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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN UPAYA PENCEGAHAN DEMAM BERDARAH DENGUE (DBD) PADA IBU RUMAH TANGGA DI KELURAHAN KRAMAS KOTA SEMARANG Istiqomah, Istiqomah; BM, Syamsulhuda; Husodo, Besar Tirto
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 (104.81 KB) | DOI: 10.14710/jkm.v5i1.15831

Abstract

Dengue Hemorrhagic Fever (DHF) is a vector-based diseases are a public health problem in Indonesia. DHF cases in district Tembalang reached 343 cases and most cases (13 cases) occured in Kramas area in 2015. Community behavior is very important for DHF. This study aims to determine the factors associated with the practice in the prevention of dengue fever in Kramas area Semarang City. Type of this research is analytical descriptive with cross-sectional study. The population are 800 housewife. The sample are 90 housewife were taken using random sampling technique. Data analysis using univariate and bivariat analysis with Chi Square test (significance level 0,05). The result showed that most of respondents is good knowledge (55,6%), supporting attitude (56,7), high perceptions (72,2%), abilibity rules (86,7), facilities and infrastructure available well (74,4%) good support from health workers (82,2%) good support from community leaders (74,4%), good support from family (68,9%). Variable are associated with preventive behaviour of DHF is attitude (p=0,005) facilities and infrastructure (0,003) and support from community leaders (0,002).
Analisis Kegiatan Suami Dalam P4K Pada Kehamilan Risiko Tinggi Setiawan, Hery; Shaluhiyah, Zahroh; Mustofa, Syamsulhuda Budi
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 1 (2020): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.618 KB) | DOI: 10.14710/jkm.v8i1.25673

Abstract

P4K sebagai program dalam menurunkan angka kematian ibu dan bayi. Kehamilan menjadi bagian dari fisiologis normal wanita yang tidak menutup kemungkinan dapat terjadi risiko tinggi sehingga perlu pemantauan intensif dengan bantuan suami. Penelitian ini bertujuan untuk menganalisis kegiatan suami pada P4K pada kehamilan risiko tinggi. Penelitian ini menggunakan pendekatan kualitatif dan subyek penelitian diambil dengan menggunakan purposive sampling yang berjumlah 4 orang dan teknik pengambilan data menggunakan indepth interview. Hasil penelitian menunjukkan sebagian besar subyek penelitian belum menyiapkan dengan baik P4K seperti jarang mendampingi istri dalam pemeriksaan kehamilan, biaya persalinan, belum adanya penyiapan calon donor darah, transportasi, pendampingan persalinan dan bahkan seluruh subyek penelitian belum menentukan alat kontrasepsi (KB) pasca persalinan.
Program Asosiasi Ibu Menyusui Indonesia Daerah Istimewa Yogyakarta (AIMI DIY) untuk Mendukung Keberhasilan ASI Eksklusif Adawiyah, Fathi Rabiatul; Musthofa, Syamsulhuda Budi; Husodo, Besar Tirto
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 1 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.1.50-56

