scholarly journals Whistle-Blowing Systems in the Indonesian Ministry of Health: An Evidence of Health Law Reform in Developing Country

Author(s):  
Muhammad Iqbal ◽  
Lutfiyah Rizqulloh ◽  
. Haikal ◽  
Slamet Isworo

Background and Objectives: The current whistleblowing system has not been proven to help limit unethical behavior in organizations. This study examines the influence of the whistleblowing system in the Ministry of Health's civil servants on organizational commitment, organizational culture, whistleblower protection, professional attitudes, internal reporting, external reporting, anonymity, and use of hotlines. Methodology: This research was conducted at the Ministry of Health of the Republic of Indonesia. This study used a quantitative approach with a cross-sectional design. Sampling was carried out using probability sampling techniques with proportional random sampling. The sample population consisted of 98 people at the Directorate General of Health Development, Human Resources Development and Empowerment of the Ministry of Health, the Directorate General of Disease Control and Prevention, and the Directorate General of Pharmacy and Health. Data analysis was performed using chi-square and logistic regression. Results: The results obtained indicate that the intentions of State Civil Servants within the Ministry of Health are related to their perceptions of professionalism and internal reporting. Conclusion: The employees' perceptions of external and anonymous reporting are not related to the purpose of the whistleblowing system for employees of the Ministry of Health's State Civil Apparatus. Suggestion: It is recommended that the Inspectorate General of the Ministry of Health move the reporting mechanism into the Ministry of Health Whistleblowing System application for easy access so that the Inspectorate General establishes standard operating procedures on legal protection and clarification for whistleblowers.

Author(s):  
Made Ayu Lely Suratri ◽  
Vebby Amelia Edwin ◽  
Galih Ajeng Kencana Ayu

Abstrak Motivasi merupakan suatu proses psikologis pada diri seseorang yang dipengaruhi oleh berbagai faktor. Motivasi individu sangat dipengaruhi oleh faktor internal maupun eksternal. Tujuan dari analisis ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan motivasi kerja tenaga di bidang kesehatan di rumah sakit.Desain penelitian potong lintang. Sampel penelitian adalah petugas kesehatan di rumah sakit pemerintah dan swasta di seluruh Indonesia, masing masing berjumlah 30 orang di 2.325 rumah sakit. Pengambilan data dengan cara wawancara dan pengisian kuesioner oleh responden. Analisis data menggunakan analisis Chi-square dan multivariat regresi logistik. Total 66.994 responden direkrut dan didapatkan hasil, proporsi yang tinggi untuk tenaga di bidang kesehatan dengan motivasi tinggi di rumah sakit umum, lebih besar daripada tenaga di bidang kesehatan yang bekerja di rumah sakit khusus, (p-value=0,049), dengan OR= 1,051(95% CI 1,001–1,103). Tenaga di bidang kesehatan yang bekerja di rumah sakit terakreditasi memiliki proporsi motivasi tinggi lebih besar daripada tenaga di bidang kesehatan yang bekerja di rumah sakit tidak terakreditasi, (p=0,0001), dengan OR= 1,122 (95% CI 1,079–1,167). Tenaga di bidang kesehatan yang memiliki akses ke rumah sakit yang mudah, memiliki proporsi motivasi tinggi yang lebih besar daripada yang memiliki akses yang sulit, (p=0,0001, dengan OR= 1,165 (95% CI 1,081–1,255). Waktu perjalanan tenaga di bidang kesehatan ke rumah sakit tidak bermakna dengan motivasi kerja (p = 0,582). Jenis rumah sakit, akreditasi rumah sakit, dan akses ke rumah sakit berhubungan dengan motivasi kerja dari tenaga di bidang kesehatan di rumah sakit. Kata kunci: rumah sakit, tenaga di bidang kesehatan, motivasi kerja Abstract Motivation is a psychological process in someone and is influenced by various factors. Those factors could be both internal and external factors. The purpose of this analysis is to find out the factors associated with the work motivation of employees in the health sector in the hospital. The study design was cross-sectional. The study population was employees in the health sector in government and private hospitals throughout Indonesia. Thirty employees in the health sector were selected from each hospital in 2.325 hospitals. Data was collected by interviewing respondents using a structured questionnaire and a self-administered questionnaire. A total of 66.994 respondents were interviewed. The results showed that employees in the health sector in general hospitals had a higher proportion of high motivation than health workers in special hospitals (p-value = 0.049), with OR = 1.051 (95% CI 1.0011.103). Those who worked in accredited hospitals had a higher proportion of high motivation than health workers in hospitals that were not accredited (p= 0.0001), with OR= 1.122 (95% CI 1.079-1.167). Employees in the health sector who had easy access to hospitals, had a greater proportion of high motivation than those with difficult access, (p= 0.0001), with OR= 1.165 (95% CI 1.081-1.255). Travel time to the hospital was not significantly associated with work motivation (p= 0.582). The type of hospital, hospital accreditation, and access to the hospital were associated with the work motivation of employees in the health sector in the hospital. Keywords: hospital, employees in the health sector, work motivation


