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Evaluasi Pencatatan dan Pelaporan Sistem Informasi Kesehatan Ibu dan Anak (KIA) Berdasarkan Kematangan Digital Di Dinas Kesehatan Affan, Auf; Hasanbasri, Mubasysyir; Sanjaya, Guardian Yoki
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 8, No 3 (2023)
Publisher : Minat Sistem Informasi Manajemen Kesehatan Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jisph.83868

Abstract

Latar Belakang: Salah satu target Sustainable Development Goals yaitu penurunan Angka Kematian Ibu hingga kurang dari 70 per 100.000 kelahiran hidup pada tahun 2030. Tahun 2021 tercatat 42 kasus kematian ibu di Kabupaten Bantul, dan merupakan kasus tertinggi dalam lima tahun terakhir. Peraturan Bupati Bantul nomor 38 tahun 2021 Tentang Percepatan Penurunan Angka Kematian Ibu dan Bayi di Kabupaten Bantul, fasyankes berkewajiban melakukan pencatatan dan pelaporan pada sistem informasi kesehatan ibu dan anak, serta website kesehatan keluarga. Pemanfaatan sistem infromasi dapat mengantisipasi keterlambatan penanganan ibu hamil dan nifas. Salah model evaluasi sistem yaitu penilaian tingkat kematangan digital untuk mengidentifikasi gap serta menentukan rencana perbaikan menggunakan kerangka kerja Stages of Continuous Improvement (SOCI).Tujuan: Mengidentifikasi pencatatan dan pelaporan sistem informasi kesehatan ibu dan anak berdasarkan kematangan digital, kualitas data, serta pemanfaatan informasi guna pengambilan keputusan mendukung program penurunan Angka Kematian Ibu (AKI) di Dinas Kesehatan Kabupaten Bantul.Metode: Penelitian ini merupakan penelitian deskriptif, menggunakan rancangan studi kasus dengan metode analisa kualitatif. Subyek penelitian ditentukan dengan purposive sampling berjumlah 9 (sembilan) orang terdiri dari pemangku kepentingan, pengelola sistem informasi, pengelola sistem informasi kesehatan ibu dan anak, serta bidan puskesmas di lingkup Dinas Kesehatan Kabupaten Bantul.Hasil: Nilai rata-rata DMI di Dinas Kesehatan Bantul yaitu 2,36, sehingga masuk dalam rentang level 2 (repeatable). Komponen kepemimpinan dan tata kelola, regulasi masih sebatas melakukan pencatatan dan pelaporan, belum ada sanksi bagi faskyankes yang tidak melakukan input data. Komponen manajemen sumber daya, masih miminnya SDM dengan latar belakang IT serta keterbatasan anggaran pengembangan sistem. Komponen infrastruktur pendukung TIK, akses SIPIA yang seringkali mengalami kendala. Komponen standar dan interoperabilitas data, aplikasi SIPIA belum terintegrasi dengan sistem lainnya. ID unik, master data fasilitas pelayanan kesehatan dan registrasi tenaga kesehatan yang ditetapkan kemenkes belum diimplentasikan. Kualitas dan penggunaan data SIPIA masih belum bagus. Masih terdapat duplikasi data, kelengkapan pengisian modul yang kurang, serta adanya perbedaan data antara SIPIA dan webkesga. Pemanfaatan data oleh pemangku kebijakan diluar sektor kesehatan masih kurang. Aplikasi SIPIA dinilai relevan, dan dapat digunakan untuk pengambilan keputusan.Kesimpulan: Integrasi SIPIA dengan aplikasi lain dengan cara bridging menggunakan prinsip interoperabilitas, serta penguatan komitmen bagi tenaga kesehatan di faskes dan penangku kebijakan untuk mencapai ketersediaan data yang akurat, relevan, dan tepat waktu.  
Strategi Perencanaan Anggaran Untuk Memperkuat Sistem Informasi Kesehatan Berdasarkan Maturitas Digital Di Dinas Kesehatan Hamdiah, Irma; Hasanbasri, Mubasysyir; Sanjaya, Guardian Yoki
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 8, No 3 (2023)
Publisher : Minat Sistem Informasi Manajemen Kesehatan Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jisph.83869

