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All Journal International Journal of Public Health Science (IJPHS) E-Journal Of Cultural Studies JURNAL PROMOSI KESEHATAN INDONESIA Media Kesehatan Masyarakat Indonesia JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Kebijakan Kesehatan Indonesia Jurnal Ilmu keperawatan Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Reproduksi Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Journal of Health Education Jurnal Kesehatan GIZI INDONESIA Window of Health : Jurnal Kesehatan Jurnal Kesehatan Reproduksi Journal of Epidemiology and Public Health Unnes Journal of Public Health Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Kebidanan Indonesia Majalah Kesehatan Indonesia Jurnal Cakrawala Promkes Jurnal Kesehatan Primer Masker Medika Basic and Applied Nursing Research Journal Journal of Information Systems for Public Health Journal of Health Technology Assessment in Midwifery Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Mohammad Hakimi

Unknown Affiliation

Author-ID : 273052

Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Analisis Pengambilan Keputusan Dokter Dan Pasien Terhadap Tindakan Seksio Permintaan Sendiri Berdasarkan Kaidah Autonomi Mappaware, Nasrudin Andi; Dewanto, Agung; Hakimi, Mohammad; Sastrowijoto, Soenarto; Kusmaryanto, Kusmaryanto; Mursyid, Muhammad
Window of Health : Jurnal Kesehatan Vol 5 No 01 (January 2022)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/woh.v0i0.1125

Introduction: Cesarean sections as the patientsâ€™ request have been widely carried out in Indonesian society. The freedom to make their own decisions, including the decision to perform a cesarean section, can have various impacts on the patient. Obstetricians who perform cesarean sections can be also affected if the final result of the operation does not fulfill the patient's expectations. Research objectives: Analyzing the decision-making of patients and doctors regarding cesarean section at the request with ethically responsible reason based on the principle of autonomy. Methods: Multi-methods with the explanatory sequential design approach. Research results: Medical indications are the main basis for doctors in making decisions. In addition, other considerations were found outside the medical indications which received by the informant for a cesarean section on request. Conclusions: Cesarean section on request is a dilemma between medical indications and the demands to ethically respect the rights of autonomy.

Spatial Patterns Associating Low Birth Weight with Environmental and Behavioral Factors Donal Donal; Hartono Hartono; Mohammad Hakimi; Ova Emilia
International Journal of Public Health Science (IJPHS) Vol 6, No 1: March 2017
Publisher : Intelektual Pustaka Media Utama

Low birth weight (LBW) is a significant public health problem in the world. It was estimated globally by the World Health Organization (WHO) that prevalence of LBW was 15% of all births. In Murung Raya district LBW cases remain high. This paper aimed to identify and discuss the relationship between environmental risk factors with LBW in Murung Raya.A spatial analysis was conducted with 150 women as the total participantswho were recruited through the incidence data in 2013-2014. The questionnaires, medical records, and geographic data were measured by Stata software, ArcGis, SatScan, and Geoda. The study results indicated there was significant correlation between health behavior and environmental variables with the strength of external neighborhood effect across LBW risk factors. More intense clustering of high values (hot spots) was found through the spatial analysis showing that most of the cases were located near the defined buffer zone. This research demonstrates that the spatial pattern analysis provided greater statistical power to detect an effect that was not apparent in the previous epidemiology studies.

Community mental health nursing training package on body image quality among mental disorders patients Ibrahim Rahmat; Mohammad Hakimi; Soewadi Soewadi
International Journal of Public Health Science (IJPHS) Vol 9, No 4: December 2020
Publisher : Intelektual Pustaka Media Utama

Mental health disorder could affect the physical, mental, social, and spiritual problems, leading to psychosocial issues such as body-image problem. Body-image is a basic need of human being to fulfill and therefore, the multidisciplinary team; physicians, nurses, and family should have adequate knowledge on the body-image. Increasing knowledge by training the nurses and community health volunteers can be performed to address body-image issues in patients with mental disorders among the community. This study held to identify the effects of community mental health nursing (CMHN) and Self-Concept Assessment Guidelines training on nurse and community health volunteer in increasing the body-image quality of patients with mental disorders. This study used pre and post quasi experimental test with nonequivalent control group design. By comparing the pre-test and post-test scores, nurse’s and community health volunteer’s knowledge were increasing after being given training. Data of body image was collected from 129 patients with mental disorder (treatment group of 69 and control group of 60) as volunteers. After the intervention, treatment group (p= 0.033) and control group (p= 0.075) show that significant increase in the quality of body-image only applies to the treatment group. Providing training on CMHN was effective to improve body-image quality of patients with mental disorders.