2021 ◽  
Vol 71 (2) ◽  
pp. 405-08
Author(s):  
Noureen Malik ◽  
Hannan Masud ◽  
Imran Basit ◽  
Palwasha Noor

Objective: To see the frequency and compare the type of refractive error and strabismus in amblyopic versus non amblyopic children. Study Design: Comparative cross sectional study. Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi, from Jan to Jul 2019. Methodology: The sample population comprised of 250 patients of new or previously diagnosed children with refractive error and strabismus presenting at children eye outdoor patient department of armed forces institute of ophthalmology. Strabismus was diagnosed by the consultant eye specialist on the basis of heterotropia at near or distance fixation. Amblyopia and refracttive error was assessed by a trained optometrist. Patients were classified into amblyopia and non- amblyopia groups. The type of squint and refractive error was noted down along with demographic details. Chi square test was used to assess thesignificance of association between various categorical variables. Results: A total of 250 participants were included with a mean age of 5.00 ± 1.07 years. Out of total, 132 (52.8%) were males while 118 (47.2%) were females. One hundred and fifty (59.5%) patients were suffering from amblyopia while 100 (39.5%) patients were normal with comparable vision in both the eyes. Out of 150 amblyopic patients 134 (89.3%) were suffering from unilateral amblyopia while 16 (10.6%) patients had amblyopia in both the eyes. Out of refractive errors astigmatism was present in 83 (55.3 %) of amblyopia patients while hypermetropia was present in 54 (36%) of the patients. Out of total patients of strabismus, 95 (63.3%) of non-alternating esotropic patients..........