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ABSTRAK Latar belakang : Cakupan ASI eksklusif di Provinsi DIY tahun 2018 mengalami penurunan 17,34%. Program promosi kesehatan yang belum efektif merupakan salah satu faktor yang mempengaruhi cakupan ASI eksklusif. Asosiasi Ibu Menyusui Indonesia Daerah Istimewa Yogyakarta (AIMI DIY) merupakan organisasi nirlaba pendukung program pemerintah yang melakukan kegiatan promosi, edukasi, dan advokasi dengan visi meningkatkan angka ibu menyusui. Penelitian ini bertujuan menggambarkan program AIMI DIY untuk mendukung keberhasilan ASI eksklusif di Provinsi DIY tahun 2019 dengan pendekatan teori sistem.Metode : Penelitian ini menggunakan metode kualitatif. Subyek penelitian utama yaitu Ketua sekaligus sebagai Kadiv Advokasi, Bendahara, Kadiv Edukasi dan Pelatihan, Kadiv Komunikasi, Kadiv Pengembangan SDM dan Organisasi, Kadiv Riset, dan subyek penelitian triangulasi yaitu Ketua AIMI Pusat dan Kasie Kesga dan Gizi Dinkes Provinsi DIY dengan metode purposive sampling dan teknik pengumpulan data wawancara mendalam secara online karena berlangsung pada masa pandemi Covid-19.Hasil : Hasil penelitian menunjukkan program AIMI DIY terdiri dari aspek masukan dan aspek proses. Sumber daya manusia AIMI DIY yang merupakan sukarelawan memiliki keterbatasan waktu untuk organisasi. Ketersediaan dana belum mencukupi untuk kegiatan edukasi dengan sasaran masyarakat menengah kebawah. AIMI DIY belum memiliki gedung sebagai prasarana kelas edukasi. Kegiatan AIMI DIY terfokus pada 3 hal yaitu promosi, perlindungan, dan dukungan untuk menyusui yang diatur dalam 6 divisi kerja, namun pembagian tugas kepada anggota divisi belum efektif.Simpulan : Program AIMI DIY untuk mendukung keberhasilan ASI eksklusif selain kelas edukasi belum terpromosikan dan terlaksana dengan baik karena keterbatasan waktu sumber daya manusia dan keterbatasan dana.Kata kunci: ASI eksklusif; AIMI DIY; kelas edukasi ABSTRACT Title: Association of Indonesian Breastfeeding Mothers Special Regions of Yogyakarta (AIMI DIY) programs to support the success of exclusive breastfeedingBackground : Exclusive breastfeeding coverage in DIY Province in 2018 decreased by 17.34%. One of the factors affecting exclusive breastfeeding coverage is the ineffectiveness of health promotion programs. AIMI DIY is a non-profit organization supporting government programs that carries out promotional, educational, and advocacy activities to realize the vision of increasing the number of breastfeeding mothers. This study aims to describe the AIMI DIY program to support the success of exclusive breastfeeding in DIY Province in 2019 with a systems theory approach. Method : This study uses a qualitative method. Main research subjects consisting of the Chairperson at once as the Head of Advocacy Division, Treasurer, Head of Education and Training Division, Head of Communication Division, Head of Human Resources and Organizational Development Division, Head of Research Division, as well as triangulation research subjects consisting of the Chairperson of AIMI Center and the Head of Section for Family Healthy and Nutrition of the Provincial Health Office of Yogyakarta, utilizing purposive sampling method and in-depth interview online data collection as it had taken place during the Covid-19 pandemic.Result : The results showed that the AIMI DIY program consists of input aspects and process aspects. AIM DIY's human resources, made up of volunteers, have limited time to dedicate on working for the organization. The availability of funds remains insufficient for the educational activities targeting those within the middle to lower-earning class. AIMI DIY does not yet have the infrastructure for educational classes. AIMI DIY activities focus on 3 things: promotion, protection, and support for breastfeeding, arranged in 6 work divisions. However, the division of tasks to division members so far has proven to be ineffective. Conclusion : The AIMI DIY program to support exclusive breastfeeding, aside from education classes, has not been promoted and implemented properly due to the limited time available for  human resources as well as limited funds.Keywords : Exclusive breasfeeding; AIMI DIY; education class
Analisis Faktor yang Berhubungan dengan Penggunaan Vasektomi di Desa Karanganyar Kabupaten Ngawi Jawa Timur Amanati, Nurma Mentari; Musthofa, Syamsulhuda Budi; Kusumawati, Aditya
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 2 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.2.91-98