The Role of Decision Makers in Late Maternal Referrals Verayanti Albertina Bata; Ova Emilia; Mohammad Hakimi
JURNAL KESEHATAN PRIMER Vol 4 No 1 (2019): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v4i1.263

Background: Three delays models in referring the mother to health facility are the most important determinants in maternal mortality. Based on the culture in West Sumba, most of the people still follow patrilinear patrimony. This culture limiting women to make decisions such as the decision to determine where to get health services, plan the number of children and bird spacing. The first model should be immediately prevented from causing the next delay which is late in making a family decision and too late to recognize danger sign in pregnancy that affects maternal mortality. Purpose: The purpose of this study was to explore the role of decision-makers in delayed maternal referrals. Methods: Qualitative research using the phenomenological design on 5 mothers who experienced a delay in referral at Padediwatu Primary Health Care. Data collected with in-depth interviews. Result: Decision maker in maternal referring was dominated by the husband. Obstacles in the referral process such as not having a vehicle, long distances and difficult road access, low economic status, and the culture that depend on others so maternal health status with complications is not a priority for the husband. Husband's work as a farmer and sailor that keeps the husband away from home or near to his wife for long periods was affected by the decision-making process of maternal referral. Conclusion: Decision-making in maternal referrals still emphasizes patrilinierculture, husbands have an important role in making maternal referral decision.

Efektivitas Audiovisual dan Booklet sebagai Media Edukasi untuk Meningkatkan Perilaku Skrining IVA Veronica Silalahi; Mohammad Hakimi; Wiwin Lismidiati
Media Kesehatan Masyarakat Indonesia Vol. 14 No. 3: SEPTEMBER 2018
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Cervical cancer is the caused of high maternal mortality. Prevention of cervical cancer done by screeningVisual Inspection with Acetic Acid (IVA). The objective of this study to analyzed the effectiveness of health educationapplying health belief model using audiovisual and booklet on female behavior for IVA examination in thework area of Pacarkeling Public Health Center. The research method used Quasi Experimental with Design Non-Equivalent Control Group Design. Research subjects were women aged 30-50 years who have never done previousIVA examination. Sample selection using cluster sampling technique with sample of 79 respondents for each groupof intervention and control group. Health education using audiovisual and booklet. Data analyzed using wilcoxontest, chi-square, mann-whitney, and linear regression. Health education using audiovisual and booklet effectivein improving the behavior of respondents for IVA screening. Increased of knowledge, attitudes, health belief of theintervention group is greater than control group. The behavior of women in IVA screening for intervention groupwas greater than control group after intervention. External variables such as age, education, occupation, income,previous information have an effect on behavior improvement. Health education is effective in improving womenbehavior for IVA screening

Women’s Autonomy and Tradition in Making Decision on Place of Delivery and Birth Attendants Annisa Nurrachmawati; Anna Marie Wattie; Mohammad Hakimi; Adi Utarini
Jurnal Kesehatan Masyarakat Andalas Vol 12, No 2 (2018): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v12i2.342

Data from the Basic Health Research survey (Riskesdas) in 2013 showed that 33.3% deliveries in Indonesia occurred outside health facilities. Culture and gender influenced the decision-making process regarding place of delivery and birth attendants. A qualitative longitudinal study with an ethnography study design was conducted to explore the socio-cultural context and women’s autonomy in the dynamics of decision making regarding place of delivery and birth attendants. This study was conducted in the working area of Muara Kaman Health Center, Kutai Kertanegara, East Kalimantan. In-depth interviews with 17 pregnant women were conducted since the first or second trimester of pregnancy until childbirth. Data were analyzed using thematic analysis. Nine informants delivered at the health facilityand eight informants chose home delivery.Those who delivered at the health facility made their own decision. Nevertheless some informants who were autonomous still chose homebirth, either assisted by midwives, TBAs, or both. Women whose choice was decided by others (husbands, parents and TBAs), all gave birth at home assisted by TBAs. Women’s autonomy needs to be strengthened by improved knowledge, practice of delivery plan and also increase family support to enable women to choose health facilities as place for delivery.

