Putri Asmita Wigati
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ANALISIS SISTEM MANAJEMEN PROGRAM P2 ISPA DI PUSKESMAS PEGANDAN KOTA Rizki Tri Putriarti; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.507 KB) | DOI: 10.14710/jkm.v3i1.11123

Abstract

Pneumonia becomes the biggest concern in public health among any other respiratory diasease (ISPA) because pneumonia can cause death especially in children under five. Evaluation of P2 ISPA program at Puskesmas is measured by calculating the coverage of pneumonia case finding in children under five. Puskesmas that has the lowest coverage in Semarang is Puskesmas Pegandan (1.07%), while DKK’s target is 39%. Problem faced by Puskesmas Pegandan are there’s no specific fund allocated for the program, and there’re no KIE tools for the program. The purpose of this research is to analyze the management system of P2 ISPA program at Puskesmas Pegandan.The method used is qualitative method, with 2 main and 4 triangulation informants. The result showed that commitment of the implementer and DKK in this program are lacking. This can be seen that there’s no training for Puskesmas due to the limited fund for this program in DKK, there’re no specific fund allocated for the program because there’s no detailed program’s planning. There’re no KIE tools for the program, but Puskesmas not trying asked for that to DKK, and the manual of the program hasn’t been fully understood by Puskesmas.   The program’s planning not made in detail because  P2 ISPA isn’t a priority program, and this program rarely discussed in both supervision or mini lokakarya. No specific teams for the program. This program’s output is very low because Puskesmas never diseminate information to the public so they can’‘t really understand about this diasease. There has been no follow-up given by Puskesmas head and DKK. It’s necessary to do intervention to the implementers and stakeholders to be more committed for this program, so that this program can run optimally.
ANALISIS IMPLEMENTASI PROSEDUR PELAYANAN KOORDINASI MANFAAT DI RS ROEMANI MUHAMMADIYAH Anggiyara Dayu Rizal; Putri Asmita Wigati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.513 KB) | DOI: 10.14710/jkm.v4i4.13894

Abstract

Roemani Muhammadiyah Hospital is an advanced level referrasl health facility in Semarang that has been joined BPJS Kesehatan. The procedures of Coordination Of Benefit (COB) that implemented in Roemani Muhammadiyah Hospital were not optimal. It was because of some obstacles in communication, resource, disposition, and bureaucracy structure. This study was aimed to analyze the implementation of Coordination Of Benefit service procedures in Roemani Muhammadiyah Hospital. This study was a qualitative research that using indepth interview and observational method. Main informants are the policy implementor, those are head of insurance service sub-division, head of finance sub-division, finance division staff, and admission staff. The validity test used source triangulation to the head of Hospital’s JKN team and head of finance and accounting division. The findings of this study showed that the communication was not integrated, BPJS Kesehatan did not do socialization, less of written guidelines, and the policies were lack of consistance. The quality of human resource was not optimal. The staff disposition has been good by showing their each commitment. Bureaucracy structure was not good, because SOP of Coordination Of Benefit was not available, overlapping job, and the role of  Hospital’s JKN team was not optimal. The suggestions were internal policy and SOP making, build integrated communication system, training for the staffs, optimalizing role of Hospital’s JKN team.
ANALISIS KESIAPAN PELAKSANAAN SOSIALISASI PROGRAM AMBULANCE HEBAT DALAM RANGKA DUKUNGAN TERHADAP SISTEM PENANGGULANGAN GAWAT DARURAT TERPADU DI KOTA SEMARANG Wiwid Novitaria; Putri Asmita Wigati; Ayun Sriatmi
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.615 KB) | DOI: 10.14710/jkm.v5i4.18334