Abstract

Latar belakang: Partisipasi pria dalam penggunaan vasektomi di Kabupaten Ngawi masih rendah dari tahun 2016 hingga 2018, dengan angka (0,2%), (0%), (0,3%). Dalam penggunaan kontrasepsi, tidak jarang wanita mengalami ketidakcocokkan pada jenis kontrasepsi tertentu. Pria dapat berbagi peranan dengan menggunakan kontrasepsi pria, salah satunya adalah vasektomi. Penelitian ini bertujuan mengidentifikasi pengguna vasektomi dan mengetahui faktor yang berhubungan dengan penggunaan vasektomi di Desa Karanganyar Kabupaten Ngawi.Metode: Penelitian kuantitatif dengan desain ­cross sectional dan dilakukan wawancara mendalam pada pengguna vasektomi untuk memperoleh kelengkapan data. Populasi 241 pria Pasangan Usia Subur di Desa Karanganyar dengan sampel 78 responden yang diperoleh dengan simple random sampling menggunakan rumus analitik kategorik tidak berpasangan. Variabel bebas pada penelitian ini adalah tingkat pendidikan, pendapatan, jumlah anak, pengetahuan, sikap, keyakinan, ketersediaan informasi, sikap dan perilaku istri, sikap dan perilaku kader KB, serta sikap dan perilaku Petugas Lapangan Keluarga Berencana (PLKB). Untuk variabel terikat yaitu penggunaan. Uji bivariat menggunakan Uji Chi Square.Hasil: Hasil penelitian menunjukkan bahwa ada hubungan ketersediaan informasi (p value = 0,000), sikap dan perilaku istri (p value = 0,002), Kader KB (p value = 0,001) dan Petugas Lapangan Keluarga Berencana (p value = 0,003) dengan penggunaan vasektomi. Rendahnya penggunaan vasektomi disebabkan karena adanya nilai budaya setempat mengenai peran istri dalam pengambilan keputusan yang masih terbatas, pengetahuan istri yang kurang tentang penggunaan kontrasepsi pria, dan kepercayaan terhadap kontrasepsi pria. Padahal dukungan istri menjadi motivasi untuk membangkitkan minat pria memilih kontrasepsi yang lebih baik untuk diri sendiri dan keluarga. Selain itu dukungan Petugas KB yang berperan dalam pemberian informasi dan proses pemilihan kontrasepsi pria yang masih rendah membuat partisipasi pria dalam penggunaan vasektomi juga rendah.  Simpulan: Untuk mendukung program pengarusutamaan gender dalam penggunaan kontrasepsi pada pria dapat ditingkatkan melalui dukungan dari istri sebagai partner kehidupan seksual, serta Kader dan Petugas Lapangan Keluarga Berencana sebagai petugas yang dapat memberikan motivasi melalui kegiatan konseling kepada pria.Kata kunci: Keluarga berencana, kontrasepsi pria, vasektomi, pengarusutamaan gender ABSTRACT Title: Analysis of Factors Related to the Use of Vasectomy in Karanganyar Village Ngawi District East JavaBackground: The participation of men in using vasectomy in Ngawi District is still low from 2016 to 2018 with a rate of (0,2%), (0%), (0,3%). In the use of contraception, it is not uncommon for women to experience an incompatibility with the type of contraception used. Men can share roles by using male contraception, one of which is vasectomy. This study aims to identify vasectomy users and determine the factors associated with the use of vasectomy in Karanganyar Village, Ngawi District.Method: Research is a quantitative study with a cross sectional design and in depth interviews were conducted with vasectomy users to obtain complete data. The population 241 men of childbearing age with a sample of 78 respondents by simple random sampling using unpaired categorical analytic formulas. The independent variables in this study consisted of education level, income, number of children, knowledge, attitudes, and behavior of family planning cadres, attitudes and behavior of family planning field officers. And the dependent variables in this study is the use of vasectomy.  The test used in the Chi Square Test.Result: The result indicated that there is a relationship the availability of information (p value = 0,000), an attitude and behavior of the wife (p value = 0,002), Family Planning cadres (p value = 0,001), family planning field officers (p value = 0,003) related with the use of vasectomy. The low use of vasectomy is also due to local cultural values regarding the role of wives in making decisions are still limited, the wife’s insufficient knowledge and trust in male contraception. Wife’s support is the motivation to arouse men’s interest in choosing better contraceptives for themselves and their families. Support from family planning officers to give information and the process of selecting contraceptives is still low, making men’s participation in the use of vasectomy also low.Conclusion: To Support mission of gender mainstreaming in contraceptive use in men can be increased throught the support of their wives as sexual partners, as well as Family Planning Cadres and Family Planning Officers as officers who can motivate men to carry out counseling activities.Keywords: Family planning, male contraception, vasectomy, mainstreaming mission
Analisis Pelaksanaan Program Pos Kesehatan Pesantren (Poskestren) di Pondok Pesantren Durrotu Aswaja Sekaran Gunungpati Semarang Hulaila, Ahla; Musthofa, Syamsulhuda Budi; Kusumawati, Aditya; Prabamurti, Priyadi Nugraha
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 1 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.1.12-18