Integrasi bidan praktek swasta dalam program kesehatan ibu dan anak puskesmas: studi kasus implementasi jampersal di pelayanan primer Veronika Evita Setianingrum; Mubasysyir Hasanbasri; Mohammad Hakimi
Jurnal Kebijakan Kesehatan Indonesia Vol 3, No 4 (2014)
Publisher : Center for Health Policy and Management

Pendahuluan: Pemerintah Indonesia meluncurkan program Jampersal pada awal tahun2011. Program ini harus dilaksanakan oleh Puskesmas dan sektoe swasta. Penelitian ini menilai tentang puskesmas yang melakukan inovasi dalam Pelaksanaan Jampersal yang berdasar pada kebutuhan pasien, dimana puskesmas memastikan bahwa ibu hamil mendapatkan pelayanan antenatal yang berkualitas dengan cara pelayanan yang terintegrasi.Metode: Penelitian ini merupakan penelitian kualitatif dengan dengan desain studi kasus. Wwancara mendalam dilaakukan kepada 16 responden, termasuk pejabat kabupaten yang mengampu program Jampersal.Hasil:Puskesmas Moyudan melakukan integrasi pelayanan antenatal care dengan bidan swasta dalam bentuk paket pelayanan yang tidak dipungut biaya apapun. Sebagian besar peserta Jampersal merasa puas dengan pelayanan antenatal care yang terintegrasi ini, namun baru 46,5% ibu hamil di wilayah Moyudan yang sudah memanfaatkan pelayanan ini. Kesimpulan:Meskipun tingkat pemanfaatan program ini baru 46,5% , namun dapat meningkatkan kualitas dan efisiensi dalam pelayanan antenatal. Peran bidan swasta yaitu merujuk ibu hamil peserta Jampersal ke puskesmas untuk mendapatkan paket pelayanann antenatal care dan mengirimkan laporan pelayanan kesehatan ibu dan anak ke puskesmas setiap bulan.Kata kunci: Jampersal, integrasi pelayanan kesehatan, antenatal care, puskesmas, bidan praktek mandiri

Learning Disabilities dalam Layanan Kesehatan Ibu dan Anak: Studi Kasus di Dinas Kesehatan dengan Sumber Daya Terbatas di Indonesia Nana Diana; Mubasysyir Hasanbasri; Mohammad Hakimi
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 2 (2017)
Publisher : Center for Health Policy and Management