Abstract

An integrated emergency response system is planned action undertaken by the Ministry of Health of the Republic of Indonesia in preventing casualties caused by the emergency, one of them is traffic accidents. The City Government of Semarang established a program called Ambulance Hebat as an emergency service based call center in Semarang City. Health Office of Semarang City conducted socialization for the community and stakeholders so that the program can be used optimally, but not all people know about the Ambulance Hebat program.Therefore, it is necessary to analyze the implementation readiness of the integrated emergency response system in the socialization aspect in the pre-hospital phase (Case study: Traffic accident in Semarang City).This research was conducted using qualitative research method by using purposive sampling technique which then continued by deep interview with research informant.Based on the result of the research, it is know that the information received by the people is not as complete as it was delivered at the beginning of socialization. The misinformation caused many people not fully understand the functions of the Ambulance Hebat program, and many even did not know such program is exist. In addition, the number of case reporting in each Puskesmas area that became a network of Ambulance Hebat is also unequal.There is one area with the most reporting cases asnd there are also areas with absolutely zero reports cases at all. It indicates that the socialization has not been equal and the information delivered has not been delivered properly. The result of analysis conducted in this research study suggests the Health Office of Semarang City to start monitoring the delivery of information from the beginning until it passed to the people.
GAMBARAN POTENSI MASYARAKAT PENGGUNA PELAYANAN KESEHATAN TRADISIONAL DI WILAYAH KELURAHAN ROWOSARI KECAMATAN TEMBALANG KOTA SEMARANG Mulikhatun Umamah; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 3 (2015): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.944 KB) | DOI: 10.14710/jkm.v3i3.12040

Abstract

Every human will automatically seek the efforts of healing in various ways when being illness, such as self treatment, treatment in convensional health services, or in traditional health services.  Currently the traditional health services begin to exist again, with the support of the PP 103 of 2014 about the traditional health services. The result of survey in the Rowosari of Tembalang District in Semarang City which is located on the edge of the city where border on the Regency of Demak and Semarang district are still many users of traditional health services,  as well as traditional health service providers in it. The purpose of this research to knows how the potential society in Rowosari as user of traditional health services. This research uses descriptive quantitative method with cross sectional approach. Samples were 93 households out of a total of 3,802 households. Univariate analysis indicate that traditional health service users in the region of Rowosari are 74.2%. the greatest number are 32.4% of users were  have the range 36-45 years of age, 57% of users are women, 23.7% of users had elementary education, 39.8% of users have income  under the Regional Minimum Wage. The intended use of traditional health services more as promotive-preventive. The most provider of traditional health service in Rowosari is “penyehat tradisional” where the types are jamu and massage sequence that include in empirical traditional health services type. The traditional health service providers most widely used types of empirical traditional health services, that are jamu and massage sequence. Suggested the government sosialiszation  he contents and purpose of PP. No. 103 of 2014 to society immediately with the result that PP 103 of 2014 can be implemented properly.
ANALISIS IMPLEMENTASI KEBIJAKAN RENCANA AKSI DAERAH (RAD) MDG’s POINT 5 DALAM UPAYA MENINGKATKAN KESEHATAN IBU DI KOTA SEMARANG Fani Alizi Ilmifaluthi; Sutopo Patria Jati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkm.v3i1.10949

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Implementation of a regional action plan is a document that refers to regional development for the increasing achievement of health development in the Region,the Regional Action Plan removes the MDG's. Semarang city includes as the category of the highest maternal mortality rate in fifth place in Central Java, so it is necessary to seek to reduce AKI, the government issued a regulation mayor No. 14 In 2013, a testament to the commitment of RAD MDG's to support the acceleration of the achievement of the MDG's in the improvement of maternal health in point 5. This study used a qualitative research design approach Retrospective study of population the local area that Health Departement, Bapermas and BAPPEDA.This study used purposive sampling thatwas taken from five respondents consisted of 2 main Informants and 3 Triangulation Informants. Analysis of the data presented in the discussion of the descriptive approach. Based on the results of in-depth interviews (depth interview) is that the implementation of the Regional Action Plan point 5 Maternal Health in document indicator RAD MDG's are used not in line with the indicators used by district Departement particular to maternal health, the lack of information with the involvement of stakeholders, barriers and challenges are not optimal integration between central and local government, which has not been structured system, and lack of funds. Then, from the aspect of good communication is not optimal communication both sectors and programs. Disposition aspects of the lack of support and commitment of the entire structural level are in accordance with official rules. Resource aspects of resource constraints, both infrastructure and funds as well as aspects of Bureaucratic Structure constrained schedule so that the intensity less intense coordination among stakeholders
ANALISIS SASARAN KESELAMATAN PASIEN DILIHAT DARI ASPEK PELAKSANAAN IDENTIFIKASI PASIEN DAN KEAMANAN OBAT DI RS KEPRESIDENAN RSPAD GATOT SOEBROTO JAKARTA Syifa Sakinah; Putri Asmita Wigati; Septo Pawelas Arso
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.108 KB) | DOI: 10.14710/jkm.v5i4.18329