Abstract

Latar Belakang: Salah satu bentuk pemberdayaan di Pondok Pesantren adalah dengan menumbuhkembangkan Pos Kesehatan Pesantren (Poskestren). Namun masih jarang Pondok Pesantren yang memiliki Poskestren. Di Kota Semarang hanya terdapat 7% Pondok Pesantren yang memiliki Poskestren. Poskestren Durrotu Aswaja merupakan Poskestren berprestasi di Kota Semarang yang menjuarai Lomba Gerakan Pesantren Sehat. Penelitian ini bertujuan menganalisis keberhasilan Pelaksanaan Program Poskestren Durrotu Aswaja dengan harapan  menjadi pembelajaran bagi Poskestren lainnya.Metode: Pengumpulan data dalam penelitian deskriptif kualitatif ini dilakukan dengan wawancara mendalam dan observasi lapangan. Subjek penelitian terdiri dari delapan kader Poskestren dengan metode purposive sampling. Validitas data dilakukan dengan wawancara kepada sembilan subjek triangulasi. Reliabilitas data dilakukan dengan audit data dan analisis data menggunakan metode content analysis.Hasil: Pada aspek masukan, jumlah kader sudah mencukupi, alat-alat kesehatan sudah lengkap namun untuk ruangan khusus Poskestren masih dalam proses pembangunan. Ketersediaan dana sudah mencukupi dan sebagian besar berasal dari pihak luar. Terdapat data dasar personal hygiene dan media informasi kesehatan. Selain itu terdapat dukungan kiai dalam menerapkan kebijakan yang mendukung kegiatan Poskestren. Pada aspek proses, kegiatan Survei Mawas Diri (SMD) dan Musyawarah Masyarakat Pondok Pesantren (MMPD) sudah terlaksana. Kegiatan Poskestren terdiri dari upaya promotif, preventif, kuratif dan rehabilitatif. Kemudian adanya sinergitas dengan Puskesmas Sekaran yang aktif membina Poskestren.Simpulan: Berdasarkan  indikator keberhasilan Poskestren menunjukkan bahwa dari aspek masukan dan proses secara keseluruhan sudah terpenuhi semua sehingga Poskestren Durrotu Aswaja termasuk dalam kategori baik, namun perlu perbaikan dalam hal pembentukan divisi-divisi khusus Poskestren serta pengadaan ruangan khusus Poskestren. Sehingga diharapkan Poskestren Durrotu Aswaja menjadi lebih baik lagi.Kata kunci:  Poskestren, kesehatan pesantren, pemberdayaan, PHBS.ABSTRACTTitle: Analysis of Pesantren Health Post Implementation Programi in Semarang (Study at Durrotu Aswaja Pesantren Health Post Sekaran Gunungpati Semarang) Background: One of power sourced Public Health Efforts (UKBM) in the boarding school is Pesantren Health Post that have principle of, by and for the citizens of the boarding school, which sought promotive and preventive without prejudice to the curative aspects and rehabilitation,with the local health center guidance. However, in fact Islamic boarding schools still rare for to have a Pesantren Health Post. In the city of Semarang there are only 12 Pesantren Health Post out of 185 existing Islamic boarding schools. Durrotu Aswaja Pesantren Health Post is an accomplished Pesantren Health Post in Semarang which has won the Healthy Islamic Boarding School Movement Competition in 2019. The aimed of this research is to analyze the implementation of pesantren health post program in Durrotu Aswaja Islamic boarding school with a systems theory approach which is expected to be a lesson learned for other pesantren health post.Method: This research uses a qualitative method with a case study approach. The research subjects are 8 people consisting of the Durrotu Aswaja pesantren health post administrators using purposive sampling method and data collection techniques through indepth interviews and field observation by using an interview guide sheet and a voice recorder, then the collected data were analyzed through the content analysis method.Result: The results showed that the number of cadres was sufficient, the facilities and infrastructure for the pesantren health post were complete. The particular room for the pesantren health post was still under construction, the availability of funds was adequate. Many sources of funds came from outside parties who were allocated for poskestren operations. Activities that have been running consist of promotive, preventive, curative and rehabilitative efforts. The success of the pesantren health post program cannot be separated from the existence of active pesantren health post cadres who have a background in the health sector, the synergy with the Sekaran Puskesmas who actively foster the pesantren health post. Besides there is support from kiai in implementing policies that support the running of pesantren health post activities.Conclusion: Based on the indicators of the success of the pesantren health post, it shows that from the aspect of input and the overall process all have been fulfilled so that the durrotu aswaja pesantren health post is in the good category. However, there is a need for improvement efforts because in each indicator there are several obstacles that need to be fixed. Keywords: Pesantren health post, Islamic boarding school health,  empowerment,  clean and healthy behavior program
Life Skills Education to Improvement of Teenager’s Knowledge, Attitude, Self-efficacy and Risk Health Behavior Shaluhiyah, Zahroh; Indraswari, Ratih; Kusumawati, Aditya; Musthofa, Syamsulhuda Budi
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v17i1.22474