2013 ◽  
Vol 7 (7) ◽  
pp. 298
Author(s):  
Giri Inayah Abdullah ◽  
Dian Ayubi

Pemerintah Indonesia menargetkan cakupan pemberian air susu ibu (ASI) eksklusif sekitar 80%, tetapi hasil Riset Kesehatan Dasar tahun 2010 menunjukkan cakupan ASI eksklusif baru mencapai 15,3%. Dari tahun ke tahun, prevalensi pemberian ASI eksklusif cenderung menurun dengan berbagai alasan, antara lain ibu pekerja. Penelitian ini bertujuan untuk mengetahui proporsi pemberian ASI eksklusif pada ibu pekerja. Rancangan penelitian yang dipakai adalah potong lintang pada data primer yang terdiri dari 120 responden. Penelitian dilakukan pada bulan Mei 2012 menggunakan kuesioner yang diisi sendiri oleh responden. Analisis data yang dilakukan adalah analisis univariat, analisis bivariat menggunakan kai kuadrat, dan analisis multivariat menggunakan regresi logistik ganda model prediksi. Hasil penelitian menunjukkan proporsi pemberian ASI eksklusif pada ibu bekerja di Kementerian Kesehatan sebesar 62,5%, lebih rendah dari target nasional (80%). Alasan responden berhenti menyusui eksklusif bukan karena bekerja melainkan karena ASI sedikit. Faktor yang berhubungan dengan pemberian ASI eksklusif pada penelitian ini adalah sikap, ketersediaan fasilitas dan dukungan pengasuh. Variabel sikap merupakan faktor paling dominan dalam pemberian ASI eksklusif. Ibu pekerja yang mempunyai sikap mendukung berpeluang 5 kali memberikan ASI eksklusif dibandingkan dengan ibu yang mempunyai sikap kurang mendukung.Government of Indonesia has a target of 80% exclusive breastfeeding coverage. Health Baseline Research 2010 showed the coverage only reached 15.3%. Year by year, the prevalence of exclusive breastfeeding tends to decrease with a variety of reasons. One of the reasons is exclusive breastfeeding on working mothers. This study aimed to determine the prevalence of exclusive breastfeeding on the working mothers in the Ministry of Health. The study design used was cross sectional on the primary data consisted of 120 respondents. The study was conducted on May 2012 using self administered questionnaire by respondents. Data analysis was performed by univariate, bivariate analysis using chi-square, and multivariate analysis using multiple logistic regression prediction model.The results showed the proportion of exclusive breastfeeding on working mothers in Ministry of Health is 62.5%, lower than the national target (80%). Working is not a reason of respondents to stop breastfeeding is not because of insufficient breastfeeding supply. Factors associated with this behavior are the attitude, the availability of facilities and support of baby-sitter. Variable of attitude is the most dominant factor in exclusive breastfeeding. Working mothers having positiveness likely 5 times give exclusive breatfeeding compared with mother having negative attitude.


2018 ◽  
Vol 5 (1) ◽  
pp. 57-63
Author(s):  
Dewi Erna Marisa

HIV AIDS is a deadly disease class in the world, especially Indonesia. This disease spreads from the nobility to street children. Case of HIV AIDS in Indonesia directed by the Directorate General of Infectious Disease (CDC) & Environmental Health (EH) Ministry of Health of the Republic of Indonesia on January 1, 2012 to December 31, 2012 as many as 21,511 cases for HIV and AIDS 5,686 cases and deaths due to HIV AIDS since April 1 1987/31 December 2012 as many as 8,235 cases (Directorate General of PP & PL, Ministry of Health, 2012). The purpose of this study was to find out how PLWHA can work in the working area of the Kaliwedi Health Center in District Of Cirebon. The type of research used is analytic research, with a cross sectional study approach. In this study a total sample of samples, namely a sample of a total of 15 families of PLWHA. In analyzing the data of people using the relationship with HIV / AIDS (P value: 0,000) in data analysis with people associated with PLWHA in the Kaliwedi Health Center working area in district of Cirebon (P value: 0,000) For the Health Center to be used with PLWHA, this can improve the quality of the family by providing counseling to the families of PLWHA


2017 ◽  
Vol 33 (3) ◽  
pp. 135 ◽  
Author(s):  
Nurvita Wikansari ◽  
Nyoman Kertia ◽  
Fatwa Sari Tetra Dewi

Purpose: This study aimed to determine the factors associated with smoking cessation behavior in patients with hypertension in Sleman district.Methods: This quantitative study used a cross-sectional design. The subjects of this study were all patients with hypertension with a history of smoking. There were those subjects who had stopped smoking and those still smoking totaling 120 respondents. The sample population was the total sample that met the inclusion and exclusion criteria. Data analysis was done by bivariate and multivariate analysis using chi square and logistic regression tests.Results: This study found that factors related to smoking cessation behavior in hypertensive patients in Sleman district were education with PR 1.56 (95% CI 1.111-2.274; p=0.004) and history of other disease with PR 2.7 (95% CI 1.209-6.031; p=0.007). Age, occupation, marital status, economic status, and health professional advice were not related to smoking cessation behavior in hypertensive patients in Sleman district.Conclusion: Health and community institutions are expected to support hypertensive patients to quit smoking by advising them of the health risks. This study showed people who quit smoking, may start smoking again.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Martin Ming-Leung Ma ◽  
Anna Chwee Hong Yeo ◽  
Mitchell Scheiman ◽  
Xiang Chen

