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Health System Resilience in the Contex of COVID-19 Vaccination Management in Indonesia Hermawan Saputra; Herlina J. R. Saragih; Oskar Vitriano; Nadilah Salma
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 2 (2022): August 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v11i2.12007

Abstract

COVID-19 cases are still increasing, and some countries are even experiencing a surge in cases for the second time. COVID-19 cases in Indonesia as of April 2021 almost reached one million. The Indonesian government is targeting the COVID-19 vaccination in Indonesia to reach 70%, covering the target of vaccine recipients of around 181.5 million people. The government conveyed the target optimistically to be achieved within 15 months. However, the achievements during the initial 3 months were only 5.72% for dose I and 2.99% for dose II. This study aims to review the health system’s resilience in COVID-19 vaccination. The approaches and methods used to obtain this information were qualitative with the method of desk study, expert study, and in-depth interviews. The results showed that the components of the health resilience strategy in COVID-19 vaccination in Indonesia experienced obstacles, especially in the aspects of vaccine availability, data collection, and maximizing the role of human resources through the support of actual research on vaccine development. Thus, it is necessary to strengthen the health system that accompanies the COVID-19 vaccination program by implementing health protocols, 3T surveillance (testing-tracing-treatment), and other approaches comprehensively.
Pola Asuh Balita Stunting Usia 24-59 Bulan Pada Masa Pandemi COVID-19 Siti Nur Fauziah; Ratu Ayu Dewi Sartika; Hermawan Saputra
Jurnal Ilmu Kesehatan Masyarakat Vol 11 No 05 (2022): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v11i05.1075

Abstract

Indonesia termasuk salah satu negara dengan “tiga beban malnutrisi”, sebelum adanya pandemi COVID-19. Tujuh juta anak di Indonesia mengalami stunting. Sebagian dari total ibu hamil mengalami anemia. Stunting dapat terjadi akibat pola asuh balita yang tidak sesuai dan pola makan balita yang tidak seimbang. Penelitian ini bertujuan mengetahui pola asuh terhadap balita stunting usia 24-59 bulan pada masa pandemi COVID-19 di wilayah kerja Puskesmas Kecamatan terpilih Kota Depok Jawa Barat Tahun 2020. Penelitian dilakukan di wilayah Puskesmas Kecamatan Pengasinan, yaitu Kelurahan Pengasinan dan Bedahan. Pelaksanaan penelitian ini mulai bulan Juli-Agustus tahun 2020. Metode yang digunakan dalam penelitian ini adalah dengan menggunakan metode kualitatif. Hasil penelitian menyatakan bahwa masih banyak ibu balita yang kurang tepat dalam hal pola asuh balita. Mulai dari kurangnya pemahaman tekait ASI Eksklusif dan MPASI, pentingnya imunisasi dasar lengkap, vitamin A, dan praktik pemberian makan serta kurang tepatnya pola pemberian makan pada balita. Selain itu praktik pelayanan kesehatan di Puskesmas Pengasinan sudah cukup baik selama masa pandemi stunting tetapi pelayanan kesehatan khusus balita stunting dianggap kurang karena selamapandemi tidak ada pelayanan kesehatan khusus yang diterima balita stunting. Diharapkan untuk mengevaluasi kinerja kader-kader posyandu. Selain itu, nakes juga perlu memberikan mentoring dan coaching pada kader, sehingga meningkatkan kapasitas kader posyandu.
Faktor-faktor yang berhubungan dengan kelengkapan imunisasi pada balita suspek campak di Puskesmas Kasriani Kasriani; Erlin Listiyaningsi; Hermawan Saputra
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.731

Abstract

Approximately 140,000 global child deaths each year are caused by measles, making measles a major focus in public health aspects. In 2021, there were 489 suspected measles cases in DKI Jakarta. In this case, in 2022, Cilincing District contributed 389 measles cases. Measles can be prevented by immunization. Cilincing District has an achievement of 98.3% for the measles immunization program. However, with this achievement, measles cases in Cilincing District are still quite high. This study aims to determine the factors associated with suspected measles cases in toddlers and the completeness of immunization obtained. Cross-sectional is the design in this study with a sample size of 220 taken by purposive sampling. Data analysis was carried out using the chi square test. The results of the analysis in this study found a relationship between the completeness of measles immunization with age (p-value 0.042), education (p-value 0.002), employment (p-value 0.009), attitude (p-value <0.001), availability of health facilities (p-value 0.010), and ease of access (p-value 0.049). However, it is known that the knowledge variable does not have a significant relationship with the completeness of measles immunization. The government and public health programs should target factors that have been proven to have an influence, such as increasing access to services, support for working mothers, and campaigns that form positive attitudes towards immunization.