Abstract

IDHS data shows adolescent risky behaviors such as smoking, alcohol, drugs and free sex tend an increasing from year to year. The purpose of this study was to analyze the influence of life skills education on adolescents’ knowledge, attitudes, self-efficacy and prevention of health risk behaviors.This study was a quasi-experimental design with non-equivalent pre-test post-test control group. Of 28 and 60 adolescents at the villages of Sembukan and Sukoharjo, Wonogiri were selected purposively to participate in this study. Life skills education were conduted for 3 months, every week for 6 hours. At the end of the intervention adolescent’s ambassadors were formed called ”Narsis” to share and educate their peers. Data were analyzed by univariate, independent t-test mann whitney and paired t-test. The findings show that there was significant influence on providing lifeskills education to adolescent’s knowledge, attitudes, self efficacy and prevention health risk behaviour at the intervention group. Whilst, there was only a slight increase on knowledge and significantly decrease in attitudes and self-efficacy including the prevention risk behaviors of adolescents at control group. It is recommended that adolescents are necessary to provide intensive and comprehensive life skills education to prevent their risk behaviours.
Beberapa Faktor yang Mempengaruhi Dukungan Suami terhadap KB di Masa Pandemi Imawan, Titania Sekar; Musthofa, Syamsulhuda Budi; Kusumawati, Aditya
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 6 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.6.401-408

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Latar belakang: Kepesertaan KB di masa pandemi diprediksi akan semakin menurun seperti yang terjadi di Kabupaten Banyumas sepanjang tahum 2020, jumlah peserta KB mengalami penurunan sebesar 4,1%. Dukungan suami merupakan salah satu faktor yang berpengaruh terhadap KB, sehingga perlu ditingkatkan untuk mencegah kehamilan tidak terencana dan mempertahankan penggunaan KB di masa pandemi.Metode: Menggunakan metode kuantitatif dengan pendekatan cross sectional. Jumlah populasi 121 orang dengan jumlah sampel 101 responden dipilih menggunakan teknik simple random sampling. Menggunakan uji Univariat dan Bivariat chi square.Hasil: Sebanyak 70,3% responden telah mendukung KB di masa pandemi dengan variabel yang berhubungan yaitu pengetahuan (p=0,000), aksesibilitas informasi KB (p=0,000), pendidikan (p=0,009), usia anak (p=0,018), dukungan keluarga (p=0,033), tingkat ekonomi (p=0,047). Dukungan suami yang baik mayoritas terdapat pada responden dengan pengetahuan dan akses informasi yang baik.Simpulan: Agar dukungan suami yang diberikan lebih optimal maka diperlukan edukasi dan promosi KB kepada suami khususnya terkait manfaat penggunaan KB serta resiko kehamilan dan melahirkan di masa pandemi.Kata kunci: Keluarga Berencana; Dukungan Suami; Pandemi COVID-19ABSTRACT Title: Factors Affecting Husband’s Support towards Family Planning during Pandemic SituationBackground: During the pandemic, family planning involvement was expected to decline, as it did in Banyumas Regency in 2020 when family planning participation fell by 58.77%. One of the elements that influenced family planning was husband support, which should be increasing to prevent unintended pregnancies and preserve family planning use during the pandemic.Method: Used a quantitative method with a cross-sectional approach. The population of 121 people with a sample of 101 respondents was selected using a simple random sampling technique. Used univariate and bivariate chi-square tests.Results: There was 70.3% of respondents have supported family planning during the pandemic with related variables, namely knowledge (p = 0.000), accessibility of family planning information (p = 0.000), education (p = 0.009), child age (p = 0.018), family support (p=0.033), economic level (p=0.047), family planning participation (p=0.05). The majority of good husband support was founding in respondents with good knowledge and access to information.Conclusion: It is crucial to educate and promote family planning to men, particularly regarding the benefits of using family planning and the risks of pregnancy and childbirth during a pandemic, to have the best possible support from them.Keywords: Family Planning; Husband’s Support; COVID-19 Pandemic
Description of complete basic immunization coverage among infant Farid Agushybana; Syamsulhuda BM; Sutopo Patria Jati; Martini Martini; Ayun Sriatmi
International Journal of Public Health Science (IJPHS) Vol 8, No 2: June 2019
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.21 KB) | DOI: 10.11591/ijphs.v8i2.18888

