Implementation of Management of Pulmonary Tuberculosis with the Directly Observed Treatment Short course Strategy

The purpose of this study was to describe the implementation of pulmonary TB disease management with the DOTS strategy at the Jagong Health Center, Central Aceh Regency.The implementation of Pulmonary TB Management with the DOTS (Directly Observed Treatment Shortcourse) strategy in the working area of the Jagong Health Center, Central Aceh Regency has been maximized. by facilitating and providing motivation so that patients want treatment in a complete and integrated manner, case detection can be carried out by health workers or cadres who have been given training to recognize the symptoms of pulmonary TB. The distribution of drugs is distributed to each puskesmas in Central Aceh Regency, from the Puskesmas the drugs are arranged directly by P2TB officers then given directly to the PMO or the patient himself. PMO performance has never been given special training about treatment, PMO only received direction from P2TB Pulmonary officers. Recording and reporting carried out at the Jagong Health Center includes case finding, treatment, and recovery. Suspected pulmonary TB will be recorded and then monitored until the results of the examination have been obtained. Recording and reporting will be reported every month in a meeting at the Central Aceh District Health Office. For the Central Aceh Regency government to further enhance the development and improvement of infrastructure in the health sector so that health services are more easily accessible to people in remote areas.

Regulating Midwives: Foreclosing Alternatives in the Policymaking Process in West Java, Indonesia

Promotion of “skilled birth attendants” (SBAs) in global maternal health policy has prompted a range of policy responses to “traditional birth attendants” (TBAs). In Indonesia the response has been to develop a national policy of partnership between SBAs (bidan) and TBAs (dukun bayi). This policy aims to ensure the presence of an SBA at every birth yet offers a role for TBAs. In this chapter I examine the development of a district regulation on partnership, promoted within the context of decentralization policies enacted in Indonesia from 1999. The district regulation aimed to strengthen the national policy in a location in West Java where TBAs remain popular. Drawing on 10 months of fieldwork from 2012 to 2013 at a district health office and on observations of its outreach programs, I elucidate how the regulation on partnership was promoted through the policy entrepreneurship of certain key figures in the district health office. They argued that the partnership regulation was the fastest means to improve maternal health. But casting a spotlight on the relationship between SBAs and TBAs diverted attention away from other health system challenges including under-resourced medical facilities and a weak referral system. Three contexts played into this process of bringing the partnership issue to the fore: global policies promoting SBAs and sidelining TBAs; pressure to achieve the Millennium Development Goal (MDG) on maternal mortality; and the limited financial power and decision space afforded to districts under decentralization in Indonesia. In this context, the regulation offered a viable path for demonstrating commitment to improving maternal health outcomes, yet one that failed to address broader constraints in the health system that contribute to persistent high maternal mortality rates.

Hubungan Efikasi Diri dengan Sikap Kader Nasyiatul Aisyiyah terhadap Program STOP Stunting di Kabupaten Boyolali

Background: The STOP stunting program that has been launched by the leadership of Nasyiatul Aisyiyah has not run optimally because there are still obstacles in its implementation. Self-efficacy is one of the internal factors that can shape the attitude of Nasyiatul Aisyiyah cadres in carrying out the STOP stunting program to support the implementation of programs that are not yet running. Objective: To analyze the relationship between self-efficacy and the attitude of Nasyiatul Aisyiyah cadres towards the STOP stunting program in Boyolali Regency. Methods: This research is quantitative observational using aapproach cross sectional which was conducted in December 2020 involving 80 Nasyiatul Aisyiyah cadres. The variables in this study were self-efficacy and cadre attitudes. The primary data was obtained through a questionnaire, while the secondary data was obtained from the Boyolali District Health Office and the Nasyiatul Aisyiyah leadership. The analysis was carried out by univariate and bivariate using test chi square. Results: A total of 51.3% of cadres had low self-efficacy and 47.5% had poor attitudes towards the STOP stunting program and there was a significant relationship between self-efficacy and cadre attitudes (p=0.001). Conclusion: Self-efficacy is closely related to the attitude of Nasyiatul Aisyiyah cadres.