Purpose. To investigate the association between refractive error and common binocular vision and accommodative dysfunctions in Chinese adults and to report the percentage of these disorders in this sample population. Methods. This was a single-site, prospective cross-sectional clinic-based study. A total of 415 Chinese participants aged between 21 and 38 years were grouped into 4 refractive error groups (emmetropia, low, moderate, and high myopia) based on the spherical equivalent power of noncycloplegic refraction. Baseline testing including binocular vision and accommodative testing was performed on all eligible participants. A multiple-sign classification system was used to analyze these data for the diagnosis of common nonstrabismic binocular vision and accommodative dysfunctions. Associations between the diagnosis and refractive error groupings were examined by the chi-square test for the linear trend. Results. Associations with refractive error groupings were found for convergence insufficiency (p=0.008, r = −0.13) and divergence insufficiency (p=0.008, r = 0.131). The 3 most common dysfunctions in this sample population were basic exophoria (10.8%), convergence insufficiency (9.6%), and divergence insufficiency (7.0%). Approximately 40% of the sample population demonstrated at least one type of binocular vision dysfunction. Conclusion. Convergence insufficiency and divergence insufficiency were associated with refractive error groupings. Binocular vision dysfunction was a common finding in this sample population.


Author(s):  
Yuli Arisanti ◽  
◽  
Janri Manullang ◽  

ABSTRACT Background: Central (visceral) obesity, one of the risk factors of metabolic syndrome, is becoming the major public health concern of non-communicable diseases. Predictions estimated that by 2030, 50% of adults will be listed as obese. This study aimed to examine smoking and exercise as the risk factors of central obesity in navy personal and civil servants at Lantamal X Jayapura. Subjects and Method: This was a cross sectional study conducted from November to December 2017 at Lantamal X Jayapura, Indonesia. A sample of 100 navy personal and civil servants was selected by random sampling. The dependent variable was central obesity. The independent variables were smoking and exercise. Waist circumference was measured by metline. The other variables were collected by questionnaires. Data were analyzed by Chi square. Results: The risk of central obesity increased with smoking (OR= 3.13; 95% CI= 1.63 to 5.98; p<0.001) and duration of exercise less than 60 minute per week (OR= 2.49; 95% CI= 1.14 to 5.40; p= 0.017). Conclusion: Risk of central obesity increases with smoking and duration of exercise. Keywords: central obesity, smoking, exercise, navy personal, civil servants Correspondence: Yuli Arisanti. National Institute of Health Research and Development Papua. Jl. Ahmad Yani No. 48, Gurabesi, Jayapura Utara. Email: [email protected]. Mobile: +6281248978639. DOI: https://doi.org/10.26911/the7thicph.01.29