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Immunization coverage in every city/regency must be conducted in accordance with the standard coverage to suppress infectious diseases that can be prevented by vaccination. Temanggung regency is one of the cities/regencies in Central Java Province that have not reached 100% of village universal coverage immunization (UCI). The aim of this study was to determine the coverage of complete basic immunization in infants in Temanggung regency. The design of this study was descriptive observational with quantitative and qualitative approaches. The respondents of the research were parents having babies and the sample size was 520 children. The instrument used was the Rapid Card Check Form recommended by UNICEF. The results showed that there were still infants who had not been immunized. The reasons were that the infants had low birth weight, sick children during immunization, and no support from parents. As the immunization program aims to reduce infant and child mortality, parental awareness is important to increase immunization coverage in Temanggung regency.
PERSEPSI IMPLEMENTASI CITIZEN'S CHARTER PKD GADINGAN KABUPATEN SUKOHARJO TERHADAP INDEKS KEPUASAN MASYARAKAT Syamsulhuda Budi Mustofa; Antarini Antarini; Budiyono Budiyono; Sutopo Patria Jati
Kesmas Indonesia Vol 2 No 2 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (8101.084 KB)

Abstract

Sesuai dengan peraturan Gubernur Jawa Tengah nomor 90 tahun 2005 tentang pelaksaaan Poliklinik Kesehatan Desa (PKD) Kabupaten/Kota Jawa Tengah, maka poskesdes Jawa Tengah menjadi PKD. PKD diharapkan menjadi pusat kegiatan pembangunan kesehatan di desa sekaligus memberikan pelayanan kesehatan paripurna yang lebih dekat, relatif lebih murah, dengan mutu yang terjamin. Kabupaten Sukoharjo memiliki 136 PKD dengan jumlah desa sebanyak 128 desa di 54 kecamatandengan ratio 1 (satu) PKD per desa. Dalam penyelenggaraan pelayanan kesehatan kepada masyarakat/pasien, PKD Gadingan sebagai model PKD percontohan telah menerapkan Citizen’s Charter (CC) atau kontrak pelayanan yang merupakan suatu dokumen yang didalamnya diatur tentang hak-hak dan kewajiban-kewajiban yang melekat baik dalam diri providers maupun customer/client. Tujuan dari penelitian ini adalah mengetahui hubungan antara karakteristik dan persepsi pasien terhadap implementasi citizen’s charter dengan indeks kepuasan masyarakat di PKD Gadingan sebagai PKD model percontohan Kabupaten Sukoharjo. Jenis penelitian yang digunakan adalah observasional dengan pendekatan cross sectional. Jumlah populasi dilihat dari jumlah rata-rata kunjungan perbulan dalam 4 (empat) bulan terakhir di tahun 2009 yaitu bulan Januari-April dengan rata-rata pasien perbulan 676 pasien. Pengambilan sample dilakukan dengan teknik Accidental Sampling dengan jumlah sebesar 87 responden. Indeks Kepuasan Masyarakat (IKM) mengacu pada Surat Keputusan (SK) Menpan No.25/KEP/M.PAN/2/2004. Hasil penelitian didapatkan responden mempunyai persepsi yang sangat sesuai terhadap implementasi citizen’s charter sebesar 14,94%. Sedangkan mayoritas responden berpersepsi sesuai terhadap Implementasi citizen’s charter sebanyak 59 responden (67,82%). Masih terdapa responden yang menyatakan kurang sesuai yakni sebesar 15 responden (17,24%). Responden mempunyai persepsi yang baik terhadap Indeks Kepuasan Masyarakat sebesar 27 orang (31,03%). Mayoritas responden berpersepsi sangat baik tentang kepuasan yakni 58 responden (66,67%). Sedangkan 2 responden (2,30%) menyatakan kurang baik terhadap IKM. Dari hasil penelitian dapat disimpulkan bahwa implementasi CC PKD terkait dengan IKM dan Indeks Kepuasan masyrakat terhadap implementasi Citizen’s Charter PKD dalam katagori sangat baik.
STRENGTHENING MATERNAL AND CHILD PROGRAM IN INDONESIA THROUGH INTEGRATED PLANNING AND BUDGETING Sutopo Patria Jati; Ayun Sriatmi; Martini Martini; Rani Tiyas Budiyanti; Nikie Astorina Yunita Dewanti; Nurhasmadiar Nandini; Budiyono Budiyono; Syamsulhuda B M
Journal of Public Health for Tropical and Coastal Region Vol 3, No 1 (2020): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v3i1.8709

