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All Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Indonesia J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Jurnal Pengabdian kepada Masyarakat Nusantara Insights in Public Health Journal
Erwin Purwaningsih
STIKES Mutiara Mahakam Samarinda
Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health Social Sciences

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Efektivitas Intervensi Colek dalam Peningkatan Perilaku Patient Safety Nurhasanah Nurhasanah; Erwin Purwaningsih; Dewi Mardahlia; Restu Yunus
Jurnal Kesehatan Indonesia Vol 11 No 3 (2021): Juli 2021
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33657/jurkessia.v11i3.500

Abstract

Patient safety is an important issue in global hospital services. One of the factors related to patient safety is the patient safety behavior of the medical staff, including nurses as health workers with the largest proportion in hospitals. This study aimed to determine the effectiveness of Colek intervention to improve patient safety behaviors of hospital nurses in Samarinda City. This experimental research used a pretest-posttest control group design. The samples were 60 people that were divided into two groups. Group A received an intervention in the form of a patient safety book, and group B received an intervention with a patient safety book and the Colek intervention. Colek intervention was an education program focusing on expanding knowledge, increasing awareness, developing leadership skills, and improving patient safety behavior. The data were analyzed using the Wilcoxon test and Mann-Whitney test. This study found that the mean of pretest in group A and group B had the same score (38,5 with an SD of 31,5). The mean post-test in group A was 46,0 with an SD of 57,5 while the mean of post-test in group B was 63,0 with an SD of 71,0. The results of this study showed a significant difference (p=0,001) between before and after the intervention using the patient safety book. A significant difference (p=0,000) was also found between before and after the intervention using the patient safety book and the Colek intervention. The Colek intervention was an effective way to improve the patient safety behavior of the hospital nurses in Samarinda City.
Covid-19 Transmission Risk Management for Hypertensive Patients in Indonesia Erwin Purwaningsih
Insights in Public Health Journal Vol 2 No 1 (2021): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2021.2.1.4209

Abstract

Background: Individual behavior in the face of the COVID-19 pandemic is characterized by disruptions or shifts in lifestyle. Covid-19 is more likely to cause extreme symptoms or serious problems in people with some medical conditions (chronic noncommunicable diseases). Hypertension is a non-communicable chronic condition induced by an unhealthy lifestyle. According to data from the national covid-19 distribution map, hypertension is the comorbid condition with the highest number of covid-19 patients. Methods: This study uses a descriptive analysis with a non-experimental framework as its process (cross-sectional). According to the study's goals, research participants used secondary data from the Covid-19 Indonesia distribution map in 2020/2021. Results: The number of confirmed cases is about 10,000 residents in July 2020, and it will continue to rise until May 2021, when it will reach 1,400,000 cases. Hypertension, which accounts for 50.1 percent of covid-19 cases, is one of the most common comorbidities. Diabetes mellitus affects 36.6 percent of people, the heart 17.2 percent, and 10 percent of pregnant women. Lung and kidney disease affect about 5% of people, other respiratory diseases affect 2.2 percent, and cancer, immune disorders, asthma, liver, and tuberculosis affect less than 2% of people. Conclusion: Patients with hypertension should be mindful of the risk of contracting Covid-19. Because of the extent of the losses incurred by the Covid-19 pandemic, different parties must work together to avoid and manage it.
Analisis Kebijakan Pembiayaan TB di Fasilitas Kesehatan Milik Pemerintah Era JKN di Kota Samarinda Erwin Purwaningsih
Jurnal Kebijakan Kesehatan Indonesia Vol 7, No 2 (2018)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (844.247 KB) | DOI: 10.22146/jkki.35037