Abstract

Latar Belakang: Sistem Informasi Kesehatan (SIK) yang kuat merupakan salah satu building block penting untuk ketahanan sistem kesehatan. Dalam rangka menuju penguatan transformasi teknologi kesehatan, diperlukan suatu upaya agar dapat menghasilkan gambaran kondisi maturitas sistem informasi yang diterapkan di berbagai provider pelayanan kesehatan, salah satunya dinas kesehatan. Penyelenggaraan Sistem Informasi Kesehatan (SIK) yang ada saat ini perlu diidentifikasi apakah telah berjalan sesuai dengan standar melalui penilaian tingkat kematangan digital. Dengan mengikuti peta jalan yang diinformasikan oleh penilaian kematangan digital dapat menjadi salah satu metode yang strategis dalam upaya mengembangkan agenda kesehatan digital di Indonesia terutama di lingkup subnasional. Gambaran tingkat kematangan digital sistem informasi kesehatan (SIK) untuk menetapkan tujuan tingkat maturitas dan mengembangkan rencana perbaikan berkelanjutan SIK di masa depan. Tujuan: Mengidentifikasi kesenjangan penyelenggaraan SIK melalui penilaian kematangan digital di Dinas Kesehatan Kabupaten Kutai Kartanegara. Metode: Penelitian ini merupakan penelitian studi kasus dengan cara kualitatif untuk memperoleh dan mengolah data, yaitu melalui pengisian kuesioner, wawancara mendalam (in-depth interview). Instrumen yang digunakan diadopsi dari Framework SOCI. Hasil: Rata-rata kematangan digital Dinkes Kukar berdasarkan 5 komponen SOCI yaitu 2,35. Komponen A Kepemimpinan dan Tatakelola 2,00; komponen B Manajemen Sumber Daya SIK 2,17; komponen C Infrastruktur TIK Pendukung 2,78; komponen D Standar dan Interoperabilitas 2,72; dan komponen E Kualitas dan Penggunaan Data pada level 2,07. Jika dibandingkan dengan hasil konsensus nasional maturitas digital level makro, rata-rata kematangan digital Dinkes Kukar masih dibawah nilai konsensus Kemenkes RI. Kesimpulan: Kematangan digital pada level subnasional memiliki karakteristik masing-masing sesuai kemampuan manajemen penyelenggaraan SIK di daerah. Sehingga strategi perencanaan anggaran perlu menyesuaikan kemampuan sumber daya yang dimiliki organisasi dinas kesehatan kabupaten.
Corner of Exclusive Breastfeeding Consultation Through Empowering Breastfeeding Support Cadres in Takome Village Abdullah, Fadila; Djama, Nuzliati T; Krisnawati, Arini
Indonesian Journal of Community Development Vol 3, No 2 (2023): Indonesian Journal of Community Development
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/ijcd.v3i2.65032

Abstract

The role of health cadres in health development is crucial. Specifically, for cadres with an understanding of Exclusive Breastfeeding and lactation management capable of educating the community, the capacity is still limited. The presence of breastfeeding support cadres is expected to help the community provide the best food for infants, namely exclusive breastfeeding up to the age of 6 months, followed by complementary feeding until the age of 2 years. Breastfeeding is essential for the growth of infants, hence the need for understanding among mothers to provide exclusive breastfeeding. The coverage of Exclusive Breastfeeding in infants in the North Maluku Province in 2019 was 64.36%, decreasing in 2020 to 62.41%, and increasing to 66% in 2021. Although the data in the last year increased, it is still below the national coverage of 71.58%. The method used to form a mother's breastfeeding education group is a community-based group consisting of breastfeeding support cadres and pregnant women who hold regular monthly meetings to share experiences and monitor Exclusive Breastfeeding. The goal of the breastfeeding support group is to empower breastfeeding mothers to practice early initiation of breastfeeding (IMD) and provide exclusive breastfeeding smoothly. This community service activity was carried out at the Sulamadaha Community Health Center in Ternate City, and the activity went well. Evaluation was conducted by the responsible midwife at the Integrated Health Post (posyandu) in Takome Village. The target of this activity was the cadres. The service proceeded well and smoothly thanks to the cooperation of the entire service team and the Sulamadaha Community Health Center in Ternate City.
Implementasi Program Kesehatan Reproduksi Remaja melalui Posyandu Remaja: Studi Kualitatif Pandawa, Rugaya; Djama, Nuzliati T
Jurnal Sehat Mandiri Vol 18 No 2 (2023): Jurnal Sehat Mandiri, Volume 18, No.2 Desember 2023
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v18i2.1194

