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ANALISIS KUALITAS PELAYANAN REHABILITASI SESUAI STANDAR PELAYANAN BAGI PENYALAH GUNA NAPZA DI RUMAH DAMAI, GUNUNGPATI, SEMARANG Risnawati Valentina; 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 (109.04 KB) | DOI: 10.14710/jkm.v3i3.12041

Abstract

The prevalence of drug misuse to in Indonesia has reached 2.18% or about 4.022.702  people of the total population (aged 10-59 years). Semarang is a city that has a large number of residents and out of existing datareferred to the year 2019 the prevalence of drug users predicted 2.09% of the population, and potentially workers and students.  In accordance with the legislation of the Republic of Indonesia Number  35 in 2009 about Narcotics, the presence of massive rehabilitation movement of one hundred thousand to misusedrugs by 2015 will not be failed to find maximum results if done without a hardstruggle and high creativity. This research aims to analyze the quality of rehabilitation services according to the stipulations  the Ministry of social and the National Narcotics Agency. This research uses qualitative descriptive method with the subject of the research taken by using purposive  sampling. As for the researched is the standard human resources, institutional organizations (funding), infrastructure, and service of process. One of the drugs  rehabilitation in Semarang is Yayasan Rumah Damai  has been recognized by the Ministry of social and National Narcotics Agency. The main informant consists of Trustees, Chair, mentor, and the client of the Yayasan Rumah Damai. As for the informant triangulation is the staff of the National  Narcotics  Agency of the Rehabilitation  Deputy of the Central Java province and field Staff with disabilitiessocial welfare Social Service issues, youth, and sports city of Semarang. As for the results of this research are human resources, infrastructure, service of process the rehabilitation has not been run on the standard compliance services.
Analysis The Standard of Medical Record Resources Needed, Based on Workload at Ken Saras Hospital Medical Record Instalation 2013 Nelda Rosita Hasibuan; Lucia Ratna Kartika Wulan; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 2 (2014): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (370.773 KB) | DOI: 10.14710/jkm.v2i2.6391

Abstract

Background: Medical record has a purpose to achieve an orderly administrative in an increasing health effort. UU RI no. 29 of 2009 section 46 and 47 said that every doctor and dentist should be make an medical record in their practices. If they violate, they can be penalized accordance with the provisions. In this research, needs analysis seen from some aspect, the amount of resources, education, skill, and work motivation. Ken Saras Hospital Medical record installation suffer fairly high turnover in 2013, so it make increasingly heavy workload for the employees who still survive.Medical Records Installation  in Ken Sarah Hospital has been regeneration at sometime ago, so it made heavy workload for resources who still survive. .The purpose of this research is to determine the workload of resources, the suitability of the workload and the need that based on workload. Method:  This research used qualitative descriptive study with cross sectional approach. Data collection used work sampling method  and in-depth interview. The population in the study was the time used medical record personnel in completing the work and the whole effort implementing IRM in a total of 11 people. Result: The results of this research is the ideal amount of medical record resources from amount of power aspect , education, skills and nowadays work motivation of resources. According the result of this research is 3.07 hours of workload, 3.3 hours of productive time, education, skill, and work motivation affect the work system of instalation. The workload in registration section is 5.88 hours, and 5.9 hours of productive time.  Educational standards in irm is good enough, but need to add 1 resource in registration section with D3 RM standart. IRM skills is good enough, but need the training of medician recorder to improve the skill. Work motivation is still lacking. According this research, can be concluded that there's deficiency in medical record installation, 1-2 resources. The registration section with high school education competencies, need procurement training to improve the knowledge resources, and need some activities to improve work motivation
ANALISIS MANAJEMEN PROSES PERSIAPAN PUSKESMAS MENUJU PUSKESMAS PELAYANAN OBSTETRI DAN NEONATAL EMERGENSI DASAR DI KABUPATEN PATI TAHUN 2014 Wiwik Wulandari; 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 (90.826 KB) | DOI: 10.14710/jkm.v3i1.11166