ABSTRACTBackground: The growing number of infant mortality is one of the challenging problems in distric health offi ce. One of the causes of this problem is the recurring mistakes in the system. Learning organization is a strategic step to continuously learn and determine proper solution. However, there are learning disabilities in the organization that interfere with the learning organizationin maternal and infant mortality.Objective: This study was aimed to explore learning organizationin emergency care unit by midwifes in the perspective of organizational learning in three organization level: distric health office, community health center, and midwifes.Method: This was a case study with multi cases design in the working area of Distric Health Offi ce of Kepahiang Region from September to October 2015. Study subjects were secretary of distric health offi ce, director of Planning division, director and officers of maternal and infant health division, coordinator of midwifes, and midwifes. Three strategic steps of conducting qualitative studies were preparing and organizing data, reducing data into themes, and presenting data.Result: There were four learning disabilities that often occurred in organization, which were: I am my position, the enemy is out there, the illusion of taking charge and the myth of team management.Conclusion: Learning disabilities interfered with implementation of learning organization. Improving the role of maternal and perinatal audit were strategic opportunities to optimize learning organization process.Keywords: Learning organization, organizational learning,midwives, emergency care unit.ABSTRAKLatar Belakang: Kasus kematian bayi yang terus meningkat setiap tahun merupakan permasalahan yang belum mampu tertangani oleh dinas kesehatan. Ada kesalahan berulang yang terjadi, namun dinas kesehatan belum mampu mengambil pelajaran dari kesalahan tersebut. Learning organization merupakan langkah yang strategis untuk senantiasa belajar dan menentukan langkah penanganan yang tepat. Tetapi ada learning disabilities yang terjadi dalam organisasi sehingga proses learning organization dalam kasus kematian ibu dan bayi tidak mampu berjalan sebagaimana yang diharapkan.Tujuan: Tujuan dari penelitian ini adalah mengeksplorasi bagaimana learning organization dalam layanan kegawat daruratan oleh Bidan Desa ditinjau dari Perspektif organizational learning pada tiga level organisasi yaitu Dinas Kesehatan, Puskesmas dan Bidan Desa.Metode: Penelitian ini adalah studi kasus dengan desain multi kasus di wilayah Kerja Dinas Kesehatan Kabupaten Kepahiang mulai bulan September sampai dengan Oktober 2015, subjek penelitian adalah sekretaris dinas kesehatan, kepala seksi perencanaan, kepala seksi KIA, staff KIA, bidan koordinator dan bidan desa. Ada tiga langkah strategis dalam melakukan analisis data kualitatif: menyiapkan dan mengorganisasikan data, untuk analisis mereduksi data menjadi tema, dan menyajikan data.Hasil: Ada empat learning disabilities yang sering terjadi dalam organisasi meliputi I am my position, the enemy is out there, the illusion of taking charge dan the mytm of team management.Kesimpulan: Learning disabilities merupakan hambatan dalam menerapkan learning organization. Penguatan peran audit maternal dan perinatal merupakan peluang strategis untuk mengoptimalkan proses learning organization.Kata Kunci: Learning organization, organizational learning, Bidan desa, Layanan kegawatdaruratan.

Konseling Ibu Hamil pada Bidan Praktik Swasta dan Puskesmas di Kabupaten Bantul Retno Heru; Mubasysyir Hasanbasri; Mohammad Hakimi
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 3 (2012)
Publisher : Center for Health Policy and Management

