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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kebijakan Kesehatan Indonesia Majalah Kedokteran Gigi Indonesia Jurnal Manajemen Kesehatan Indonesia Jurnal Farmasi Sains dan Komunitas Berkala Ilmiah Kedokteran Duta Wacana Jurnal Ners The Journal of Hospital Accreditation (JHA) Jurnal Jaminan Kesehatan Nasional Indonesian Journal of Cancer Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Academic Hospital Journal

Andreasta Meliala

Departemen Kebijakan Dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada

Author-ID : 2385424

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Kesiapsiagaan rumah sakit umum Kabanjahe dalam menaggulangi bencana alam gempa bumi di Kabupaten Karo Armanda Prima; Andreasta Meliala
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Obstacles and opportunities in making a hospital disaster plan: the case study from North SumateraPurposeThis study assessed Kabanjahe District hospital preparedness in coping with earthquake disaster, describes obstacles and opportunities in forming hospital disaster preparedness and availability of hospital disaster plan component.MethodsThis research used qualitative research method with case study research design. This study examines the contemporary phenomenon of Kabanjahe General Hospital preparedness in anticipating the earthquake disaster.ResultsKabanjahe General Hospital is not ready to anticipate earthquake disaster and not yet completed in making hospital disaster plan.ConclusionObstacles to establishing disaster prepared hospitals to include the unavailability of budget for disaster management, lack of hospital personnel who understand K3B, have not participated in training of hospital disaster plan preparation, disaster training and hospital have never conducted disaster simulation. While the opportunity is Kabanjahe General Hospital has been working with other agencies in the fulfillment of facilities and preparation of the plan. The availability of Kabanjahe General Hospital for policy components, disaster risk analysis, communications, financing and evaluation monitoring has not been in accordance with the standards. As for organizational components and facilities already available in quantity but not yet organized to anticipate disaster.

Performance based payment dan kepuasan kompensasi dalam pemberian jasa pelayanan kapitasi jaminan kesehatan nasional bagi tenaga kesehatan Puskesmas di Kabupaten Ende Mariane Erika Pay; Andreasta Meliala; Dwi Handono
Berita Kedokteran Masyarakat (BKM) Vol 34, No 12 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Performance based payment and compensation satisfaction in the distribution of capitation medical services of national insurance health for primary health care workers in the District of EndePurpose: To evaluate the implementation of the distribution of capitation services using a performance-based payment system in Ende Regency. Methods: This research is qualitative using a case study design. Study subjects 23 people were selected by purposive sampling technique. The research location was in the Health Office and 2 puskesmas. Data collection uses interview guides and document reviews. Qualitative data is presented in the form of narratives, pictures and tables. Respondents' answers will be displayed in the form of quotes. Results: Providing compensation for services still causes dissatisfaction. Health workers are not satisfied with the reduction due to tardiness, are not involved in the calculation of services, doctors feel the tax deduction is too large, the number of health workers is in accordance with the services provided. Puskesmas assessment team has been working based on existing regulations. Conclusions: There is a need for supervision, supervision, monitoring and evaluation from the Ende District Health Office for the distribution of capitation services. Puskesmas leaders and staff must be able to work together and coordinate well in making puskesmas policies and implementing these policies.

Congenital heart disease screening program in elementary schools: a research-based policy Dinarti, Lucia Kris; Hartopo, Anggoro Budi; Hadwiono, Muhammad Reyhan; Wiradhika, Abdul Majid Halim; Meliala, Andreasta; Putri, Likke Prawidya; Fajarwati, Prahesti; Anggrahini, Dyah Wulan
BKM Public Health and Community Medicine Vol 39 No 01 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i01.5783

Purpose: CHD is a condition where heart abnormalities develop before birth and can lead to severe complications such as heart failure and premature death, especially among younger adults. Delayed diagnosis and treatment worsen the situation for CHD patients. Early screening can prevent CHD and ensure timely interventions. This study discusses the latest advancements in CHD screening for primary school children and the valuable insights gained from the program. Method: The CHD screening program in Yogyakarta province involved three stages: consolidation, implementation, and incorporation. During the consolidation stage, key decision-makers in the province and local health offices were involved. Primary healthcare workers and primary school teachers were trained to deliver the screening during the implementation stage. Stakeholders, health workers, and teachers were invited to discuss the results, and the Provincial Governor's office was engaged during the incorporation stage. Results: In 2018–2019, 18 CHDs were identified from 6,116 school-age children in 4 districts in Indonesia. The screening program was led by academics in the Universitas Gadjah Mada through 3 stages: consolidation, implementation, and incorporation. Strong collaboration with local stakeholders has contributed to the program's success in engaging 130 schools, 60 community health centers, and 190 health workers. Several opportunities for improvement are: strengthening the capacity and number of health providers at health centers to screen CHDs using 12-lead electrocardiography, addressing patients' reluctance to visit the health facility due to the COVID-19 pandemic, and motivating parents to have their children checked. Conclusion: CHD screening using 12-lead electrocardiography and auscultation should be part of primary school health screenings. Academics can train health workers, and local governments can provide funding and prepare health facilities for follow-up treatment.