2017 ◽  
Vol 3 (2) ◽  
pp. 66
Author(s):  
Sawitry Sawitry

Latar Belakang Penyakit HIV/AIDS telah menyita perhatian berbagai kalangan, tidak hanya yang terkait dengan domain kesehatan saja. Kasus penyakit yang menyerang sistem kekebalan ini, di Indonesia senantiasa meningkat dari tahun ke tahun. Angka yang dirilis oleh ditjen PP&PL Kemenkes RI menyebutkan bahwa kasus HIV tahun 2011 (Januari samapai dengan September) tercatat sebanyak 15.589 kasus, sedangkan kasus AIDS sebanyak 1.805,sedangkan di Jawa Tengah menempati urutan pertama dengan penderita AIDS sebanyak 373 orang dengan jumlah akumulasi AIDS sebanyak 1315 orang dan kasus HIV sebanyak 877 orang dengan jumlah akumulasi HIV sebanyak 2.400, dan di kota Semarang dilaporkan data akumulasi kasus AIDS sebanyak 197 orang dan HIV sebanyak 769. Jumlah kasus AIDS menurut pekerjaan penjaja seks sebanyak 681 orang, terdapat 57% PSK lokalisasi dan 68% PSK jalanan.Tujuan: menganalisa hubungan karakteristik PSK dengan tingkat pengetahuan tentang HIV/AIDS di stasiun Poncol Semarang. Metode: Jenis penelitian korelasional menggunakan pendekatan cross sectional dengan jumlah 37 sampel responden. Uji hubungan antar variabel dalam penelitian ini menggunakan uji chi Square. Hasil: sebagian besar PSK berumur 21-36 tahun sebanyak 25 orang (67,6%), tingkat pendidikan sebagian besar PSK berpendidikan SD/SMP sebanyak 18 PSK (48,6%), sosial ekonomi sebagian besar PSK berpendapatan < Rp. 991.500 yaitu 26 (70,3%), dan 18 PSK (48,5%) berpengetahuan kurang. Dari uji chi square diperoleh hasil ada hubungan antara karakteristik PSK dengan tingakat pengetahuan tentang HIV/AIDS.Saran: hasil penelitian tersebut diharapkan responden untuk melakukan pemeriksaan rutin ke tempat pelayanan kesehatan terdekat. Kata Kunci: Karakteristik; Pengetahua; , HIV/AIDS CORRELATION CHARACTERISTICS OF COMMERCIAL SEX WORKERS WITH KNOWLEDGE OF HIV/AIDS IN PONCOL STATION SEMARANG CITY  Abstract Introduction Background HIV / AIDS has seized the attention of various circles, not only related to the health domain only. Cases of a disease that attacks the immune system is, in Indonesia constantly increasing from year to year. Figures released by the directorate general PP & PL Strathmore University states that HIV cases in 2011 (January samapai to September) there were 15 589 cases, while as many as 1805 cases of AIDS. While in Central Java topped the list with as many as 373 people with AIDS with cumulative total of 1315 people AIDS and HIV cases as many as 877 people with cumulative total of 2400 HIV, and in the city of Semarang accumulated data are reported as many as 197 cases of AIDS and HIV as many as 769 people. The number of AIDS cases by sex workers work as many as 681 people, there were 57% and 68% localization PSK PSK streets. Purpose  to analyze correlation characteristic of comercial sex workers with knowledge of HIV/AIDS in Poncol Station Semarang City.  Method This type of correlational studies using cross sectional approach by the number of 37 samples of respondents. Test of relationship between variables in this study using the chi Square. Result the majority of 21-36 year-old prostitute as many as 25 people (67.6%), level of education most educated prostitutes SD / SMP as much as 18 prostitutes (48.6%), mostly socioeconomic PSK income <USD . 991 500 ie 26 (70.3%), and 18 sex workers (48.5%) are less knowledgeable. Obtained from the chi square test result there is a relationship between the characteristics of PSK with tingakat knowledge about HIV / AIDS. Suggestion From the results of these studies are expected to conduct routine checks of respondents to the nearest health centers.  Keywords: characteristics;  knowledge; HIV / AIDS


2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Tânia Solange Bosi de Souza Magnago ◽  
Gabrieli Rossato ◽  
Juliana Dal Ongaro ◽  
Emanuelli Mancio Ferreira da Luz ◽  
Luiza Dressler Sabin ◽  
...  