Abstract

Tuberkulosis adalah penyakit menular dengan jumlah kasus tertinggi di Samarinda pada tahun 2016. Segi pembiayaan terdapat gap antara anggaran kesehatan dinas kesehatan kota Samarinda yang berasal dari APBD kota Samarinda dengan jumlah dana program pemberantasan TB. Tujuan: Mengidentifikasi kebijakan pembiayaan TB di fasilitas kesehatan milik pemerintah di Kota Samarinda. Metode Penelitian: Studi kasus dengan wawancara mendalam dan review dokumen. Subjek penelitian berjumlah 16 orang berasal dari pihak legislatif, pihak eksekutif, penyedia pelayanan kesehatan dan pihak lintas sektoral. Hasil: Terdapat koordinasi antara dinas kesehatan dan BPJS kesehatan untuk penetapan standar fasilitas kesehatan primer dan fasilitas kesehatan rujukan yang dapat bekerjasama dengan BPJS Kesehatan tetapi tidak untuk pertukaran data pasien dan transparansi penggunaan dana klaim pasien TB. Dana JKN merupakan sumber dana terbesar yaitu 94,48% dan diperuntukkan untuk pembiayaan rawat jalan tingkat lanjut (RJTL) dan rawat inap tingkat lanjut (RITL) pada tahun 2015. Tingginya RJTL disebabkan karena kurang maksimalnya pelaksanaan rujukan parsial dan rujuk balik pasien TB antara fasilitas kesehatan primer dan rujukan. Kesimpulan: Pembiayaan TB di Kota Samarinda masih lebih banyak di fasilitas kesehatan rujukan dibandingkan fasilitas kesehatan primer.
Alternatif Kebijakan Perencanaan Kebutuhan Obat dengan Menggunakan Metode ARIMA Box-Jenkins untuk Mengatasi Kelebihan Stok Erwin Purwaningsih; Subirman Subirman
Jurnal Kebijakan Kesehatan Indonesia Vol 8, No 1 (2019)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (603.003 KB) | DOI: 10.22146/jkki.42584

Abstract

Latar Belakang: Komponen utama dalam pengobatan, obat harus selalu tersedia dalam jumlah, jenis, dan kualitas baik saat diperlukan, tidak kurang dan tidak terlalu berlebihan. Dampak pengelolaan yang tidak baik: stockout, overstock, kadaluwarsa dan obat rusak. Puskesmas Palaran memiliki jumlah kunjungan mencapai 68.453 kali kunjungan per tahun,tertinggi dari jumlah kunjungan puskesmas lainnya di Kota Samarinda. Hal ini mempengaruhi kebutuhan obat yang diketahui mengalami kelebihan stok. Tujuan: Mengidentifikasi alternatif kebijakan perencanaan kebutuhan obat dengan melakukan peramalan menggunakan metode ARIMA Box-Jenkins. Metode penelitian: menggunakan jenis penelitian deskriptif. Menggunakan data pemakaian tertinggi untuk 3 jenis obat selama 1 tahun dalam kurun waktu 5 tahun (2010-2015). Hasil: Pemakaian 3 jenis obat tertinggi di Puskesmas Palaran adalah Paracetamol, Amoksisilin dan Captopril. Gambaran jumlah kebutuhan Paracetamol untuk 12 bulan yang akan datang (Februari 2015-Januari 2016) berjumlah 72.948 tablet atau rata-rata 6.079 tablet/bulan. Amoksisilin berjumlah 41.136 tablet atau rata-rata 3.428 tablet/bulan. Captopril berjumlah 41.736 tablet atau rata-rata 3.478 tablet/bulan. Evaluasi terhadap perencanaan dan pengadaan obat untuk kelompok pemakaian tertinggi dan darurat yang telah dilakukan di Puskesmas Palaran belum berjalan dengan baik. Hal ini dapat dilihat dari perhitungan jumlah pengadaan dan waktu pengadaan yang hanya berdasarkan perkiraan saja serta masih terjadinya beberapa item obat yang mengalami kekosongan selama beberapa bulan pada tahun 2015. Kesimpulan: Pedoman pengadaan obat di Puskesmas Palaran menggunakan data pemakaian jumlah obat tahun sebelumnya, kemudian ditambah atau dikurangi sebagai dasar perencanaan kebutuhan obat tahun berikutnya. Masih terdapat masalah pada kelebihan jumlah obat untuk jenis pemakaian tertinggi dan kekosongan pada jenis obat untuk kebutuhan darurat. Puskesmas Palaran perlu menetapkan prioritas terhadap perencanaan dan pengadaan obat sehingga lebih efektif dan efisien dengan kebutuhan agar tidak terjadi lagi kelebihan dan kekosongan persediaan obat menggunakan metode ARIMA Box-Jenkins.
Analisis Kebijakan Kesehatan Berdasarkan Analisis Kelompok Risiko Terhadap Persebaran Kasus Covid-19 di Indonesia Tahun 2020 Erwin Purwaningsih
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 2 (2021)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.61663

