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Journal : e-Journal Pustaka Kesehatan

Analisis SWOT di Instalasi Gawat Darurat (IGD) Rumah Sakit Fathma Medika Gresik untuk Meningkatkan Kunjungan Tahun 2016 (SWOT Analysis in the Emergency Room (ER) of Fathma Medika Hospital Gresik in Order to Increasing Visits 2016) Nurika Amaliah; Yennike Tri Herawati; Eri Witcahyo
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Trauma Center is one of Fathma Medika Hospital’s featured services to handle the trauma patients in the hospital. Trauma Center is closely related to the ER where ER is a major gateway entry of patients with emergency conditions to prevent the risk of disability and death to respond time for 5 minutes and definitive time <2 hours. In addition, data showed that the number of patient visits in ER of Fathma Medika Hospital in period of January-December 2015 did not achieve the set targets. Therefore, the matter will be examined using SWOT approach to determine a strategy that could be recommended to improve traffic based on the analysis. The purpose of this study is to analyze the strength, weakness, opportunity, and threat in the ER. This type of research is descriptive with the number of respondents as many as 12 people during October 2016. The results showed that the strength of internal components include human resources, facilities, promotion, planning, organizing, implementing, and monitoring and evaluation while the weaknesses are and the amount of service tariff visit. External components into opportunities are the government policy, social, and economic while the threat is competitive. The conclusion of this study is IGD RS Medika Fathma Gresik get a score of internal and external 0.796 and 0.817 are in the first quadrant so that the strategies are rapid and aggressive growth. Keywords : Planning Strategy, SWOT Analysis, Emergency Room
Mutu Pelayanan Voluntary Counseling and Testing (VCT) di Klinik VCT Puskesmas Puger dari Perspektif Provider Indah Ernawati; Christyana Sandra; Yennike Tri Herawati
Pustaka Kesehatan Vol 7 No 2 (2019): Volume 7 No. 2, 2019
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v7i2.19121

Abstract

Voluntary Counseling and Testing (VCT) is an entry point to help everyone in utilizing services related to HIV-AIDS prevention, care, support and treatment. Puger Primary Health Care is a primary health care located in the work area with the highest number of HIV-AIDS sufferers in Jember Regency, experiencing a decrease in client visits, and there are some management services that are still not in accordance with VCT guidelines. This study aimed to describe the quality of VCT services at the VCT Clinic Puger Primary Health Care from the perspective of provider. This study was descriptive study using questionnaire, documentation study, and observation. The study respondents were 7 VCT clinic officers. The results indicated that in input parameter showed a lack of human resources, insufficient funding, lack of availability and material conditions that meet the VCT guidelines. In planning indicators related to the human resources, improvements of infrastructure facilities had not been written in the POA, the job description was sufficient based on duties and competences of staff and there were coordination, supervision and evaluation. In the dimensions of technical competence, access to services, efficiency, human relations, continuity and safety of VCT clinics in good categories, but sufficient and less categories for dimensions of effectiveness and comfort dimensions.
Pengambilan Keputusan dalam Pelaksanaan Rujukan Puskesmas sebagai Fasilitas Kesehatan Tingkat Pertama (Decision Making in the Refferal Implementation at Public Health Center as First Level Health Facility) Estik Ikka Indah Purwati; Nuryadi Nuryadi; Yennike Tri Herawati
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Public health center is a first level of health facility which collaboration with health care and social security agency must be organize a comprehensive health care. Based on P-Care application at 30 public health centers in district jember obtained 1 public health center which has not the disease refferal rate data as (100%), 12 public health center as (5%), 10 public health center as (5-10%) and 7 public health center over (10%). Based on these data can been conclusion that the disease refferal data which can be handled is still high and the refferal implementaion which is not appropiate at public health center in district jember. The purpose of this study was to identified decision making process in public health center refferal implementation which were not appropriate as first level of health facility.These study was a descriptive. This study was held at 29 public health centers in district Jember on February-March 2016. Sample of these study was 29 health centers. Result showed that of 29 public health center (100%) identified having problem of the refferal which were not appropriate. All public health center in district jember make data collection. All public health center make alternative solution development. All public health center make problem solving evaluation. All public health center make the best alternative election. Alternative preferred by public health center as the best alternative was education and motivation. Keywords: Decision Making, Refferal
Faktor yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan Peduli Remaja (PKPR) oleh Remaja Sekolah di Wilayah Kerja Puskesmas Bondowoso Citra Al Karina; Christyana Sandra; Yennike Tri Herawati
Pustaka Kesehatan Vol 8 No 2 (2020): Volume 8 No. 2, 2020
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v8i2.15812

