The Importance of Medical Records in Law of the Republic of Indonesia Number 29 of 2004 Concerning Medical Practices in the Era of the COVID-19 Pandemic

The purpose of the study is made where the importance of the data of a medical record in a hospital either before or afterwards must be input and the document is controlled for the history of a person who enters or leaves so that the importance of not being misdiagnosed or confused in a diagnosis. Every citizen has the right to adequate health and also an important medical record in order to know the disease suffered, because a medical record is very important for every patient to know various health efforts for the entire community through the implementation of quality and affordable health development for the community. Health development is aimed at increasing awareness, willingness and ability to live a healthy life for everyone in the context of realizing an optimal degree of health as an element of general welfare as referred to in the Preamble to the 1945 Constitution of the Republic of Indonesia. Keywords: medical record, health, constitution, welfare.

Design And Build Information System Web-Based Medical Record (Case Study: Puskesmas Tambarangan)

The Puskesmas is a functional health organization which is the center for community health development and fostering community participation. Existing services at the puskesmas must be carried out properly and correctly in order to simplify and speed up the flow of services, a medical record data processing information system is very appropriate to simplify existing services at the puskesmas. This study aims to produce a patient medical record information system at Tambarangan Public Health Center. This system is built on a web-based basis using the CodeIgniter framework and will be developed using the waterfall medote.

Difusi Inovasi Kesehatan Masyarakat Melalui Program Jamban Arum (Antar Ke Rumah) di Kecamatan Simpangkatis Kabupaten Bangka Tengah

This study described the diffusion of public health innovation through the Arum Latrine Program (delivery to houses) in Simpangkatis District, Central Bangka Regency, which was carried out as an effort to improve performance through community services and development, especially in the community health development. The Arum Latrine Program was a program implemented from, by and for the Simpangkatis District with funding sourced from voluntary self-subsistent, so that currently the Arum Latrine Program was being proposed as one of the regional innovations. The research method used a qualitative approach with descriptive methods. Data collection was conducted through interviews and observations. The interview was conducted to the informants who were selected using purposive sampling technique (the head of Simpangkatis District and sub-district employees, the head of village and village office staff, the Sector Police Chief, and the head of Simpangkatis health center) and snowball sampling technique (the community leaders and community recipients of Arum Latrine Program in the Simpangkatis District area). The data were analyzed using the theory of Everett M. Rogers (1964). The conclusions were: 1) The diffusion innovations of public health through the Arum Latrine Program (Delivery to Houses) in Simpangkatis District had not been going well and had not been widely adopted. 2) The most powerful aspect in the diffusion of Arum Latrine innovation was the social system. 3) The obstacles in the diffusion of Arum Latrine innovation were the culture of open defecation among the community, the lack of initiative from other agencies to adopt the Arum Latrine Program, and misunderstandings of the apparatus in accepting the socialization of the Arum Latrine Program, especially regarding to the collection of voluntary donations. 4) The factor that supported the program was the social system existing in the community. It was because ??Simpangkatis District was still thick with its customs and culture, so that this social system became the most effective communication network in the diffusion of Arum Latrine innovation.

Public Health Policy in Donggala Regency

This study aims to determine how the implementation of Village Fund policies in addressing the problems of community health development in Donggala Regency, Central Sulawesi Province. The technique for determining informants in this area was carried out after determining the sample area by referring to the Village Minister Regulation (Permendesa) Number 2 of 2016 concerning the Developing Village Index (IDM), which maps Villages into the Village category. Donggala Regency has three categories of villages, namely: very disadvantaged villages, underdeveloped villages, and developing villages. And for each Village Category, informants were determined purposively, as was the technique of determining informants at the Health Office and the Community Development and Village Government (DPMD) Office, informants were determined purposively. The results of the study concluded that the implementation of public health development policies in Donggala Regency was not well realized, however, in this study it was found that the Van Meter & Van Horn policy implementation model was very appropriate to be used in assessing the performance of complex policies.

Pengetahuan Kader Posyandu, Para Ibu Balita Dan Perspektif Tenaga Kesehatan Terkait Keaktifan Posyandu Di Kabupaten Aceh Barat