Abstract

Background: Indonesia applies decentralization policy in health sector. However, there are Health Minimum Service Standards (HMSS) that must be met at provincial and district level. In district level, there are 12 indicators that must be achieved include of maternal and child health with the coverage must be 100%. Nevertheless, there are various problems in achieving HMSS both quantity and quality aspect. This study aimed to determine the problems that were happened and determine alternative solutions in the implementation of HMSS especially in maternal and child sector.Methods: This research was done in three steps. The first step was conducted by Focus Group Discussion (FGD) with participant from many stakeholders in Central Java and Yogyakarta. This step aims to identify problems in the implementation of HMSS and develop the alternative solution. Second stage was developing the conceptual framework.Results: Based on the research, there are many problems in quantitative and qualitative aspects related to healthcare services. Program planning and budgeting is the main key to achievement HMSS. In second and third steps, an integrated planning and budgeting framework between multisector was obtained including problem identification, problem cause analysis, multisector identification, setting solutions and programs, planning and budgeting, and monitoring and evaluation. So that, there were no overlapping programs, less optimal, and lack of supervision and guidance.Conclusions: Integrated planning and budgeting was alternative solution to solve the implementation problem in HMSS especially in maternal and child aspect. However, strong commitment and monitoring was needed between stakeholder.
Co-Authors Adawiyah, Fathi Rabiatul Adhiana Aysha Rohman Aditya Kusumawati, Aditya Agnes Nova Astrida Purba Agushyba, Farid Alawiyah, Winda Astuti Alifia Nur Laili Alya Hanifa Lisma Febita Amanati, Nurma Mentari Anastasia Wulandari, Anastasia Ani Margawati Anisah Munawaroh Anneke Suparwati Antarini Antarini Antarini Antarini, Antarini Antono Suryoputro Anung Sugihantono Anung Sugihantono Apoina Kartini Apoina Kartini Ardian Nikita Asmuruf, Mersy Marselina Ayun Sriatmi Bagoes Widjanarko Basiroh, Umi Malikhatul Besar Tirto Husodo Besar Tirto Husodo Besar Tirto Husodo Bilqis Nabila Boediarsih Boediarsih, Boediarsih Budi yono Budiyono Budiyono Budiyono Budiyono Budiyono Budiyono Cahya Tri Purnami Cahya Tri Purnami Chairunnisa Putri, Nabilla Chintya Dewi Prastica Putri Cindy Adhitya Maharani Dara Fadhillah Darmoris, Darmoris Daru Lestantyo Debby