Abstract

The health service of obstetrics and Neonatal Emergency Basis is an inpatient Clinics that are able to conduct civil defence emergency obstetric and neonatal care or basic level of complication in 24 hours a day and 7 days a week. The results of the preliminary survey noted that the preparation of health equipment and drugs have been provided but all health care Facilities but will not match the manual can only approach the course. The purpose of describing all aspects of the preparatory process of the management of clinics to PONED. Type of this research is descriptive research with qualitative methods. The object in this research is the management process of preparation clinics to PONED, whereas the subject of research is the primary informant and the informant triangulation. Data collection methods in the research of in-depth interviews as well as observation and documentation, research results show that HR planning: none of the Clinics, lack of budget funds from the Government, it still happened the delay in reporting as well as for his reference to the grooves are still utilizing the hospital nearest the C type because the Starch has only one Hospital PONEK, less routine agenda to schedule the most scrutiny is only 1 x a year though. These three variables are grouped into factors Stength, overrun Weakness, Opportunity, and the result of factors of weakness Threath is greater than the strength of the conclusion that the preparation process management not ready a hundred percent because a trained human resources are still lacking, Health care facilities as well as the budget of the Fund. The recommendations of this study are: To Health Office made the planning of human resources, health care facilities as well as the operational funds, imposed strict sanctions related reporting, regularly scheduled agenda pengawasannya. Suggestions for public health: should make detailed planning needs of clinics, improve cross-sectoral partnership, more discipline in reporting activities
ANALISIS PELAKSANAAN MANAJEMEN RISIKO DI RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG Rachmawati Yulianingtyas; 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 (88.325 KB) | DOI: 10.14710/jkm.v4i4.13949

Abstract

Risk Management is a proactive approach to identify, assess and prioritize risks in order to eliminate or minimalize their impact. This program is conducted in hospital patient safety efforts in order to control risks and anticipating incidents inherent in any patient services. Sultan Agung Islamic Hospital (RSISA) is a private hospital in Semarang with type B that is belongs to Waqf Sultan Agung Agency Foundation (YBWSA) which is located in JL. Raya Kaligawe Km 4. The process of health care to patients in hospital is not separated to the potential errors that can lead to the incidents. This research done by looking at the implementation of the risk management from Mandate and Commitment, Planning, Implementation, Monitoring and Review, Improvement, and Coordination Process. This type of research is descriptive analytic withqualitative approaches. There are 5 (five) persons as subject’s research. Triangulation is done by using triangulation of sources and observations. The results showed that Mandate given by the KMKP to all units; the Commitment from KMKP and the units are still lacking; The Planning done by KMKP with the help from the units, planning goals and objectives is based on situations and contidions that decvelop in the hospital, the elections of the team who responsible for implementating risk management in each units was done in the early implementation, the method of risk management is FMEA, there is no SOP that can translate the real risk management activities, there are budgetting activities for funds and infrastucture to facilitate the risk management implementation; in the implementation, there are many obstacles from human resources, funds and the process; monitoring activities performed through the reporting process 3 monthly but there is still much delay and there no effort to risk assessment; continuously improvement with the principles of PDCA is done only for the unit which has the risks are prioritaized and not for the orther units.; in coodination process, risk management meeting has been vacuum since mid-2015, consultancy and communication process went well. In conclusion, the implementation of risk management in RSISA are still not well. Our suggestion, RSISA need to raise the commitment again and equalize the perception of the concept of risk management itself.
Analisis Pelayanan Antenatal dan Faktor – Faktor yang Berkaitan dengan Cakupan Pelayanan Antenatal oleh Bidan Desa Di Kabupaten Jember Anastasia Wulandari; Putri Asmita Wigati; Ayun Sriatmi
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 (96.212 KB) | DOI: 10.14710/jkm.v5i1.14854

