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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Journal of Hospital Administration and Management (JHAM)
Kiswanto
Universitas Hang Tuah Pekanbaru
Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Nursing Public Health

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Factors Associated with Accreditation Status of Private Clinics in Pekanbaru City in 2024 Iin Sriderfi Sitompul; Jasrida Yunita; Yessi Harnani; Ahmad Hanafi; Kiswanto
Viva Medika Vol 17 No 3 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i3.1613

Abstract

Primary clinics play a crucial role in improving public health through healthcare services, disease prevention, and education. However, the challenges in accreditation preparation include the staff's lack of technical understanding in completing applications, limited facilities such as computers, and insufficient support from clinic leadership and monitoring from the Health Office. This study aims to analyze factors related to the accreditation status of primary clinics in Pekanbaru City in 2024. The population consisted of 198 people, with a sample size of 198 respondents. Data analysis was conducted using univariate, bivariate, and multivariate analyse. There is a relationship between activity standardization (p= 0.000), completeness of clinic facilities (p= 0.000), activity coordination (p= 0.016), leadership support (p= 0.013) and attitude (p= 0.005) with the accreditation status of the Pratama Clinic. There is no relationship between knowledge factors (p= 0.596), competence (p= 0.319), work team support (p= 0.237), ease of access to information technology systems (p= 0.074), motivation (p= 0.826) and support from the Health Office (p= 0.367) with the accreditation status of the Pratama Clinic. The most dominant variable related to the accreditation status of the Pratama Clinic in Pekanbaru City in 2024 is the activity standardization variable (POR= 11.572). Suggestion: The Pratama Clinic needs to routinely evaluate and update operational procedures to ensure compliance with national accreditation standards. In addition, the establishment of an internal monitoring system and additional training on ASPAK applications, DFO, and managerial skills are essential to maintain compliance and improve operational effectiveness.
Institutional Capacity Building Through Learning Organisation Principles: A Case Study of The Health Training Centre in Riau Herman Efendi; Kiswanto; Yessi Harnani; Dedi Widodo; Syafrani
Viva Medika Vol 17 No 3 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i3.1633

Abstract

The Riau Provincial Health Service Health Training Center UPT Institute has an important role in improving the Training Institute using the Learning Organization method. This research uses the Watkins & Marsick Approach model which includes seven dimensions of Learning Organization. At the individual level there are two dimensions, namely Continuous Learning and Inquiry and Dialogue. At the team/group level it is reflected in Team Learning. At the organizational level there are four dimensions, namely Embedded System, Empowerment, System Connection, and Strategic Leadership.  There were 8 informants. Triagulation is used in sources, methods and data. The research results show that the three dimensions of the Learning Organization have been running, with several obstacles. The other four dimensions, namely Organizational Culture, Embedded System, Empowerment, and System Connection are still not optimal. The main obstacles include ineffective communication, low motivation, limited understanding of technology, and lack of infrastructure support. Strategic Leadership alsoneeds to be improved to provide better guidance and resources. This research highlights the importance of improving communication, motivation, and understanding of technology to achieve better organizational performance. Apart from that, the implementation of the Embedded System, Empowerment, System Connection, and Strategic Leadership also still requires improvement.  Overall, this research concludes that the UPT Health Training Center has the potential to become a more effective Learning Organization, requiring more comprehensive efforts in increasing human resource capacity, building an organizational culture that supports learning, and aligning leadership strategies with Learning Organization principles. Recommendations for UPT Bapelkes Riau Province to strengthen continuous learning, inclusive dialogue, team learning, and technology-based systems for efficiency.
ANALISIS IMPLEMENTASI PROGRAM IMUNISASI DASAR LENGKAP DALAM UPAYA CAPAIAN UNIVERSAL CHILD IMMUNIZATION Syukriadi; Kiswanto; Jasrida Yunita
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.889

Abstract

Complete Basic Immunization is an effective public health intervention to prevent vaccine-preventable diseases and support the achievement of Universal Child Immunization (UCI). However, UCI coverage in Rokan Hulu Regency has remained below the established target in recent years. This study aimed to analyze the implementation of the Complete Basic Immunization program in achieving Universal Child Immunization in Rokan Hulu Regency. A qualitative study with a descriptive approach was conducted. Twelve informants were selected purposively, including immunization program managers at the District Health Office, heads of primary healthcare centers, immunization officers, and community health volunteers. Data were collected through in-depth interviews, observations, and document reviews, and analyzed using data reduction, data display, and conclusion drawing techniques. Source and method triangulation were employed to ensure data validity. The findings revealed that program communication was generally well implemented through socialization activities and cross-sectoral coordination. Human resources were considered adequate in terms of quantity and competence; however, limited funding and the absence of specific incentives for program implementers remained challenges. Facilities and infrastructure were generally available, although shortages of vaccine cold-chain supporting equipment were identified. In addition, social, cultural, religious, and geographical factors influenced program implementation. The study concludes that the implementation of the Complete Basic Immunization program in Rokan Hulu Regency has been relatively effective, but strengthening budget support, enhancing cross-sectoral collaboration, and improving community education are still required to increase Universal Child Immunization coverage.
Co-Authors Ahmad Hanafi Herman Efendi Iin Sriderfi Sitompul Muhamad Dedi Widodo Syafrani Syukriadi Yessi Harnani Yunita, Jasrida