Objetivo: Analisar a relação entre estresse e resiliência no trabalho em servidores públicos federais de uma instituição de ensino do Sul do Brasil. Método: Estudo transversal, realizado em 2018, com 526 servidores públicos federais de uma universidade do Rio Grande do Sul, Brasil. Utilizou-se questionário composto por variáveis sociodemográficas, laborais, hábitos e de saúde; e a Job Stress Scale e Resilience at Work Scale 20 - Brasil. Empregou-se análise estatística descritiva e multivariada. Para as associações, utilizaram-se os testes Qui-Quadrado de Pearson e Exato de Fisher, quando p<0,05, e a Regressão de Poisson. Foram seguidos os preceitos éticos da Resolução 466/2012. Resultados: Os servidores públicos apresentaram-se em trabalho ativo (23,5%) e com médio nível de resiliência (38,8%). Os servidores, em alta exigência (51%) e em trabalho ativo (26%), possuem prevalências mais elevadas para o baixo nível de resiliência no trabalho. Conclusão: Estar exposto a elevado estresse ocupacional pode influenciar negativamente no nível de resiliência do trabalhador.Descritores: Estresse ocupacional; Resiliência; Trabalho; Saúde do trabalhador; Enfermagem. Stress and resilience at work on federal public serversObjective: To analyze the relation between stress and resilience at work in federal civil servants of an educational institution in the south of Brazil. Method: Cross-sectional study, conducted in 2018, with 526 federal civil servants from a university in Rio Grande do Sul, Brazil. A questionnaire composed of sociodemographic, work, habits and health variables was used; Job Stress Scale and Resilience at Work Scale 20 - Brazil. Descriptive and multivariate statistical analysis was used. For associations, Pearson's Chi-Square and Fisher's Exact tests were used when p <0.05 and Poisson's Regression. The ethical principles of Resolution 466/2012 were followed. Results: Public servants presented themselves in active work (23,5%) and with a medium level of resilience (38,8%). Servants, in high demand (51%) and in active work (26%), have a higher prevalence for low level of resilience at work. Conclusion: Being exposed to high occupational stress can negatively influence the level of resilience of the worker.Descriptors: Occupational stress; Resilience; Job; Worker's health; Nursing. Estrés y resiliencia en el trabajo sobre servidores públicos federalesObjetivo: Analizar la relación entre eles trés y la resiliencia en el trabajo en funcionarios federales de una institución educativa en el sur de Brasil. Método: Estudio transversal, realizado en 2018, con 526 funcionarios federales de una universidaden Rio Grande do Sul, Brasil. Se utilizó un cuestionario compuesto por variables sociodemográficas, laborales, de hábitos y de salud; Job Stress Scale y Resilience at Work Scale 20 - Brasil. Se utilizóun análisis estadístico descriptivo y multivariado. Para las asociaciones, se utilizaron las pruebas Chi-cuadrado de Pearson y Exacto de Fisher cuando p <0.05 y la regresión de Poisson. Se siguieron los principios éticos de la Resolución 466/2012. Resultados: Los servidores públicos se presentaron en un trabajo activo (23,5%) y con un nivel medio de resiliencia (38,8%). Los sirvientes, en alta demanda (51%) y en trabajo activo (26%), tienen una mayor prevalencia de bajo nivel de resiliencia en el trabajo. Conclusión: Estar expuesto a un alto estrés laboral puede influir negativamente en el nivel de resiliência del trabajador.Descriptores: Estrés Laboral; Resiliencia Psicológica; Trabajo; Salud del trabajador; Enfermería.


2020 ◽  
Vol 1 ◽  
pp. 160-162
Author(s):  
Susanti Susanti ◽  
Etlidawati Etlidawati

The means of communication between nurses and other medical teams through handover must be recorded properly. Communication dysfunction during the handover may have an effect on nursing documentation such as errors in action planning.This study aimed to determine the correlation between the implementation of handover and the performance of nurses in the inpatient room of Banyumas Hospital.This research was a descriptive analytical with a cross sectional approach research. The sample of nurses on duty in the inpatient room were 67 persons. Data were collected by using a questionnaire and the analysis of research data were completed by the Chi Square test.Most of the nurses are female totaled 43 persons (64.2%), 65 persons are married (97.0%) and 41 persons are civil servants (61.2%). Most of the respondents have a DIII Nursing education (41.2%). The average age of the nurse is 33.67 years with an average working period of 8.51 years. Most of handover are in the good category, 42 persons (62.7%). Most of the nurses' performance are in good category totaled 49 persons (73.1%). There is a correlation between the implementation of handover with the performance of nurses in the inpatient room of Banyumas Hospital (p = 0.000).In conclusion better implementation of handover will improve the performance of nurses in the inpatient room of Banyumas Hospital.


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