal in Public Health Center X, Muaro Jambi Regency in 2013. The research method used a cross sectional sampling technique with proportional random sampling, after that followed by a qualitative approach through in-depth interviews and document review 9 informants. Quantitative research results showed that 31.1% Jampersal utilize. There is a significant relationship between the variables of age, education, knowledge, attitudes, beliefs, income, accessibility, the role of health workers and the need to use Jampersal. The most dominant variable is income after controlled by education, knowledge, income and accessibility. This study recommended   midwives to give more intensive information, clear and complete to the community and always working to improve the quality of service Jampersal.


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