Analysis of HIV/AIDS Health Problems in Pacitan District East Java 2020

The implementation of health problem analysis is carried out to increase the eff ectiveness and effi ciency of solving health problems through the selection of health problems that become priority problems in a region. The purpose of this study was to analyze the problem and determine the priority of health problems in the work area of the Pacitan District Health Office, East Java Province. This research is a descriptive observational study conducted at the Pacitan District Health Office in January 2020. The type of data used is secondary data obtained from the 2016-2019 Pacitan District Health Profile and primary data obtained through interviews with related parties, namely the head of the fi eld. , section head and program holder. Prioritization of health problems is carried out using the USG method based on the criteria of Urgency, Seriousness, Growth and fi nding the root of the problem using the fi shbone diagram method. The increase in HIV/AIDS cases with an USG score of 128 has become a top priority health problem in Pacitan District. An increase over the last 4 years with the highest number of cases in 2019, which was 39 cases. The fishbine diagram shows the root of the HIV/AIDS problem, namely the lack of public knowledge about HIV/AIDS, the lack of public knowledge about HIV/AIDS, the lack of awareness of people at risk for conducting an HIV test, this makes the community less aware of information about HIV/AIDS, causing public stigma. which results in people being closed / unwilling to check themselves at the puskesmas orhospital. The increase in HIV/AIDS cases is one of the problems in Pacitan district. To reduce the incidence, health workers need to optimize the dissemination of information about HIV/AIDS, especially risk factors, causes, prevention, symptoms and treatment. Increase the understanding of health workers and public awareness in conducting early detection.

IMPLEMENTATION OF VACCINATION FOR THE GENERAL COMMUNITY AT THE CAMPUS OF THE HEALTH POLYTECHNIC OF KERTA CENDEKIA

The public vaccination activity carried out within the Health Polytechnic of Kerta Cendekia is a form of the active role of the academic community of the Health Polytechnic of Kerta Cendekia in dealing with Covid-19 and supports the accelerated vaccination program carried out by the Government of Indonesia. The activity will be held on September 17, 2021, at the Health Polytechnic of Kerta Cendekia Campus. The target of this vaccination activity is the academic community of the Health Polytechnic of Kerta Cendekia and the community around the campus who need vaccines, both the first and second doses. This activity was held in collaboration with the Health Polytechnic of Kerta Cendekia with the Sidoarjo District Health Office. This vaccination activity was attended by 176 people who attended to vaccinate, both the first dose and the second dose. The activity starts at 9.20 WIB and ends at 14.00 WIB. This activity has involved 9 lecturers, 4 staff, and 14 students. In addition, this activity also involved 4 alumni who acted as vaccinators. The activity ran smoothly, in an orderly manner, and still implemented physical distancing in its implementation.

Evaluation of Drug Procurement with the E-Phurchasing System on the Availability of Drugs at the Pharmacy Installation of the Central Aceh Regency Health Office 2021

The purpose of the study was to evaluate drug procurement with the E-Purchasing system on the availability of drugs at the Pharmacy Installation of the Health Office of Central Aceh Regency. The research design used qualitative research methods through in-depth interviews accompanied by direct observation (observation). Informants of the Head of the Health Office, the Head of the Pharmacy Installation of the Health Office, the Planning and Finance Subdivision of the Health Office, the drug management officer at the Health Office and the health center drug management officer were 2 people. Data analysis is presented in the form of a text (content analysis). The results of the research on the availability of drugs at the Pharmacy Installation of the Aceh Tengan District Health Office have not been maximized, the process of ordering drugs by E-purchasing and Non-E-purchasing is in accordance with PMK No. 63 of 2014, but the fulfillment time is not in accordance with the 2014 Pharmaceutical Service Standards. The budget provided for the drug procurement process by e-purchasing is not sufficient. The conclusion of this study is that the availability of drugs in the Pharmacy Installation of the District Health Office of Central Aceh Regency has not been maximized. This drug vacancy is caused by the number of drugs that are not all realized, the time of drug delivery by the distributor.

The Effectiveness of Pharmacist-Led Medication Review in Petaling District Health Office

Medication review is an important service in optimising medicine use and improves clinical outcomes. This study aims to assess the effectiveness of pharmacist-led medication review on patients’ knowledge and adherence. For this prospective study, 480 patients were randomly recruited in six primary healthcare clinics in Petaling District Health Office. Patients were interviewed with a questionnaire and validated medication adherence scale during recruitment and at follow-up visit to assess their medication knowledge and adherence. The data was analysed using Chi-square tests and paired t-tests to determine the correlation between medication knowledge and adherence with patient demographics. Among 408 patients that had completed the follow-up, 16.9% of patients showed medication knowledge deficits on recruitment. However, there is a significant improvement in the medication knowledge indices during the follow-up session (p < 0.001). Elderly patients were found to benefit from medication review with better medication knowledge and adherence postmedication review. The study found that the number of good adherers increased by 29.3% after the medication review. A further study demonstrating the effectiveness of medication review in cultivating knowledge retention and sustained adherence in the longer-term is warranted. Future work shall also focus on measuring the cost-effectiveness of pharmacistled medication review implementation in primary healthcare settings. Pharmacist-led medication review is an essential and effective service in primary health care facilities for patients to enhance their knowledge on their medications, and adherence especially in elderly patients on chronic medications.