Abstract

Utilization of youth information services is still low in several areas, including North Maluku. The low level of utilization of reproductive health services among adolescents is influenced by many factors. This research aims to analyze the implementation of adolescent reproductive health programs. Through the youth Posyandu in Juanga Village, the working area of the Daruba Community Health Center, South Morotai District. This research used qualitative methods, selecting subjects using purposive sampling and data collection techniques through observing the implementation of youth Posyandu, interviews, and focus group discussions on cadres. The research subjects were 14 informants, consisting of five cadres, five teenagers, two families, one health center officer, and one community figure. The findings show that there is no special training for adolescent Posyandu cadres, there is no incentive funding for cadres, the infrastructure and guidelines are incomplete, and there is still a lack of knowledge among adolescents regarding adolescent reproduction. It can be concluded that the current implementation of youth Posyandu has obstacles and problems which have an impact on implementation limitations, including the implementation process which still experiences obstacles in attracting youth participation and communication with related parties, as well as obstacles to funding incentives for youth cadres. It is recommended that there be a model of community empowerment, especially teenagers, in utilizing youth Posyandu, in an effort to reduce the high rate of premarital teenage pregnancies.
KAJIAN KEBIJAKAN IMPLEMENTASI PROGRAM KESEHATAN REPRODUKSI REMAJA UNTUK MENGHASILKAN MODEL PEMBERDAYAAN REMAJA Pandawa, Rugaya Munawar; Djama, Nuzliati T
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 1 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i1.1958

Abstract

It is hoped that the existence of a youth posyandu will become a forum for empowering teenagers, especially those who have limited access or geographical barriers such as remote areas, island areas, outermost or isolated areas. The aim of this research was to examine the policy of the Adolescent Reproductive Health (KRR) program implemented by the community health center and develop a policy model for adolescent empowerment. This policy study research is a qualitative study using interviews and FGDs to examine the implementation of the KRR program and the results can develop strategic policies. The researcher then conducted a Focus Group Discussion. Total of 16 posyandu from 8 community health centers in Morotai Island Regency were chosen as research locations. Data collection during August 2023. Only 4 community health centers have active posyandu (Daruba, Sangowo, Morodadi, and Tiley), 1 community health center (Wayabula) has joined Posbindu, 3 youth posyandu are integrated with the School Health Unit (UKS) program implemented in junior and senior high schools. Data analysis was carried out using theme analysis. Facilities and infrastructure have not been met according to standards and guidelines are incomplete at the youth posyandu. Most teenagers are less active in using youth Posyandu if it is implemented in villages compared to implementation in integrated schools with the UKS program. In conclusion, the achievement of the KRR program objectives has not been optimal. The development of a youth empowerment policy model is carried out based on the resulting policy brief.
Stunting dan Keragaman Pangan pada Balita Usia 24-59 Bulan di Indonesia (Analisis Data Indonesian Family Life Survey Tahun 2014-2015): Stunting and Dietary Diversity in Children 24-59 Months in Indonesia (Analysis of Indonesian Family Life Survey 2014-2015) Hariawan, Muhammad Hafizh; Hasanbasri, Mubasysyir; Arjuna, Tony
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.380-389