Abstract

Virus Corona adalah sebuah keluarga virus yang ditemukan pada manusia dan hewan. Akhir tahun 2019 dunia dikejutkan dengan adanya new emerging infectious disease di China yang disebabkan oleh Coronavirus Disease (Covid-19). Peningkatan kasus yang selalu meningkat di Indonesia bahkan mencapai angka tertinggi se-Asia Tenggara untuk angka kematian pasien covid-19. Kebijakan tertulis dan tidak tertulis diperlukan untuk penanganan kasus ini. Tujuan: Mengidentifikasi kebijakan kesehatan berdasarkan analisis kelompok risiko terhadap persebaran kasus Covid-19 di Indonesia tahun 2020. Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan desain non eksperimental (cross sectional). Sesuai dengan tujuan penelitian, subjek penelitian menggunakan data sekunder berupa data peta sebaran kasus Covid-19 pada laporan Satuan Tugas Penanganan Covid-19, komite penanganan Covid-19 dan pemulihan ekonomi nasional tahun 2020. Hasil: Hingga akhir Oktober tahun 2020 kasus korona di Indonesia mencapai 410.088 kasus dan meninggal sebanyak 13.869 kasus. DKI Jakarta merupakan provinsi dengan kasus covid-19 tertinggi se Indonesia dengan 95.253 kasus terkonfirmasi positif, serta memiliki tingkat kepadatan penduduk yang tinggi. Jenis kelamin laki-laki memiliki angka kasus, isolasi, sembuh dan meninggal lebih tinggi dibandingkan jenis kelamin perempuan yang masing-masing lebih dari 50% kasus. Usia dewasa produktif yaitu 31-45 tahun memiliki angka kasus tertinggi dibandingkan kelompok umur lain dengan akumulasi 30,9%. Kelompok usia dengan jumlah kasus meninggal tertinggi berada di kelompok umur>60 tahun dengan 42,6%. Kebijakan pemerintah mulai dari perlindungan diri dan lingkungan baik secar tertulis maupun tidak tertulis (himbauan) dibuat untuk menekan angka persebaran kasus covid-19 di Indonesia. Kesimpulan: Kebijakan yang telah dibuat pemerintah membutuhkan kerjasama berbagai pihak untuk dapat mencegah dan menekan angka penularan covid-19.
Health Workers in Samarinda City: An Examination of Their Distribution Based on Strategic Issues Erwin Purwaningsih
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 9, No 1 (2022): April 2022
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v9i1.3574

Abstract

Providers and organizers of health care in the city are health professionals. The number of health workers needed in Samarinda has not yet been determined according to WHO guidelines, which is a ratio that compares the number of health workers to the population. The method used in this study is a descriptive-analytical non-experimental design (cross-sectional). Following the study's goals, research participants used secondary data from the Central Statistics Agency's report for Samarinda City in 2018/2019 in the form of social and population data.  Results: The number of doctors in Samarinda did not meet the WHO minimum requirements for the ratio of doctors to population of 1:2,500, with a ratio of 1:10,249 in the Samarinda Seberang district. The number of nurses is identical, but the standard ratio of 1:855 cannot be met; six sub-districts fail to meet the ratio, Sungai Pinang is the most effective sub-district in terms of achieving the nurse-to-population ratio. Apart from Samarinda Ulu and Samarinda Kota, the distribution of pharmacists has caught the attention of almost all districts in the city of Samarinda, a total of eight districts. Even one pharmacy in the Sungai Pinang district must serve 54,386 people.. Conclusion: The distribution of health workers in Samarinda is not equally distributed, owing primarily to external issues.
Educational Strategy for Speech Delay Therapy During The Covid-19 Pandemic Erwin Purwaningsih
Insights in Public Health Journal Vol 3 No 2 (2022): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2022.3.2.5567