Abstract

Abstract PKPR is a program developed since 2003 at the primary care level aimed as well as for access by teenagers to improve the health status of adolescents since. PKPR implemented since 2007 in 11 health centers in the regency and already strata. Visit data utilization in the 15-19 age PKPR, KIE activities amounted to 14.26%; health care amounted to 76.75%; and counseling by 1.71%; as well as with the achievements of PKPR utilization of 92.72% (33 224 adolescents) who has yet to reach the expected target is equal to 100%.The purpose of this study to analyze the factors that affect the utilization PKPR by school adolescents (15-19 years) in the working area of ​​the regency health centers in 2019. This research is an analytic research with cross sectional design where data collection is done at one time. The research samples 96 adolescent proportioned Tlogosari health center, tamanan and Maesan the regency with the technique multistage sampling, Data were obtained through a questionnaire and documentation study. Data was analyzed using statistical test of chi-square or fisher's exact test and logistic regression in the form forward with a significance level α = 0.05. The results showed that the statistical chi-square test and Fisher's exact test for the predisposing characteristics, namely there is no influence of age (p = 0.554); gender (p = 0.853); level of education (p = 0.348); and knowledge (p = 0.584). Enabling characteristics of no effect, the ownership of health insurance (p = 0.784) and accessibility to health care (p = 1.000); and there are significant variables is the availability of health workers (p = 0.002) and health care (p = 0.000), the competence of health professionals (p = 0.002), and the time/speed of service (p = 0.012). Factors needs (perceived need) no effect (p = 1.000). The test results of multivariate logistic regression with forward stepwise method (likelihood ratio) is the most influential factor on the utilization PKPR is not available health facilities (p = 0.045) and less competent health workers (p = 0.001). Keywords: PKPR program, utilization PKPR, youth, access Abstrak PKPR ialah suatu program yang dikembangkan sejak tahun 2003 di tingkat puskesmas yang ditujukan serta untuk diakses oleh remaja guna meningkatkan status kesehatan remaja sejak. PKPR dilaksanakan sejak tahun 2007 pada 11 puskesmas di Kabupaten Bondowoso dan sudah strata. Data kunjungan pemanfaatan PKPR usia 15-19 tahun pada kegiatan KIE sebesar 14,26%; pelayanan kesehatan sebesar 76,75%; dan konseling sebesar 1,71%; serta dengan capaian pemanfaatan PKPR sebesar 92,72% (33.224 remaja) yang masih belum mencapai target yang diharapkan yaitu sebesar 100%. Tujuan penelitian ini untuk menganalisis faktor yang mempengaruhi pemanfaatan PKPR oleh remaja sekolah (15-19 tahun) di wilayah kerja puskesmas Kabupaten Bondowoso tahun 2019. Penelitian ini merupakan penelitian analitik dengan desain cross sectional dimana pengambilan data dilakukan pada satu waktu. Sampel penelitian 96 remaja yang diproporsikan pada Puskesmas Tlogosari, Tamanan dan Maesan Kabupaten Bondowoso dengan teknik multistage sampling. Data diperoleh melalui angket kuesioner dan studi dokumentasi. Analisis data dilakukan dengan uji statistik chi-square atau fisher’s exact test dan regresi logistik berupa forward dengan tingkat signifikansi α = 0,05. Hasil penelitian menunjukkan bahwa uji statistik chi-square dan fisher’s exact test untuk karakteristik predisposisi tidak terdapat pengaruh yaitu umur (p=0,554); jenis kelamin (p=0,853); tingkat pendidikan (p=0,348); dan pengetahuan (p=0,584). Karakteristik enabling tidak terdapat pengaruh yaitu kepemilikan asuransi kesehatan (p=0,784) dan aksesibilitas menuju pelayanan kesehatan (p=1,000); serta variabel yang terdapat pengaruh ialah ketersediaan tenaga kesehatan (p=0,002) dan fasilitas kesehatan (p=0,000), kompetensi tenaga kesehatan (p=0,002), dan waktu/kecepatan pelayanan (p=0,012). Faktor kebutuhan (perceived need) tidak terdapat pengaruh (p=1,000). Hasil uji multivariat regresi logistik dengan metode forward stepwise (likelihood ratio) faktor yang paling berpengaruh terhadap pemanfaatan PKPR adalah tidak tersedia fasilitas kesehatan (p=0,045) dan tenaga kesehatan kurang kompeten (p=0,001). Kata Kunci: program PKPR, pemanfaatan PKPR, remaja, akses
Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal oleh Ibu Hamil di Wilayah Kerja Puskesmas Tempurejo Kabupaten Jember Tahun 2013 (Correlated Factors of Antenatal Services Utilization by Pregnant Women at Community Health Center of Tempurejo, Ulul Lailatul Mardiyah; Yennike Tri Herawati; Eri Witcahyo
Pustaka Kesehatan Vol 2 No 1 (2014)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Antenatal care is a governmental program as part of efforts to reduce maternal mortality. Indicators of success for prenatal care is K4 scope. Tempurejo Health Center has the lowest coverage of K4 in Jember in 2012 with its percentage is 61.38%, less than the target (94%). The purpose of this study was to analyze correlated factors of antenatal services utilization by pregnant women at Community Health Center of Tempurejo which includes knowledge, attitudes, beliefs, availability of health care, service of 10T, affordability, worker’s service, and family support. This study is a cross sectional analytic design. Samples are 87 pregnant women who stay in the working area Tempurejo Health Center with the age of pregnancy of the 2nd and 3rd trimester. Collecting data using questionnaires and analyzed using correlation Somers'D with Confidence Interval 95%. The results showed correlation between knowledge, attitudes, service of 10T, affordability, worker’s service and family support officer with antenatal services utilization. However, there was no correlation between beliefs and availability of health care with antenatal services utilization. Keywords: pregnant women, antenatal care, utilization
Analisis Stakeholder dalam Kebijakan Pemenuhan Fasilitas Kesehatan Tingkat Pertama pada Program Jaminan Kesehatan Nasional di Kabupaten Jember (Stakeholder Analysis in Compliance Policy of The First-Level Health Facilities in National Health Insurance at Mohammad Alfian Yuliansyah; Nuryadi Nuryadi; Yennike Tri Herawati
Pustaka Kesehatan Vol 4 No 1 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Decree of President No. 12 in 2013 explained that The Government and Local Government had a responsibility for availability of health facilities and implementation of health services in National Health Insurance. The first level-health facilities which had been collaborated with Social Assurance Agency in Health were 97. Based on ratio, the number of the first level-health facilities in Jember were less. The shortage was The government's resposibility based on Decree of President No. 12 in 2013.This research aims to analize of stakeholder policy in compliance policy of the first level-health facilities in National Health Insurance at Jember.This research was descriptive research with mixed methods approach. The result explained that Social Assurance Agency in Health of Jember needed to get cooperation with 230 doctors and 35 primary health care or clinics. Social Assurance Agency in Health of Jember had a big power to get cooperation with the first-level health facilities which be available in Jember during get a cooperation with doctors and available clinics also invite other investors to build a new clinics. The first level-health facilities, specially clinics and doctor had a rights to have cooperation or not with Social Assurance Agency in Health. Keywords: Policy, Stakeholder, The First-Level of Health Facilities, UHC
Gambaran Input Program Pelayanan Obstetri dan Neonatal Emergensi Dasar (PONED) di Puskesmas Silo I Jember Anis Satu Rohmah; Christyana Sandra; Yennike Tri Herawati
Pustaka Kesehatan Vol 11 No 1 (2023): Volume 11 No.1, 2023
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v11i1.19208