Counseling for Pregnant Women at Midwife Practice and Community Health Center in Bantul DistrictBackground: One of the factors of Maternal and Neonatal Mortality is the lack of knowledge on the cause and how to deal with important complications during pregnancy, labor, and post natal. Counseling is an effort to dig and give useful information in order to help pregnant mother to take decisions. Midwife practice and Community Health Center is an organization which aims at giving service to pregnant mother including counseling. Midwife practice an independent organization which is managed privately, whereas Community Health Center is an organization which belongs and runs by the government. Objectives: The objective of the research is to find out the implementation of counseling on pregnant mother which includes, time, places, instruments, materials, problem solving, training efforts, and form of teaching counseling skill on midwife practice and Community Health Center in Bantul district. Method: Research method used in this research is qualitative research method with case study and descriptive method. The analysis unit is the pregnant mother, midwife in charge in midwife practice and in Community Health Center. The data was taken using purposive sampling through interview, observation and library study. Result: Counseling implementation in midwife practice and Community Health Service is done through giving information. The time done for counseling is under the standard which was below 20 minutes. The counseling process is undergone in one place along with the other services, and there are many patients in the room. The instruments used for counseling is just KIA book and there are no other instruments, the information given is merely on the problems which are shared by the pregnant mother. If the pregnant mother doesn’t share her problem, the midwife will not give counseling. The problem which is often faced by the midwife is that pregnant mother has difficulties in intrepreting information given. Problem solving is done through the participation of the husband during the counseling service. Training efforts to increase the counseling skill has not been done officially. The efforts taken so far is by reading books or learn from other coleagues. The form of teaching counseling skill is using roleplay, done in pairs and not more than 45 minutes. Conclusion: The implementation of counseling for pregnant mother is done inappropriately, which is not the same as it is stated in the Standart Service of Midwifery. It makes pregnant mother doesn’t have the necessary information dealing with the pregnancy.Keywords: Counseling, Pregnancy, MidwifeLatar Belakang: Salah satu penyebab tingginya Angka Kematian Bayi dan Angka Kematian Ibu adalah karena kurangnya pengetahuan tentang penanggulangan dan komplikasi-komplikasi penting dalam kehamilan, persalinan, dan nifas. Konseling adalah upaya menggali dan memberikan informasi guna mendapatkan apa yang dibutuhkan dan membantu ibu hamil dalam mengambil keputusan. Bidan Praktik Swasta dan Puskesmas adalah organisasi pelayanan kesehatan yang memberikan pelayanan pada ibu hamil termasuk konseling. BPS adalah organisasi pelayanan kesehatan swasta yang dikelola secara mandiri, sedangkan Puskesmas adalah organisasi pelayanan kesehatan yang di kelola oleh pemerintah. Tujuan: Tujuan penelitian ini adalah untuk mengetahui pelaksanaan konseling pada ibu hamil yang meliputi: praktik konseling, waktu, tempat, alat bantu, materi, cara mengatasi hambatan, upaya peningkatan ketrampilan, dan bentuk pengajaran ketrampilan konseling di pendidikan di BPS dan puskesmas di Kabupaten Bantul. Metode: Metode penelitian adalah metode kualitatif dengan rancangan studi kasus dan bersifat deskriptif. Unit analisis adalah ibu hamil, bidan pelaksana di BPS dan puskesmas. Data diambil secara purposive sampling melalui wawancara mendalam dan lembar pengamatan konseling serta penelusuran dokumen. Hasil: Praktik konseling di BPS dan puskesmas dalam bentuk pemberian informasi. Waktu yang digunakan dalam proses konseling masih kurang yaitu di bawah 20 menit. Tempat yang digunakan untuk proses konseling menjadi satu dengan tempat yang digunakan untuk periksa kehamilan, dan banyak orang yang ada dalam ruangan periksa. Alat bantu yang digunakan untuk konseling sebatas buku KIA dan belum menggunakan alat bantu yang lain. Informasi yang diberikan sebatas pada keluhan yang disampaikan oleh ibu hamil. Jika ibu hamil tidak menyampaikan keluhan, bidan tidak berusaha menggali permasalahan atau memberikan informasi. Hambatan yang paling sering ditemui bidan adalah sulitnya ibu hamil memahami informasi yang diberikan bidan. Cara penyelesaian hambatan dengan cara melibatkan suami dalam proses konseling. Upayapeningkatan ketrampilan konseling secara resmi seperti pelatihan-pelatihan belum ada. Upaya yang dilakukan selama ini adalah dengan membaca buku-buku dan belajar dari teman. Bentuk pengajaran ketrampilan konseling di pendidikan dengan metode roleplay, dilaksanakan dikelas, dan dilakukan dengan teman sendiri. Kesimpulan: Proses konseling pada ibu hamil yang dilakukan oleh bidan pada umumnya tidak berjalan sebagaimana mestinya, yaitu tidak sesuai dengan pedoman yang ada dalam standar pelayanan kebidanan. Dampaknya adalah ibu hamil belum paham dengan segala hal yang berkaitan dengan kehamilan.Kata Kunci: Konseling, Kehamilan, Bidan

Analisis Pelaksanaan Rujukan Berjenjang Fasilitas Kesehatan Tingkat Pertama Kasus Kegawatdaruratan Maternal Peserta Badan Penyelenggara Jaminan Sosial di 3 Puskesmas Perawatan Kota Bengkulu Putri Hidayati; Mohammad Hakimi; Mora Claramita
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 2 (2017)
Publisher : Center for Health Policy and Management