Abstract

Background: Children might be affected by speech delay, which is a sort of developmental problem. The tiny one's speech is delayed in this situation. In a nutshell, speech delay occurs when a child's speech abilities do not develop in accordance with their age. Children with this condition require ongoing diagnosis and treatment. Due to limited access and limits on community activities, Covid-19, which affects the rhythm of human existence, also impacts the type, application, and approach of therapy. Methods: This research is a descriptive study. Following the objectives of the study, research subjects used secondary data from the Global Research on Developmental Disabilities Collaborators, who recognized developmental disabilities in 195 nations during the last 26 years, to meet the study's aims (1990-2016) Results: The number of developmental disorders in children under the age of five years in Indonesia declined between 1990 and 2016, with 1,710,437 cases in 1990 and 1,707. 335 cases in 2016. Indonesia has consistently been in the top ten countries in the world for developmental disability causes. Indonesia ranks fifth in the world in terms of congenital epilepsy, vision loss, and autism, ninth in terms of intellectual disability and ADHD, and seventh in terms of hearing loss. In Indonesia, efforts were made to put limits on communal activities, which are frequently abbreviated as PPKM. The number of incidents that occur in each location, which is classified using the risk zoning map, has an impact on the PPKM level Conclusions: The application of limits on community activities should not prevent children with developmental abnormalities (particularly speech delays) from getting motor development therapy. So that continuous treatment efforts are not inhibited, strategies and innovations must be introduced.
Strategi Kebijakan Keuangan Negara Berdasarkan Proporsi Kebutuhan Dalam Upaya Pengentasan Pandemi Covid-19 di Indonesia Erwin - Purwaningsih
Jurnal Kebijakan Kesehatan Indonesia Vol 11, No 4 (2022)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.76721

Abstract

Keuangan adalah salah satu aspek penting selain aspek kesehatan yang harus menjadi fokus perhatian saat pandemi terjadi, termasuk saat pandemi Covid-19 melanda dunia termasuk Indonesia. Kebijakan yang diambil pemerintah di bidang keuangan negara merupakan hal yang sangat krusial dalam mengawal APBN sampai akhir tahun anggaran. Regulasi dan kebijakan pendapatan, penatausahaan keuangan dan maksimalisasi penggunan barang milik level pusat dan daerah harus dioptimalisasikan demi stabilitas ekonomi nasional. Tujuan: Mengidentifikasi strategi kebijakan keuangan negara berdasarkan proporsi kebutuhan dalam upaya menangani pandemi yang masih berlangsung dan meminimalisir dampak ikutan yang akan terjadi. Metode: Penelitian ini merupakan penelitian deskriptif  analitik dengan desain non eksperimental (Cross Sectional). Menggunakan analisa pustaka atau library research yang berasal dari beberapa sumber seperti laporan Kemenkeu, Kemnaker, BPS, dan beberapa artikel terkait penelitian. Hasil: Kebijakan fiskal untuk penerimaan negara diatur dalam Peraturan Menteri Keuangan Nomor 23 Tahun 2020 (PMK 23 Tahun 2020) tentang instentif pajak untuk wajib pajak terdampak wabah Virus Covid-19; Kebijakan fiskal untuk pengeluaran negara dibagi menjadi 3 langkah yaitu 1. Penerbitan Surat Utang (SUN) 2. Melakukan Refocusing APBN 2020 , dan 3. Konsekuensi Hukum Terhadap Penyelewengan Dana Penanggulanan Covid-19; Strategi kebijakan fiskal terhadap output perekonomian Indonesia dengan pemotongan pajak sebagai stimulus perekonomian; Strategi fiskal pada inflasi yaitu dengan stimulus 1, 2 dan 3; Kebijakan pemerintah daerah berfokus pada realokasi anggaran dan refocusing program; Anggaran kesehatan dan kebijakan bidang kesehatan menjadi fokus penganggaran; Analisis proporsi kebutuhan dibagi menjadi beberapa aspek yaitu kesehatan; perlindungan sosial; sektoral, K/L & Pemda; Insetif Usaha; UMKM; dan pembiayaan korporasi. Kesimpulan: Pandemi Covid-19 memberikan pelajaran untuk memperkuat ketahanan sistem keuangan. Peran penting sektor keuangan dalam mempertahankan momentum pemulihan ekonomi nasional membutuhkan tatanan regulasi dan praktek yang serasi. Berbagai level pemerintahan maupun swasta diharuskan memiliki visi dan misi yang sama sehingga stabilitas ekonomi dan pengentasan dampak pandemi dapat dilakukan secara efektif dan efisien. 
Covid-19 Transmission Risk Management for Hypertensive Patients in Indonesia Erwin Purwaningsih
Insights in Public Health Journal Vol 2 No 1 (2021): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2021.2.1.4209