Abstract

Complications in pregnancy and childbirth can not be predicted. One of the efforts to improve obstetric complications prevention services is strengthening PONED. A Primary Health Care that experienced of an increase in Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) cases is Silo I Primary Health Care. The study aimed to describe the input of the Basic Emergency Obstetric and Neonatal Service (BEONEC) program at the Silo I Primary Health Care in Jember. The result showed that the availability of human resources has not been in accordance with established guidelines. The PONED team has not been in service for 24 hours. The financing does not have special PONED fund allocation. The availability of medicines for obstetrical and neonatal consumables in the category is sufficiently available. The available room is limited. Medical and non-medical equipment are complete enough to carry out emergency services. Supporting facilities are available in full at the health center. Silo I Health Center has a Standard Operating Procedure (SOP) with a complete category.
Implementasi Program Pemberian Makanan Tambahan Pemulihan (PMT-P) pada Balita untuk Menurunkan Prevalensi Stunting di Puskesmas Kabupaten Jember Rahmawati, Irnia Zain; Herawati, Yennike Tri; Utami, Sri
Pustaka Kesehatan Vol 12 No 1 (2024): Volume 12 No.1, 2024
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v12i1.23753

Abstract

Jember Regency is included in the five cities/regencies with the highest prevalence of stunting in East Java, with a percentage ranging from 40-45%. One of the interventions for toddlers to reduce the prevalence of stunting is the Recovery Supplemental Feeding (PMT-P). The study aimed to study the implementation of the Recovery Supplemental Feeding (PMT-P) program for toddlers to reduce the prevalence of stunting. This is a qualitative approach. The data was collected by in-depth interviews and documentation. The results showed that the implementation of the PMT-P Program was not fully in accordance with the 2011 PMT-P Guidelines from the Indonesian Ministry of Health, the program implementers had good insight, knowledge, and response in implementing the PMT-P program. The output of the PMT-P program implementation was not in accordance with David C. Korten's theory of suitability. It is suggested to cook together among midwives, cadres, and mothers of target toddlers, create a community of toddlers’ mothers as a sharing platform about the implementation of Recovery Supplemental Food, and increase monitoring in the provision program for toddlers to ensure that supplemental food is actually consumed by the target toddlers.