Abstract

Hospitals are obligated to provide services according to the patient's rightsand patient’s safety. The accuracy of patient identification and drug preservation (high alert) are parts of patient safety. At Presidential Hospital RSPAD Gatot Soebroto there are still patients who are not well identified and there are drugs (high alerts) that are not placed according to the SOP. This study aimed to found out the implementation of patient identification and drug safety (high alert) in the inpatient care unit of Presidential Hospital RSPAD GatotSoebroto by using theory of system. This research method was a qualitative descriptive by using instruments of research such as interview guide and observation sheets. Interviews were conducted with the head of the room, the secretary of the quality committee, caretaker nurse and patient safety staff of Presidential Hospital RSPAD GatotSoebroto. The results showed that the implementation of patient identification and drug safety (high alert) has been run out but not yet fully complied with as stipulated in PMK 1691/MENKES/PER/VII/2011. This was happenedbecause the human resources were inadequate, the lack of training on the nurses of the implementers, the nurses were less in compliance with the established SOP, lack of the commitment of nurses who implement the task, the delay in submitting patient safety report to KMKP. Suggestions from this research are activating the person in charge of TKPRS in the inpatient unit, assembling regular training, follow-up of SOP compliance related to monitoring patient identification and drug safetyby holding cctv and patient questionnaires for nursing evaluation, and improving the task of recording and reporting culture of patient's case.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN BIDAN PRAKTEK MANDIRI ERA JAMINAN KESEHATAN NASIONAL DI KOTA SEMARANG Maynisa Puspita Kusuma Wardani; Ayun Sriatmi; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.627 KB) | DOI: 10.14710/jkm.v4i4.13942

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BPJS Kesehatan have to maintain quality control and cost control. Therefore, the performance of primary health care provider has to be comply with medical procedure which in theoritical, it stated that individual performances were affected by individual job satisfications. There were any complaintsa about responsibility and right among private midwives who already made connection with family doctor.  Therefore, the research about the satisfication of private midwives is important to determine factors related of the satisfication of private midwives in the era of national health insurance in Semarang. The method of this research was using Explanatory Research with Cross Sectional approach. The population in this research was 88 peoples with 62 peoples as sample research. The analysis of the data was using univariate and bivariate analysis with Rank Spearman Test. The results of the univariate analysis on job satisfaction percentage of dissatisfied 80.6% and statisfied is 19.4% . Responsibility the percentage of the low responsibility is 46.8% but the high responsibility is 53.2% . The percentage of assessment the substitutionof claim tariff which not timely  74.2% and  25.8% on-time ratings. The bad relationship between personal family doctor and private midwife 40.3% but  good relationship 59.7%. Assessment of bad proceduresis 40.3%, 59.7% good procedure. Results showed that there were relationship between responsibility (p-value 0,000), the substitution of claim tariff by BPJS that usual based on ontime aspect (p-value 0,003),  the relationship between individual with family doctor connection and among midwives(p-value 0,000), and the administration prosedure according to claim changing in BPJS(p-value 0,041) with job satisfication of private midwives in the ere of national health insurance in Semarang so that efforts should be made to improve the satisfaction of private  midwives according the rules.
ANALISIS PERAN STAKEHOLDER DALAM KEBIJAKAN SURAT TANDA REGISTRASI TENAGA KESEHATAN MASYARAKAT DI KOTA SEMARANG Palawa Pangeran Hidayat Putra; Septo Pawelas Arso; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.944 KB) | DOI: 10.14710/jkm.v5i3.17164