ABSTRACTBackground: Indonesia National Health Insurance also regulates referral system, which is intended to increase effectiveness and efficiency of resources. There is a need to optimize tiered referral system: primary, secondary, and tertiary so that it runs effectively and efficiently. Tiered referral for maternal cases are still frequently done in Bengkulu City, especially on emergency cases that cannot be handled by primary health center, a lot of expectant mother are aged <20 and >35 which become risk factor in pregnancy, and patients’ wish to undergo USG exam which is unavailable at PHC. The high frequency of referral among National Health Insurance participants will cause an increase on referral facility utilization, which in turn will increase cost in referral health facility.Objective: To analyze implementation of tiered referral system on maternal cases in National Health Insurance participants in 3 PHC of Bengkulu City.Methods: This study use quantitative design using case studies. Study use primary and secondary data. Primary data collected from observation and in depth interview with medical staff in PHC and patients.Results: From observation and direct interview with medical staffs, patients, and management or doctors from 3 PHC used as sample, 4 aspects among other are found, including staffs perception about health workers availability, drugs availability, medical instrument availability, and availability of health facility are often become obstacle, proven by observation of medicines and instruments that available in PHC. Meanwhile no obstacle found in severity level and access to hospital.Conclusion: Perception of medical staffs in terms of understanding of diagnosis and severity level and also access to hospital is not the main factors. On the contrary, staffs’ perception about human resources, drug, instruments, and health facilities still need support from involved parties in addressing these obstacles found in primary health center. Keywords: Tiered referral, maternal emergency, National Health Insurance ABSTRAKLatar Belakang: Didalam BPJS diatur juga system rujukan kesehatan, yang merupakan manajemen utilisasi pelayanan kesehatan untuk meningkatkan efektifitas dan efisiensi sumber daya, dapat ditinjau dari penyedia kesehatan maupun penerima kesehatan. Perlunya optimalisasi kepatuhan pelaksanaan sistem rujukan berjenjang: primer, sekunder dan tersier agar efektifitas dan efisiensi berjalan optimal. Proses rujukan berjenjang pada pasien maternal di kota Bengkulu masih tinggi, terutama kasus kegawatdaruratan maternal hal ini tidak dapat ditangani oleh fasilitas kesehatan tingkat pertama dan masih adanya ibu hamil yang berusia < 20 tahun dan ibu-ibu hamil usia> 35 tahun yag menjadi resiko tinggi dari kehamilan tersebut dan juga keinginan dari pasien untuk melakukan USG yang tidak tersedia di puskesmas. Tingginya rujukan pasien BPJS akan berdampak pada peningkatan pemanfaatan fasilitas pelayanan tingkat lanjutan, maka akibatnya akan terjadi pembengkakan biaya pelayanan kesehatan pada fasilitas kesehatan lanjutan. Tujuan: Menganalisis pelaksanaan rujukan berjenjang FKTP kasus kegawatdaruratan maternal peserta BPJS Kesehatan pada 3 Puskesmas perawatan di Kota Bengkulu.Metode: Rancangan penelitian yang digunakan adalah kualitatif bersifat case studies. Penelitian ini menggunakan data primer dan data skunder. Data primer diperoleh melalui observasi dan wawancara mendalam (in-depth interview) kepada petugas medis di puskesmas dan pasien. Aspek yang dikaji pada penelitian ini yaitu Severity level, ketersediaan sumber daya manusia kesehatan, ketersediaan obat-obatan, ketersediaan alat-alat medis, ketersediaan fasilitas kesehatan dan akses menuju rumah sakit.Hasil: Dari hasil observasi dan wawancara langsung dengan petugas medis, pasien dan pihak manajemen atau dokter dari 3 puskesmas menjadi tempat penelitian di peroleh informasi bahwa dari ke 6 (enam) aspek tersebut ada 4 aspek antara lain persepsi petugas tentang ketersediaan sumber daya manusia kesehatan, ketersediaan obat-obatan, ketersediaan alat-alat medis, ketersediaan fasilitas kesehatan menjadi kendala yang sering dan di buktikan oleh hasil observasi obat-obatan dan alat-alat yang tersedia di puskesmas. Sedang kan pada aspek severity level dan Akses menuju RS tidak ditemukannya kendala.Kesimpulan: Persepsi petugas medis dilihat dari pemahaman diagnosa dan severity level dan akses menuju RS tidak mengalami kendala. Sedangkan pada persepsi petugas mengenai SDM, Ketersediaan obat-obatan, ketersediaan alat- alat kesehatan dan Fasilitas kesehatan masih diperlukan adanya bantuan dari berbagai pihak yang terkait dalam memperbaiki untuk melengkapi kendala dihadapi di fasilitas kesehatan tingkat pertama. Kata Kunci : Rujukan berjenjang, Kegawatdaruratan maternal, BPJS