When should DIY have a localized healthcare waste management system? Hasanbasri, Mubasysyir; Sarto; Wiranto; Sutena, Marthinus; Qaimamunazzala, Hayu; Ferdiana, Astri; Ramadona, Aditya Lia; Jaladara, Vena; Nilasari; Meliala, Andreasta; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.11777

Purpose: The 2018 healthcare waste management crisis catalyzed a critical review of the concerns expressed by the Health Office (dinkes) and healthcare facilities regarding healthcare waste management in the Special Region of Yogyakarta (DIY). Due to this crisis, the Ministry of Health hired Universitas Gadjah Mada (UGM) to look into potential solutions and promote DIY government policy responses. This paper examines the management strategy during crisis times and possible alternative solutions. Methods: This paper uses focused group discussions reports involving separate groups of (1) environmental health officials from community health centers, (2) hospitals, (3) environment health officials of district health authorities, and (4) cross-sectoral province officials in the Yogyakarta Special Region. It is part of a project 'A case study of strengthening regional-based medical waste management model', fund from the Environmental Health Directorate, Directorate General of Public Health, Ministry of Health (Project KN 01.03/6.1/0198/2019). Result: A simulation of policy options based on health facility managers suggests that a province-based system is the most profitable in the long term for DIY, with several possible options. The national policy roadmap was considered inadequate to respond to DIY's urgent local needs. Furthermore, the series of meetings succeeded in forming an informal forum between health facilities, provincial health offices, and associations of hospital environmental sanitation experts, monitoring medical waste management. Conclusion: The 2018 medical waste management crisis led to the formulation of policy response choices tailored to the capacity of DIY. These choices considered the expenditures and legal sanctions faced by healthcare facilities and the economic value of a region-based waste system for local government authorities. This comprehensive approach highlights the importance of local capacity. It needs to shape effective and sustainable medical waste management policies, underscoring the necessity of region-specific strategies in the face of national health crises.

Co-Authors Abdul Azis Agustino, Rizki Anang Anang Andi Sulaimana Anggita Ratna Damayanti Anggoro Budi Hartopo Anggrahini, Dyah Wulan Arifandi Arifandi Armanda Prima Astri Ferdiana Bhintani Embriana Darwito, Darwito Dina Anjayani Dira Mediani Djayanti Sari Dwi Handono Dwi Handono Sulistyo Dwi Handono Sulistyo Dyah Anggraini Fajarwati, Prahesti Faridha Hanum Firman Firman Firman Firman Firman Fitri Haryanti Fitrina Rachmadanty Siregar Gunadi Gunadi Gustina Fajarwati Sihombing Hapsari, Wulandari Indri Henny Marchelina Hilda Mutia Hanum Husna Yulianingsih Ika Widyastuti Arumsari Irene Waine Iwan Dwiprahasto Julita Hendrartini Kartini Hasballah Katherina Adisaputro Khonsa, Oni Khorida, Arifatul Laksono Trisnantoro Laksono Trisnantoro Likke Prawidya Putri Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lucia Kris Dinarti Lutfan Lazuardi Mariane Erika Pay Mochamat Helmi Mubasysyir Hasanbasri Muhammad Reyhan Hadwiono Mustofa, Tika Rahhmatillah Nilasari Nurjannah Nurjannah Pratiwi, Citra Sari Prima, Armanda Purwoadi Sujatno Qaimamunazzala, Hayu Ramadona, Aditya Lia Ratmasari, Dewi Ratna Budi Setiani Resti Dewi Rina K. Kusumaratna Rina Kusumaratna Rizaldy T. Pinzon Rizaldy Taslim Pinzon Rizaldy Taslim Pinzon Ruth Reza Hanggraini Sarto Setyowati Siti Ayu Putriasih Sito Meiyanto Sudirman Sugianto Adisaputro Suryanti Klase Sutena, Marthinus Teny Tjitra Sari Tjahjono Kuntjoro Tri Juli Wati Trismayanti, Ni Made Rika Valentina Dwi Yuli Siswianti Vena Jaladara Vera Otifa Visnu, Jodi Widyawati Wiradhika, Abdul Majid Halim Wiranto Yasmine, Rosanna Yohan Wenas Gunawan Yohana Puji Dyah Utami Yulita Hendrartini Yulita Hendrartini

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Journal : Berita Kedokteran Masyarakat