Ulina Fatmawati Devika Rahayuningtyas Dewi Purnamawati Durotun Maqfirah Dwi Susilawati Eka Yulianti Emmy Riyanti Eridani Khairunnisa Erliana, Nina Ernawati Ernawati Erni Nuryanti Eros Rosmiati Evitasari Ramadhani Faozan, Amir Farid Agushybana Farid Agushybana Farid Farid Agushybana Febri Iswanto Galuh Ismah Nur Awalis Gayuh Mustika Prabandari Handayani, Novia Handayani, Novia Handayani, Thukul Prasiddha Harbandinah Pietojo Hasti Wulandari Henry Setyawan Susanto Henry Setyawan Susanto Herini Dwi Widiyanti Hery Setiawan, Hery Hidayatullaili, Neneng Aprilia Hulaila, Ahla Ida Rahayu Imawan, Titania Sekar Inggrid Dwi Kusumaningrum Intan Hardian Putri Irmanita Wiradona Isnaini Maulidya istiqomah istiqomah Kahowi, Yustina Oru Karisma, Riski Candra Kezia Albertha Kusyogo Cahyo Kusyogo Cahyo Laelatul Hikmah Laksmono Widagdo Laksmono Widagdo Larisa Rizki Lestariningrum, Mei Linda Agustinawati Liwanti Subagio Lusiana, Dikta Ayu May Made Adhyatma Prawira Natha Kusuma Maharani, Ferdiana Mandati, Dewi Anjani Maratun, Vivi Umi MARIA BINTANG Martha Irene Kartasurya Martini Martini Mateus Sakundarno Adi, Mateus Sakundarno Meylida Swatitis Kurnia Saputri Mohammad Zen Rahfiludin Muhammad Luthfi Mutia Tribuana Chansa N. Nurjanah Naibaho, Dewi Epipania Naura Afifah Mujoko Nikie Astorina Yunita Dewanti Ninda Ayu Pangestuti Nita Anggraini Nuniek Nizmah Fajriyah Nur Fadhilah Nur Shadrina Nasution Nurcholis Arif Budiman Nurhasmadiar Nandini Nurjazuli Nurjazuli Nurjazuli Nurlian Ramadhanty Nurul Desita Sari Nurul Mukminah Priyadi Nugraha P Puri Fatma Sari Puspita Sari, Sella Puspitaningtyas, Sheila Indah Putri Balqish Ameilia Putri, Ligar Tresna Darmawan Rafiah Al Qodri Rani Tiyas Budiyanti Ranti Yunita Hidayah Ranti Yunita Hidayah Ratih Indraswari Ratih Indraswari Ratnawati, Misrina Rini Puspita Sari Rizka Amalia Rosanti, Aan Rositian, Ade Melia Sakundoro Adi, Mateus Salsabilah, Nabilah Santi, Septiana Rahma Satria, Hardiat Dani Sella Puspita Sari Septo Patria Jati Septy Indah Wulandari Shofa, Ikhwanush Siti Munawaroh Sri Achadi Nugraheni Subekti, Ratih Suparmi Suparmi Surjoputro, Antono Sutopo Patria Jati Swatitis Kurnia Saputri, Meylida Syara Octaviana Hafshoh Tifani Novitriasti Tinuk Istiarti Tresna Darmawan Putri, Ligar Tri Nurul Azizah Triyanti, Mimin Umaroh Umaroh, Umaroh VG Tinuk Istiarti Vita Permatasari Widiastuti, Indiyah Widyaningrum, Asiyami Ranistiya Widyaningsih, Yasinta Indah Windayani Sitindaon Yulian Wahyu Permadi Yuliani Setyaningsih Yunida Halim Yustina Hartiana Limasale Yuyun Risqa Puspitasari Zafirah Rizka Zahroh Shaluhiyah Zulfaa Nurin Nuhaa