Co-Authors - Anggorowati Abd Rahman Adi Utarini Agung Suhadi Ahmad Husein Asdie Aji Setiawan Ambar Relawati, Ambar Anak Agung Istri Sri Wiadnyani Andy Muharry Anggarini, Inge Anggi Anjarwati Anjarwati, Anjarwati Anna Marie Wattie Annisa Nurrachmawati Astuti, Andari Wuri Astuti, Bariana Widitia Astuti, Dyah Puji Basri, Mubasysyir Hasan Batubara, Rini Amalia Bernadette Josephine Istiti Kandarina Carla R. Marchira Claudia Banowati Subarto Deny Eka Widyastuti, Deny Eka Dewanto, Agung Djauhar Ismail Donal Donal Dyah Pradnyaparmita Duarsa Eddy Tiro Elli Nur Hayati Emiliana Mariyah Fadillah Fadillah Fitri Fitri Fitriahadi, Enny Ganap, Eugenius Phyowai Hamam Hadi Hani EN, Umu Harahap, Yanna Wari Hari Kusnanto Hartono Hartono Helmyati, Siti Herta Masthalina, Herta Hidayat, Asri I Wayan Ardika Ibrahim Rahmat Irine Christiany, Irine Iswardani, Octaldina Jumiati, Raodiatul Khusnul Khotimah khusnul khotimah Kurnia, Arif Rahmat Kusmaryanto Kusmaryanto, Kusmaryanto Lestari, Abriana Lia Nurcahyani Luluk Rosida Lutfan Lazuardi Madarina Julia Mappaware, Nasrudin Andi Mappaware, Nasrudin Andi Mardjan Mardjan Mayasari, Ade Tyas Meiry Nasution, Meiry Mora Claramita Mubasysyir Hasanbasri Mufdlilah, Mufdlilah Mursyid, Muhammad Nana Diana Ni Komang Yuni Rahyani Ninuk Sri Hartini, Ninuk Sri Nofrisa Mutia P, Nofrisa Noor Pramono Noor Pramono Nunuk Pusorowati, Nunuk Nur Siyam NURUL HIDAYAH Ova Emilia Perwitasari Perwitasari Phyowai Ganap, Eugenius Popy Irawati Pratiwi, Cesa Septiana Putri Hidayati Rahmansyah, Ardian Retno Heru Rina Triasih Rini Amalia Batubara Riris Andono Ahmad Risanto Siswosudarmo Riska Dwi Pramita Sari Rofita, Desi Rukmono Siswishanto Rustam Sunaryo Saraswati, Putu Ayu Dina Sari Sudarmiati Setyonugroho, Winny Shinta Prawitasari Siswanto Agus Wilopo Siti Solekah Soenarto Sastrowijoto, Soenarto Soerjo Hadijono Soetrisno Soetrisno Soewadi Soewadi SRI SETIYARINI, SRI Sri Wahyuni Subarda, Subarda Suci Musvita Ayu Sulistyaningsih Sulistyaningsih Susetyo, Dwi Susetyowati T. Ninuk Sri Hartini Titih Huriah Toto Sudargo Tri Wahyudi Umar Malinta Utami, Iis Tri Verayanti Albertina Bata Veronica Silalahi Veronika Evita Setianingrum Wahida Yuliana Wahyuni, Budi Willopo, Siswanto Agus Wisotowardono, Ossie Sosodoro Wiwin Lismidiati Yayi Suryo Prabandari Yayu Yuliarti Yuli Isnaeni Yuni Purwati Zulaidah, Hana Shafiyyah

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