Basic health research in 2007 showed the existence of the gap of IPKM (community health development index) among provinces, including Aceh province. Maternal and child health issue were important indicators in IPKM. This research aimed to determine knowledge of Posyandu’s cadres and mothers as well as the perspective of health offi cer towards Posyandu activities. This was a qualitative study with participatory observation design. There were two areas (Puskesmas) chosen as the research location, and at each location was conducted focus group discussion (FGD) to the mothers and Posyandu’s cadres and in-depth interview towards the informant (health offi cer). Generally, Posyandu’s cadres have good knowledge about maternal and child health, while mothers have less knowledge. The results showed that Posyandu has not been optimal in health service. This condition associated with low visits of mothers as well as the involvement of Posyandu’s cadres themselves. External factors (support of husband, family, social environment) could interfere the belief of mothers towards Posyandu services. Knowledge becomes an important aspect to infl uence awareness and willingness of mothers to utilize the service of Posyandu. Abstrak Hasil Riskesdas 2007 menunjukkan adanya kesenjangan IPKM (Indeks Pembangunan Kesehatan Masyarakat) antar propinsi maupun pada tingkat propinsi itu sendiri seperti di Provinsi Aceh. Kesehatan ibu hamil dan balita merupakan salah satu indikator penting dalam IPKM. Penelitian ini bertujuan untuk mengetahui pengetahuan kader Posyandu maupun ibu balita serta perspektif tenaga kesehatan terkait kegiatan Posyandu. Penelitian ini merupakan penelitian kualitatif dengan disain observasi partisipatif. Terdapat dua wilayah terpilih sebagai lokasi penelitian, dan pada setiap lokasi dilakukan diskusi kelompok terarah terhadap kelompok ibu balita dan kader Posyandu wawancara mendalam terhadap kader Posyandu dan ibu balita, serta tenaga kesehatan. Secara umum pengetahuan kader Posyandu telah cukup baik, namun untuk ibu balita belum sepenuhnya baik. Hasil penelitian menunjukkan belum optimalnya pelayanan Posyandu. Ketidakoptimalan tersebut berhubungan dengan rendahnya kunjungan para ibu balita, maupun keterlibatan kader Posyandu itu sendiri. Faktor eksternal (pandangan suami, keluarga & lingkungan sosial) dapat menjadi unsur yang mempengaruhi keyakinan ibu balita terhadap pelayanan Posyandu. Pengetahuan menjadi aspek penting terhadap kesadaran dan kemauan ibu balita untuk datang ke Posyandu.

Peran Indikator Pelayanan Kesehatan untuk Meningkatkan Nilai Sub Indeks Kesehatan Reproduksi dalam Indeks Pembangunan Kesehatan Masyarakat (IPKM)

In Indonesia, measuring the success of development of a region is increasingly needed with the enactment of the Regional Autonomy System (OTDA). There are many methods or indicators that can be used as a measuring tool. The Public Health Development Index (IPKM) is one of the indicators that can be used to measure the success of community health development. This study aims to explore the correlation between several indicators of sub-index of Health Service (Yankes) and sub-index of Reproductive Health (Kespro) which become part of IPKM. Another purpose of this analysis is to find out which indicators are most leveraging for the Kespro sub-index. The method to analyse the data used Multiple Linear Regression with the district as the unit of analysis. According to the RISKESDAS 2013 data, there are 497 districts/cities in 33 provinces in Indonesia. RISKESDAS 2013 and Podes 2011 data are used by IPKM 2013. The results of the analysis show that the largest indicator giving the leverage of Kespro sub-index. That are the coverage of birth delivery by health worker in health facilities after controlled by the proportion of physicians per sub-district, the proportion of adequate posyandu per region and the health service coverage ownership (Jaminan Pelayanan Kesehatan/JPK) in each district. Abstrak Pengukuran keberhasilan pembangunan suatu daerah semakin dibutuhkan dengan berlakunya sistim Otonomi Daerah (Otda) di Indonesia. Banyak metode atau indikator yang dijadikan alat ukurnya. Untuk mengukur keberhasilan pembangunan kesehatan masyarakat, Indeks Pembangunan Kesehatan Masyarakat (IPKM) menjadi salah satu indikator yang digunakan. Penelitian ini bertujuan menggali hubungan beberapa indikator pembentuk sub indeks Pelayanan Kesehatan (Yankes) terhadap sub indeks Kesehatan Reproduksi (Kespro) yang menjadi bagian dari IPKM. Tujuan lain dari analisa ini yakni menggali indikator mana yang paling memberi efek ungkit bagi sub indeks Kespro. Metode analisa yang digunakan adalah Regresi Linier Berganda dengan kabupaten sebagai unit analisanya. Terdapat 497 kabupaten di 33 provinsi di Indonesia sesuai dengan jumlah kabupaten pada saat Riset Kesehatan Dasar (Riskesdas) dikumpulkan pada tahun 2013. Riskesdas 2013 dan Podes 2011 menjadi sumber data yang digunakan IPKM 2013. Hasil dari analisa didapat indikator yang paling besar memberikan daya ungkit sub indeks Kespro yakni cakupan persalinan ditolong oleh tenaga kesehatan di fasilitas kesehatan setelah dikontrol proporsi jumlah dokter per kecamatan, proporsi jumlah posyandu per desa dan kepemilikan Jaminan Pelayanan Kesehatan (JPK) di setiap kabupaten.