Abstract

Antenatal care merupakan pelayanan kesehatan dasar untuk ibu hamil yang harus dilakukan sesuai standar, yaitu minimal 4 kali selama masa kehamilan. Setiap kehamilan dapat berkembang menjadi masalah atau komplikasi. Berdasarkan hasil survey pendahuluan dan data PWS KIA di Kabupaten Jember tahun 2014, cakupan pelayanan antenatal di Kabupaten Jember masih rendah, kunjungan ibu hamil ke 4 belum mencapai target SPM yaitu 75% dari target 94% pada tahun 2014. Terdapat beberapa faktor yang dapat mempengaruhi cakupan antenatal, yaitu SDM, sarana dan prasarana, ketersediaan dana, dan masyarakat itu sendiri, sehingga perlu dilakukan penelitian untuk menganalisis pelayanan antenatal dan faktor – faktor yang berkaitan dengan cakupan pelayanan antenatal oleh Bidan Desa di Kabupaten Jember. Jenis penelitian ini adalah kualitatif yang dilakukan dengan wawancara kepada 8 informan utama dan 4 informan triangulasi.  Terdapat 2 puskesmas yang dipilih dengan metode purposive sampling, yaitu Puskesmas Arjasa dan Puskesmas Kencong. Variabel pada penelitian ini yaitu SDM, dana, sarana dan prasarana, metode, perencanaan, penggerakan, dan penilaian. Cakupan pelayanan antenatal di Kabupaten Jember masih rendah karena beberapa faktor yang berkaitan yaitu, Jumlah SDM yang masih kurang serta  dana yang tersedia belum mencakup kebutuhan yang ada, sehingga bIdan Desa menggunakan uang pribadi untuk menutupi kekurangganya. Sarana dan prasarana masih perlu dikembangkan karena beberapa kondisi alat yang kurang layak. Perlu adanya perencanaan untuk mengatur penggerakan dan penilaian yang dilakukan oleh Bidan Desa. Guna meningkatkan cakupan pelayanan antenatal dan kualitas pelayanan antenatal.
ANALISIS FUNGSI MANAJEMEN BIDAN KOORDINATOR PUSKESMAS DALAM PELAKSANAAN PROGRAM ASI EKSKLUSIF DI KABUPATEN MAGELANG Riski Malimpa; Ayun Sriatmi; 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 (88.708 KB) | DOI: 10.14710/jkm.v3i1.11122

Abstract

Infant and children mortality caused by infectious disease can be prevented with exclusive breastfeeding among 6 month. The Government has made the regulation and program to support exclusive breastfeeding implementation. But in the reality, trend of exclusive breastfeeding in Magelang from 2010 until 2012 has fluctuative condition that are 10,9%; 9,79%; and 11,72% still low from the target which is 80%. Exclusive breastfeeding achievement is not far from the managerial skill of the midwife in Public Health Center. The goal of research is to analyse the Midwife Coordinator’s management function on Public Health Center at breastfeeding program in Magelang. This is a qualitative research use descriptive method. Data collected from indepth interview uses question role. Subject of research are 15 people that consist of 6 Midwife Coordinator in 6 Public Health Center as Mayor informan, and 6 Midwife in 6 Public Health Center, 1 people of Kasie. Kesga Dinkes, also 2 people breastfeeding mother as triangulation informant. Subjects of the research put by purposive method that are from 3 Public Health Center with highest level of exclusive breastfeeding and 3 Public Health Center with lowest level of exclusive breastfeeding average among 3 years. Data analysis use content analyse. Output of the research shows that planning, organizing, actuating, and controlling by Midwifes Coordinator are not optimal. Suggestions for Midwifes Coordinator are making activity plan/plan of action for breastfeeding program, staffing the program, increasing its cooperation with professional organizations, and implementing interventions pattern.
ANALISIS BEBAN KERJA BIDAN DESA DI PUSKESMAS DUREN KABUPATEN SEMARANG Kartika Yufi Aruming Melati; Putri Asmita Wigati; Septo Pawelas Arso
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 (94.788 KB) | DOI: 10.14710/jkm.v3i3.12039