Analysis of Family Duty with Diet Compliance in Mellitus Diabetes Patients in the Working Area of Dinas Kesehatan, Jayawijaya District

Non-Communicable Diseases (PTM) has become a serious health problem in the community. One PTM that has received a lot of attention is Diabetes Mellitus (DM) which occurs when the body cannot produce enough of the hormone insulin or cannot use insulin effectively. The aim of this study was to analyze the relationship between family support tasks and dietary adherence in Diabetes Mellitus patients in Jayawijaya District Health Office. The type of research used is survey research with explanatory research methods. The population in this study were 145 diabetes mellitus patients treated at the Jayawijaya District Health Office. The sample of this study were patients with militus diabetes who underwent treatment at the Jayawijaya District Health Office who met the sample criteria of 58 people. The sampling technique used in this research is purposive sampling technique. Based on the results of the study there is a relationship between family duties and dietary compliance in diabetus mellitus patients using spearman correlation calculations of 0.000 < 0.05 in addition to data obtained as many as 38 (65.5% ) respondents from 43 respondents of family duties are good and obedient to the diet diabetus mellitus, while from 13 respondents with family duties are quite obtained data as many as 7 respondents (12.1%) disobedient. And from 2 respondents with family duties, less data was obtained by 2 respondents (3.4%) disobedient. Based on the results of the research, it is hoped that further communication, information, and education (IEC) will improve regarding the dietary needs of diabetes mellitus.

Factors Related to the Incidence of Typhoid Fever in the Work Area Health Office of Jayawijaya Regency

Typhoid fever is a disease that is prone to occur in Indonesia, because of the characteristics of the climate that is very prone to diseases related to the seasons. The purpose of this study is to analyze factors related to the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. The research design used is quantitative analytics method using quantitative data. The type of approach used is case control. The population is 74 patients with typhoid fever. The large sample taken as many as 37 respondents, with a large comparison of samples between the number of respondents in the case group is 37 respondents, and 37 respondents as a control group, so the total number of samples is 74 respondents. Sampling techniques used in this study is a simple random sampling technique. Based on the results of the study, it is known that there is no relationship between age and the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. Chi-square test result obtained p-Value Sig (0.445) > α (0.05). While it is known that there is a relationship between the level of knowledge, the level of education, hygiene of individual respondents with the incidence of typhoid fever in the Work Area of the Health Office of Jayawijaya Regency. Chi-square test results obtained p- value (0.000) < α (0.05) and environmental sanitation with the incidence of Typhoid Fever in the Work Area of the Jayawijaya District Health Office. Chi-square test result obtained p-value (0.001) < α (0.05). Based on the results of the study is expected to increase kinship with patients as well as by providing health services visits to the patient's home.

Agile Governance Dinas Kesehatan Kabupaten Tulungagung Dalam Menangani Covid-19

Entering November 2020, the Covid-19 case in Tulungagung Regency has spiked, accompanied by a soaring death rate. The concept of Agile Governance is a way to organize better governance by paying attention to the principles in it consisting of a value proposition and agility shift, the character of a leader who is ready for change, a citizen centric approach, and human resource investment. This research is interesting to study because researchers want to know the quick response made by the Tulungagung District Health Office to unexpected changes in meeting the demands and needs of the community due to the Covid-19 pandemic. This research uses qualitative research methods with a descriptive approach. In this study using primary and secondary data. As for the primary data source in this study were Mr. Didik Eka S.P., S.Km., M.Si. as Head of the P2P Division of the Tulungagung Regency Health Office and other related parties and obtained through interviews. Then the secondary data sources, namely documentation and questionnaires, literature, articles, journals, and sites on the internet relating to the research conducted. The results of this study are that the Tulungagung District Health Office responds quickly to the handling of COVID-19 and can run by applying the concept of Agile Governance.