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Health workers who would implementing the practice or profession task should be had a license from government. The license could be have registration certificate for health workers which had regulated by registration health workers policy. To succeed the implementation of that policy, the government needs a stakeholder. This study aims to analyze the role of stakeholder in certificate of registration for public health workers in Semarang City. This research used the qualitative method which stakeholder subject in certificate of registration policy. Stakeholder from that policy who identified is Faculty of Public Health Diponegoro University (FKM Undip), The Indonesian Public Health Association Central Java (IAKMI Jateng), Council of Health Workers Province Central Java (MTKP Jateng), and Public Health Workers. This research used the exploratory research to understanding the problem with analysis method. Analysis method in this research used the stakeholder analysis with the interest, importance and influence as a assessment analyze. From the mapping stakeholder importance and influence, FKM Undip, IAKMI Jateng and MTKP Jateng have a high imprtance and influence in that policy and they should collaborate with each stakeholder, they could be catogorized as a advocate who driving the policy. Health workers have a high importance but low influence and need a inform the policy benefit, and it could be categorized as a follower in the policy. Therefore, each stakeholder need to collaborate to gave a influence the benefit of policy, it would be each stakeholder can reach the goals from the certificate of registration policy.
ANALISIS PERBEDAAN PERSEPSI PASIEN PESERTA BPJS TERHADAP PENILAIAN MUTU PELAYANAN DI PUSKESMAS KEDUNGMUNDU KOTA SEMARANG TAHUN 2016 Clara Sylvia Pardede; Chriswardani Suryawati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.662 KB) | DOI: 10.14710/jkm.v4i4.13897

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BPJS Health in collaboration with the health facilities facilities such as health centers, neighborhood health center and the hospital to open the doors of public health services. Puskesmas as FKTP need to see how the analysis of satisfaction felt by participants BPJS. Every person has the same right to gain access to resources in the health sector. This study aimed to analyze the differences in the perception of patients BPJS using service quality dimensions. This study uses descriptive quantitative research subjects were taken by using purposive sampling. As for the study is based on the quality dimension, namely the quality of tangibles, reliability, responsiveness, assurance, emphaty. The patients studied were BPJS PBI and Non PBI get service in Puskesmas Kedungmundu Semarang with sample sizes of 50 BPJSPBI and 50 BPJS Non PBI. The result of this research is that the quality of tangible (p = 0.03), reliability (p = 0.10), responsiveness (p = 0.10), assurance (p = 0.55), empathy (p = 0.8).The conclusion of this study is the discrepancy between the patient's perception BPJS PBI dan Non PBI BPJS seen from the dimensions of quality of tangibles ( p <0.05 ) and no differences were seen from the perception of quality dimensions of reliability , responsiveness, assurance and assurance( p > 0.05 ) , Suggestions for workers to always be friendly , patient , polite and cautious in serving patients and always keeping the environment clean.
ANALISIS PENERAPAN STANDARD PRECAUTIONS DALAM PENCEGAHAN DAN PENGENDALIAN HAIs (HEALTHCARE ASSOCIATED INFECTIONS) DI RSUD RAA SOEWONDO PATI Astri Budhi Satiti; Putri Asmita Wigati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.006 KB) | DOI: 10.14710/jkm.v5i1.17065

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The incidence of Health Care Associated Infections (HAIs) is Surgical Site Infection (SSI) in RAA Soewondo Hospitals, Pati Regency on September 2015 is 3,09%, October 2015 is 3,44%, and December 2015 is 7,79%. Therefore, it is very important to apply Standard Precautions facilities because it proved to prevent transmission of infections associated with health care. This research is qualitative descriptive research aimed to analyze the application of standard precautions in the prevention and HAIs (Healthcare Associated Infections) control at RAA Soewondo Hospitals, Pati Regency. Data were collected by in-depth interview and observation non participatory method. The key informants of this research are IPCN. The triangulation informants are IPCLN and head of nursing units. The research results show that the standard precautions been socialized and applied in RAA Soewondo Hospitals, Pati Regency, but the level of several compliance still below standard. In planning, there are still undetermined performance indicators of components standard precautions. In organizing, there has been no a division of individual duties for all of the PPI committee members and still have constraints. There are barriers or obstacles in implementation, such as human behavior less adherent and less infrastructure. Monitoring and evaluation of standard precautions that the schedule only carried out when the audit is every quarter in a year and some components of standard precautions have not been audited. Suggestions in this research are to make more detailed regulations, according to the situation of the hospital; determine the distribution of individual duties to all members of the PPI committee in detail; improve monitoring or audit; make the system of reward, and increase the inadequate facilities.