Abstract

Village midwife is health worker that is needed as part of Mother and Child Program. The result of preliminary survey on 3 village midwives at Duren Public Health Centre showed that the workload of village midwife was heavy, because besides performing their main duty, those village midwives also responsible for healthcare services as a whole, starting from general medications, communicable disease surveillances, nutrition services, and sputum taking services. This caused few scope targets could not be fulfiled Duren Public Health Center target yet. This research was intended to analyze village midwives workload at Duren Public Health Center in Semarang District. Research population was village midwives workhour at Duren Public Health Center. Samples taken were 2250 minutes or 37,5 hours for a single village midwife in 6 days. Research subjects were 4 village midwives. Research type was descriptive, work sampling method at work hour and daily log method at outside work hour. Then performed data processing and analyzing. Results of the research showed that the most performed type of activity done by village midwives at Duren Public Health Center was main activity of Mother and Child Health recording and reporting. Average productive time of village midwives at Puskemas Duren in 6 days was 82,94% which exceeded established standard 75%, and non productive time of village midwives was 17,05%, still below established standard, which is 25%. Therefore village midwifes workload at Duren Public Health Center at workhour was heavy because the acerage workload was 1866.3 minutes, which exceeded effective time in 6 days, 1680 minutes. Workload pattern of village midwives tend to do main and additional activity outside Village Healthcare Polyclinics first in the morning, then performing main and additional activity inside Village Healthcare Polyclinics in the afternoon. It is suggested that Duren Public Health Center should review about main duty that needs to be done by village midwife.
ANALISIS PELAKSANAAN PROGRAM PENGELOLAAN PENYAKIT KRONIS (PROLANIS) BPJS KESEHATAN PADA DOKTER KELUARGA DI KABUPATEN PEKALONGAN TAHUN 2016 Sarmaulina Sitompul; 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 (87.484 KB) | DOI: 10.14710/jkm.v4i4.13952

Abstract

Chronic Disease Management Program (Prolanis) is a program of The National Health Care Security (BPJS) to manage chronic diseases namely diabetes mellitus and hypertension in patients to prevent complications, improve the quality of life and health insurance financial effectively and efficiently. Based on the evaluations in 2016, BPJS deficits due to claims and capitation's inflammation fees in 2015. Pekalongan is a region in Central Java Province with the number of cases of hypertension ranks first while type 2 diabetes mellitus ranks second around in 2015. The aim of this study was to determine the implementation Prolanis family doctor in Pekalongan. The research method used by the writer is a qualitative method. The data was obtained from a document review and in-depth interviews. The writer analyzes 16 the informants consisting of family doctors, staffs of MPKP BPJS, the head of KLOK and prolanis participants. The data is presented in narrative form and matrix interview. The result showed that only five doctors who own the Prolanis club of the 18 family doctors in Pekalongan. From 7 activities, there are only 4 activities which had been done, that are health counseling, health checks, gymnastics prolanis and drug delivery. This happens because the limited human resources and funds. Moreover, unavailability of drugs frequently happen. The activities management is different because there is no SOP for the prolanis activities and the implementation of monitoring and evaluation is not optimal.
ANALISIS RESPONSIVENESS PELAYANAN KESEHATAN DI INSTALASI RAWAT INAP RUMAH SAKIT NASIONAL DIPONEGORO SEMARANG Dian Febrina Hutauruk; Septo Pawelas Arso; Putri Asmita Wigati
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 (109.428 KB) | DOI: 10.14710/jkm.v5i1.14872