A Model Questionnaire for Evaluation of Musculo Skeletal Disorder

Occupational health hazards are the very important unavoidable problems of different type of jobs. All occupational jobs contain several tasks and workers are compelled to adopt some harmful and awkward postures during performing those tasks. These types of repetitive jobs may be related to occupational health hazards like musculo skeletal disorder (MSD). In the present methodology different MSD related problems of the workers can be assessed by the questionnaire techniques considering the issues of community health development. In this concern a simple and easily applicable questionnaire technique has been established for the different occupations during performing tasks. It was concluded that MSD among the workers might be related to the stressful work posture, long duration jobs, nature of jobs and use of ill-fitted hand tools. So, with the application of the questionnaire, investigator can evaluate the real physiological problems and give them remedies. Journal of Universal College of Medical Sciences (2016) Vol.04 No.02 Issue 14, page: 46-48

FAKTOR PREDISPOSISI IBU HAMIL DENGAN PRE EKLAMSI DI RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG

ABSTRAKMasa kehamilan kemungkinan dapat terjadi komplikasi. Komplikasi yang dapat muncul akibat langsung kehamilan salah satunya pre eklamsi/eklamsi. Berdasarkan Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012, Angka Kematian Ibu (AKI) (yang berkaitan dengan kehamilan, persalinan, dan nifas) sebesar 359 per 100.000 kelahiran hidup.Sedangkan penyebab utama kematian ibu maternal adalah timbulnya perdarahan (28%), eklamsi (24%) dan infeksi (11%).Pada tahun 2000 dicanangkan Gerakan Nasional Kehamilan yang Aman atau Making Pregnancy Safer (MPS) sebagai bagian dari Strategi Pembangunan Kesehatan Masyarakat menuju Indonesia Sehat 2010, dimana salah satu targetnya adalah penurunan AKI yang penyabab utamanya eklamsi. Jenis penelitian ini adalah deskriptif analitik, tehnik pengambilan data menggunakan data sekunder. Instrumen dalam penelitian ini adalah catatan rekam medik Rumah Sakit Islam Sultan Agung Semarang dengan subyek penelitian adalah seluruh ibu hamil yang menderita pre eklampsia yaitu sebanyak 129. Hasil penelitian yang diperoleh dari 129 data rekam medik, ibu yang mengalami pre eklamsi banyak terjadi pada ibu kelompok usia 20-35 tahun sebanyak 88 (68%), ibu berumur > 35 tahun sebanyak 32 (25%) dan ibu berumur < 20 tahun sebanyak 9 orang (7%). Ibu yang mengalami pre eklamsi lebih banyak dialami pada primipara sebanyak 48 (37%), multipara sebanyak 46 (36%) dan grande multipara sebanyak 35 (27%). ibu yang mengalami pre eklamsi banyak terjadi pada ibu yang bekerja swasta sebanyak 64 (50%),ibu rumah tangga sebanyak 50 (38%) pegawai negeri sipil sebanyak 15 (12%).Kata kunci : Faktor Predisposisi, Pre eklamsi.PREDISPOSITION FACTORS OF PREGNANT MOTHER WITH PRE ECLAMPSIA IN HOSPITAL ISLAM SULTAN AGUNG SEMARANGABSTRACTPregnancy period may occur complications. Complications that can arise due to direct pregnancy one of them pre eclampsia / eclampsia. Based on the Indonesian Demographic and Health Survey (IDHS) in 2012, Maternal Mortality Rate (MMR) (relative to pregnancy, delivery and postpartum) is 359 per 100,000 live births. While the main causes of maternal maternal deaths were bleeding (28%), eclampsia (24%) and infection (11%). In 2000 the National Pregnancy Safer (MPS) was launched as part of the Community Health Development Strategy towards Healthy Indonesia 2010, where one of the targets is the decreasing of AKI which is the main cause of eclampsia. The type of this research is descriptive analytic, technique of taking data using secondary data. Instrument in this research is medical record of Islamic Hospital of Sultan Agung Semarang with research subject is all pregnant women suffering from pre eclampsia that is as much 129. The result of research from 129 medical record data, mother having pre eclampsy mostly happened to mother of age group 20-35 years old 88 (68%), mother> 35 years old as many as 32 (25%) and mother <20 years old as many as 9 people (7%). Mothers who experienced preeclampsia were more common in primipara (48%), multiparas (46%) and multiparas (35%). mothers with preeclampsia were more common in private mothers (64%), housewives (50%) (38%) of civil servants (15%).Keywords : Predisposing Factor, Pre eclampsia.