Abstract

Background: Stunting is impaired growth and cognitive development that could decrease learning ability and productivity and increase morbidity and mortality. In 2018, 30.8% of children under the age of five in Indonesia were stunting. Chronic lack of nutrition as a cause of stunting is well known. However, the type of food that causes differences in the conditions between stunting and non-stunting children still needs further investigation. Dietary diversity is an indicator to identify the type and quality of food consumed. Objectives: Analyzing the relationship between dietary diversity and stunting and determinants of stunting in children aged 24-59 months in Indonesia. Methods: This was an observational study using a cross-sectional design. Secondary data from the (IFLS) 5 was used. Bivariate analysis was conducted using the chi-square test. Multivariate analysis used the logistic regression test. The subjects in this study were 2421 children aged 24-59 months. Results: Bivariate analysis showed a significant relationship between dietary diversity and stunting. Significant relationships were found between meat, eggs, milk and its products, and vitamin A-rich vegetables and stunting. Multivariate analysis showed LBW, economic status, area of residence, and maternal education are predictors of stunting. Conclusions: Dietary diversity, especially consumption of animal protein such as eggs, meat, fish, and milk could improve the quality of children’s diets. Improving the quality of diets could potentially reduce the risk of stunting. Therefore, efforts and strategies are needed to increase accessibility to various foods and increase nutritional knowledge.
Implementation challenges of community-based total sanitation in wetland areas: a case study from Tanjung Jabung Barat Pratiningsih, Widya Ayu; Supriyati; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.6699

Abstract

Purpose: Community-Based Total Sanitation or STBM is an empowerment-based approach promoting hygienic behavior without subsidies. However, implementation in geographically challenging areas, such as wetlands, remains problematic, with limited research on context-specific adaptations. This study aimed to analyze the implementation of STBM in wetland areas by examining implementation protocols, monitoring mechanisms, and post-Open Defecation Free (ODF) sustainability in Tanjung Jabung Barat Regency, Indonesia. Methods: This qualitative case study employed purposive sampling to select 12 key informants across multiple sectors (health department, public works, primary health centers, village officials, and community members). Data were collected through in-depth interviews (25 to 80 minutes), participant observation, and document review. Thematic analysis, employing open coding, was conducted with source triangulation to ensure validity. Results: STBM implementation remains focused on Pillar 1 (Stop Open Defecation) with uneven achievement across subdistricts (ODF declaration in only 16.4% of villages despite 74.6% being triggered). Key implementation barriers included: (1) absence of village facilitators and formal STBM working groups; (2) weak post-triggering monitoring systems lacking formal community-to-health center reporting mechanisms; and (3) geographic constraints with conventional sanitation technologies proving unsuitable for wetland conditions. Additionally, a subsidy-oriented community culture hindered the adoption of behavior change. Conclusion: Effective CLTS implementation in wetland areas requires context-specific adaptations, including strengthened village-level institutions, locally adapted sanitation technologies, and formal post-ODF regulations. These findings contribute to understanding the geographical determinants of sanitation program effectiveness and highlight the importance of place-based approaches to achieve sustainable sanitation goals.
COVID-19 infection during pregnancy on perinatal and neonatal outcomes: a scoping review Fauziah, Saidatul; Hasanbasri, Mubasysyir; Oktaria, Vicka
BKM Public Health and Community Medicine Vol 39 No 02 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i02.6630