Abstract

One of the goals of health systems according to WHO is to increase the responsiveness of the health system, which responsiveness is fulfillment of non-medical aspects related to how people are treated and how the environmental conditions in which the person being treated. Low utilization rates of health care in inpatient, and based on a questionnaire completed by the patient hospitalized  complaints were still found on some aspects responsiveness be the background for the assessment of the responsiveness of health care in Inpatient RSND. This study aimed to describe the eight domains of responsiveness as well as determine the level of responsiveness of health care in inpatient care unit RSND. This study design was a cross sectional study with a quantitative approach and supported by qualitative approach. The results of the research found Responsiveness level of health care in Inpatient RSND was 81.1%. Percentage value of responsiveness from the eight domains is greatest consecutive patient convenience of 99,4%, confidentiality 98.3%, 90% visited the conveniences, the choice of service provider 86.7%, 88.3% hospitality officer, patient involvement 88.3%, prompt to attention 83.3%, and the clarity of information 65%. The conclusion of this study is the responsiveness of health care in inpatient care RSND Installation is good, and has met the target set by the Ministry of Health. However, there are still some respondents who are less responsive because there are still health workers are less friendly, patient feels health information obtained is less clear than health workers, patients can not get access to health services (lab) easily, his old time use patients to get a visit from the doctor, the patient has not been able to choose their own health officers, and not the presence of reading materials in the treatment room.
ANALISIS PERBEDAAN TINGKAT KEPUASAN ANTARA PASIEN PESERTA PKMS GOLD DAN PKMS SILVER PADA UNIT RAWAT INAP RSUD DR. MOEWARDI SURAKARTA Rosalinda Trajuningtyas; Ayun Sriatmi; 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 (65.632 KB) | DOI: 10.14710/jkm.v3i1.11125

Abstract

Since 2008 the Government has introduce health insurance program called Jaminan Kesehatan Masyarakat (Jamkesmas) to increase accessibility of the poor and unable for health services. Besides Jamkesmas, there are regional health insurance program that guarantees the poor who are not included in the quota of Jamkesmas program called  Jaminan Kesehatan Daerah (Jamkesda). One region that has been successful to running this program is Surakarta, Central Java with its regional health insurance program called Pemeliharaan Kesehatan Masyarakat Surakarta (PKMS). PKMS have two type of membership namely PKMS Gold to the poor and PKMS to non-poor criteria. PKMS is one of manage care organization in Indonesia. The quality of services always be question in managed care, which is it closely related to patient satisfaction. Dr. Moewardi hospital is one of the third level provider that corporate with. In-patient visit in that hospital by PKMS participants is the biggest from last three years. Based on preliminary survey, PKMS Gold participants are more satisfied than PKMS Silver’s according Linder-Pelz theory of satisfaction. This research is quantitative model with satisfaction survey using questionnaire. Total subjects are 90 respondents with 22 PKMS Gold holders and 68 PKMS Silver holders. Respondent taking with a simple random sampling method. Data analysis using univariat  analysis and bivariat analysis Mann Whitney U-Test. Research shows there are different levels of satisfaction between PKMS Gold and PKMS Silver participants in Humaneness and Pleasentness of Surrounding dimension. Suggestions for Dr. Moewardi hospital are provide media  for information and criticism-advise, improve service from staff, recruit staff of paramedic, and improve facility management in the hospital.
Co-Authors - Sudiro Ade Selvia Septiani Ade Yuny Afriyanty Alifa Rizqia Rachmawati Anastasia Wulandari Anggiyara Dayu Rizal Anneke Suparwati Astri Budhi Satiti Ayu Diana Fuanasari Ayun Sriatmi Clara Sylvia Pardede Dian Febrina Hutauruk Dianita Pertiwi Dwi Utari Nugroho, Dwi Eka Yunila Fatmasari Familia Endah Triyani Fani Alizi Ilmifaluthi Firsa Olivia Susan Jafar Arifin Kartika Yufi Aruming Melati Kusyogo Cahyo Lucia Ratna Kartika Wulan Maynisa Puspita Kusuma Wardani Melodi Damai Soleiman Mulikhatun Umamah Nelda Rosita Hasibuan Nila Nafisatul Izzah Nur Shinta Rengganis, Nur Nuraini Maulidna Nurulia Unggul P.R., Nurulia Nydia Veramita Palawa Pangeran Hidayat Putra Puri Nur Mahmudah Rachmawati Yulianingtyas Rahma Kusuma Putri Widyani Riski Malimpa Risnawati Valentina Riyan Aprilatama Rizki Pamulat Sari Rizki Tri Putriarti Rizqi Amanullah Rosalinda Trajuningtyas Sarmaulina Sitompul Septo Pawelas Arso Shofi Assri Sinta Indi Astuti Su diro Sutopo Patria Jati Syifa Sakinah Wiwid Novitaria Wiwik Wulandari Zahroh Shaluhiyah