Abstract

Background: Individual behavior in the face of the COVID-19 pandemic is characterized by disruptions or shifts in lifestyle. Covid-19 is more likely to cause extreme symptoms or serious problems in people with some medical conditions (chronic noncommunicable diseases). Hypertension is a non-communicable chronic condition induced by an unhealthy lifestyle. According to data from the national covid-19 distribution map, hypertension is the comorbid condition with the highest number of covid-19 patients. Methods: This study uses a descriptive analysis with a non-experimental framework as its process (cross-sectional). According to the study's goals, research participants used secondary data from the Covid-19 Indonesia distribution map in 2020/2021. Results: The number of confirmed cases is about 10,000 residents in July 2020, and it will continue to rise until May 2021, when it will reach 1,400,000 cases. Hypertension, which accounts for 50.1 percent of covid-19 cases, is one of the most common comorbidities. Diabetes mellitus affects 36.6 percent of people, the heart 17.2 percent, and 10 percent of pregnant women. Lung and kidney disease affect about 5% of people, other respiratory diseases affect 2.2 percent, and cancer, immune disorders, asthma, liver, and tuberculosis affect less than 2% of people. Conclusion: Patients with hypertension should be mindful of the risk of contracting Covid-19. Because of the extent of the losses incurred by the Covid-19 pandemic, different parties must work together to avoid and manage it.
Efektivitas Intervensi Colek dalam Peningkatan Perilaku Patient Safety Nurhasanah Nurhasanah; Erwin Purwaningsih; Dewi Mardahlia; Restu Yunus
Jurnal Kesehatan Indonesia Vol 11 No 3 (2021): Juli 2021
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Patient safety is an important issue in global hospital services. One of the factors related to patient safety is the patient safety behavior of the medical staff, including nurses as health workers with the largest proportion in hospitals. This study aimed to determine the effectiveness of Colek intervention to improve patient safety behaviors of hospital nurses in Samarinda City. This experimental research used a pretest-posttest control group design. The samples were 60 people that were divided into two groups. Group A received an intervention in the form of a patient safety book, and group B received an intervention with a patient safety book and the Colek intervention. Colek intervention was an education program focusing on expanding knowledge, increasing awareness, developing leadership skills, and improving patient safety behavior. The data were analyzed using the Wilcoxon test and Mann-Whitney test. This study found that the mean of pretest in group A and group B had the same score (38,5 with an SD of 31,5). The mean post-test in group A was 46,0 with an SD of 57,5 while the mean of post-test in group B was 63,0 with an SD of 71,0. The results of this study showed a significant difference (p=0,001) between before and after the intervention using the patient safety book. A significant difference (p=0,000) was also found between before and after the intervention using the patient safety book and the Colek intervention. The Colek intervention was an effective way to improve the patient safety behavior of the hospital nurses in Samarinda City.
Co-Authors Cahya Rio Nur Rahman Dewi Mardahlia Ela Ardawati Intan Nur Azizah Nurhasanah Nurhasanah Nurinda Triaswati Restu Yunus Risnawati Risnawati Sintia Sari Subirman -