Abstract

Purpose: COVID-19 infection has rapidly spread and caused a global pandemic, as stated by the World Health Organization on March 10, 2020. The incidence of COVID-19 tends to increase worldwide, including Indonesia, occasionally. With 6,422,529 confirmed cases, including 158,014 as of September 25, 2022, Indonesia has surpassed India and Bangladesh to become the nation with the third-highest confirmed cases in Asia. Although there have been reports of several cases of vertical transmission, the transmission of COVID-19 from mother to fetus was initially considered uncertain. Case reports of newborns (within the first 12 hours) with COVID-19 infection prove the possibility of intrauterine or extrauterine mother-infant vertical transmission. This study aimed to determine the effect of COVID-19 infection during pregnancy on perinatal and neonatal outcomes. Methods: This study employed the scoping review method, searching articles across several databases, including PubMed, Scopus, and Google Scholar, and adhered to the guidelines of PRISMA-ScR. Search for articles using the main keywords” pregnant women” or “pregnant” and “coronavirus” (or COVID-19 or 2019NCOV or SARS-CoV-2) AND (” perinatal outcome” or “neonatal outcome” or “pregnancy outcome”) published in 2019–2022. Results: The articles obtained were related to symptoms of COVID-19-positive pregnant women, perinatal and neonatal outcomes of COVID-19 pregnant women, and the identification of COVID-19 occurrence during pregnancy. Conclusion: A total of 22 articles reviewed found that pregnant women with COVID-19 symptoms experience adverse outcomes in perinatal and neonatal compared to those not infected with COVID-19. Pregnant women with COVID-19 infection show a higher risk of perinatal and neonatal outcomes such as premature, LBW, and NICU admission.
Co-Authors A Tudiono A.A. Ketut Agung Cahyawan W Abdullah, Fadila Achmad Nursyandi Affan, Auf Ahmad Watsiq Maula Ahmad Zacky Anwary Aini Suryani Alfian R Munthe Alvi Purwati Andina Vita Sutanto Andina Vita Sutanto Andri Satriadi Firmana Aphrodite Nadya Nurlita Arjuna, Tony Aulawi Aulawi Azis Bustari Bagian PKMK, Fakultas Kedokteran UGM Bagian Prodi Kesehatan Masyarakat, FKM UNISKA Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM Bambang Hastha Yoga Batubara, Irwan Bayu, Yoni Setyo Nugroho BSA, Amira Candra Candra Christantie Effendy Christina Pernatun Kismoyo Citra Widya Kusuma Darwito, Darwito Deni Kurniadi Sunjaya Detty S. Nurdiati DEWI HERAWATI Dian Mawarni Djaswadi Dasuki Djoko Mardijanto Djonny Sinaga Eko Nugroho Eko Nugroho Eko Sriyanto Elfrida Tambun Emy Huriyati Ester Febe Eva Rusdianah Fahri, Kharis Vidi Faisal Mansur Fauziah, Saidatul Febria Rahmi Fitriani Mediastuti Ghani Ikhsan Majid Ghosyasi, Arfiny Guardian Yoki Sanjaya Gufria D.Irasanty Hamdiah, Irma Hari Kusnanto Hari Kusnanto Hari Kusnanto Hariawan, Muhammad Hafizh Heri Priyatmoko Hieronimous Amandus Ignasius Luti Inriyani Takesan Isak Iskandar Radja Ishak SKM., MPH Isnaini Putri Iswarno Iswarno Jairani, Eka Nenni Jati Untari Jumarko Jumarko Juraidin JURAIDIN JURAIDIN JURAIDIN krisnawati, arini Kus Winarno Laksono Trisnantoro Lely Lusmilasari, Lely Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lucia Sri Rejeki Lussy Messiana Gustantini Lussy Messiana Gustantini, Lussy Messiana Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Maria Wigati Marnaza Yusman Mohamad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Monica Dara Delia Suja Musa Musa Mustofa Mustofa Nana Diana Nina Rahmadiliyani Ningrum, Ema W. Nisa, Syifa Nisa Novi Inriyanny Suwendro Noviana Nur Sari Nunung Priyatni Ova Emilia Pandawa, Rugaya Pandawa, Rugaya Munawar Pratiningsih, Widya Ayu Priyatni, Nunung Purwandari, Ari Retno Heru Riris Andono Ahmad Riska Novriana Rofiatun Rofiatun Rofiatun Rofiatun Rofiatun, Rofiatun Rossi Sanusi Said Muntahaza Setyaningrum, Vernika Evita Setyaningrum, Veronika Evita Shofan Ardianto Siti Helmyati Siti Suryati Siwi Padmawati, Retna Sri Surahmiyati Sri Wiyanti Sudiyo, Sudiyo Suka, Veronika Sulistyo, Dwi Handono Supriyati Susi Irawati Syamsinar Tiara Marthias Titik Nuryastuti Tri Wahyudi Tri Wibawa Upiek Sumanti Utami Putri Kinayungan Vena Jaladara Veronika Evita Setianingrum Veronika Suka Vicka Oktaria Wahyudi Wahyudi Wahyudi Wahyudi Widodo Wirawan Yayuk Hartriyanti Yodi Mahendradata Yuliastuti Saripawan Yundari, Yundari Zahra Anggita Pratiwi Zul Afril