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Analisis Kesiapan Pengguna dan Pengaruhnya terhadap Penerimaan SIK Lumajang sebagai Sistem Informasi Manajemen Puskesmas Imam Shofwan; Eri Witcahyo; Yennike Tri Herawati
Jurnal Kedokteran dan Kesehatan Vol 14, No 1 (2018): JURNAL KEDOKTERAN DAN KESEHATAN
Publisher : Faculty of Public Health, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/jkk.14.1.83-97

Abstract

Data tim pengelola Sistem Informasi Kesehatan (SIK) Lumajang Dinas Kesehatan Kabupaten Lumajang menyebutkan bahwa permasalahan dalam pemanfaatan SIK yaitu puskesmas atau pengguna yang belum siap dan menerima aplikasi SIK Lumajang. Hanya 11 dari 25 puskesmas yang telah memanfaatkan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen di puskesmas. Penelitian ini bertujuan untuk mengidentifikasi kesiapan pengguna dan pengaruhnya terhadap penerimaan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen puskesmas di Kabupaten Lumajang dengan konsep teori TRI dan TAM. Penelitian ini adalah penelitian kuantitatif dengan rancangan cross sectional, dilakukan di 11 Puskesmas yang telah memanfaatkan aplikasi SIK Lumajang. Pengambilan data menggunakan metode wawancara dengan kuesioner dan dokumentasi SIK Lumajang bulan September 2016 sampai dengan Oktober 2017. Sampel sebanyak 54 responden diambil dengan teknik multistage random sampling. Data yang dikumpulkan berupa tingkat kesiapan pengguna sistem informasi manajemen di puskesmas sebagai variabel bebas, serta data persepsi kegunaan, persepsi kemudahan, sikap terhadap penggunaan teknologi, niat perilaku menggunakan teknologi, perilaku atau penggunaan teknologi sesungguhnya sebagai variabel terikat. Uji bivariat dianalisis menggunakan uji regresi linier sederhana. Hasil penelitian menunjukkan bahwa pengaruh antar variabel penelitian seluruhnya berpengaruh positif dan signifikan (p<0.05) sesuai dengan teori yang ada. Variabel dengan pengaruh terbesar terdapat pada niat perilaku menggunakan terhadap penggunaan teknologi sesungguhnya. Kata kunci: kesiapan pengguna; puskesmas; SIK lumajang
Cost of Illness of Hypertension Inpatients in RSD Balung Kabupaten Jember Endah Azmi Rosiyani; Eri Witcahyo; Yennike Tri Herawati
Jurnal Ilmu Kesehatan Masyarakat Berkala Vol 3, No 2 (2021): Jurnal Ilmu Kesehatan Berkala (JIKeMB) - November 2021
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jikemb.v3i2.1873

Abstract

Hypertension is a serious medical condition that significantly increases the risk of heart illness, kidney disease, etc. The prevalence of non-communicable disease, including hypertension, has increased year by year and became the spotlight for policy makers. Hypertension requires long and continuous treatment which causes high cost of illness. The high economic burden of hypertension is also causes y several factors such as gender, length of stay, severity, comorbid and payment method. This study used descriptive method that aimed to perceive the cost of illness of hypertension inpatients in RSD Balung Kabupaten Jember. The result showed that the average direct cost was IDR 2,171,919, the average of indirect cost was IDR 478,118, and total average cost of illness for patient with hypertension in this study was IDR 2,650,037. Total average cost of illness for hypertensive patients could be said to be quite large considering that the patient’s income were lower than City’s Minimum Salary in Kabupaten Jember, IDR 2,355,662.90.
Analisis Kepuasan Pasien Gancang Aron dengan Metode Importance Performance Analysis di RSUD Blambangan Yuliavira Sudhasni; Christyana Sandra; Yennike Tri Herawati
JI-KES (Jurnal Ilmu Kesehatan) Vol 5, No 2 (2022): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : STIKes Hafshawaty Pesantren Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v5i2.310

Abstract

AbstrakGancang Aron (Gugus Antisipasi Cegah Antrian Panjang dengan Antar Obat ke Rumah Pasien) merupakan program inovasi RSUD Blambangan untuk mengurangi waktu tunggu pelayanan obat. Penelitian ini bertujuan untuk menganalisis tingkat kepuasan pasien pengguna program Gancang Aron dengan metode Importance Performance Analysis di RSUD Blambangan Kabupaten Banyuwangi. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif. Jumlah sampel sebanyak 96 responden yang ditentukan dengan teknik simple random sampling. Hasil penelitian menunjukkan bahwa sebagian besar atribut dianggap penting namun kinerjanya masih ada yang dianggap kurang baik dan belum memenuhi harapan, yaitu petugas kurang tepat waktu dalam melayani pasien, petugas kurang menerima dan mendengarkan keluhan pasien dengan baik, instalasi farmasi memiliki persediaan obat yang kurang lengkap, dan ruang tunggu kurang memadai. Tingkat kepuasan pasien pengguna program Gancang Aron ditinjau dari dimensi kompetensi teknis, akses terhadap pelayanan, kelangsungan pelayanan, keamanan, efektivitas, hubungan antar manusia, dan efisiensi ialah sangat puas, sedangkan ditinjau dari dimensi kenyamanan ialah puas, namun atribut ruang tunggu memadai dan tersedianya AC/televisi/majalah di ruang tunggu belum memenuhi harapan pasien. Berdasarkan diagram kartesius diketahui bahwa atribut tersebar dalam empat kuadran. Atribut yang dianggap penting dan telah baik kinerjanya sebanyak 7 atribut, sedangkan atribut yang dianggap kurang penting dan belum baik kinerjanya sebanyak 8 atribut.Kata kunci: diagram kartesius, gancang aron, kepuasan pasien AbstractGancang Aron (Anticipation Group to Prevent Long Queues by Delivering Medicines to Patients' Homes) is an innovation program at the Blambangan Hospital to reduce waiting time for drug services. This study aims to analyze the level of patient satisfaction using the Gancang Aron program using the Importance Performance Analysis method at Blambangan Hospital, Banyuwangi Regency. This research is a descriptive research with a quantitative approach. The number of samples as many as 96 respondents determined by simple random sampling technique. The results showed that most of the attributes were considered important but their performance was still considered unfavorable and did not meet expectations, namely officers were less punctual in serving patients, officers did not receive and listen to patient complaints properly, pharmacy installations have inadequate drug supplies, and inadequate waiting rooms. The level of patient satisfaction using the Gancang Aron program in terms of the dimensions of technical competence, access to services, service continuity, security, effectiveness, human relations, and efficiency is very satisfied, while in terms of the comfort dimension it is satisfied, but the attributes of the waiting room are adequate and the availability of air conditioning/television/magazines in the waiting room have not met the patient's expectations. Based on the cartesian diagram, it is known that the attributes are spread in four quadrants. Attributes that are considered important and have good performance are 7 attributes, while attributes that are considered less important and have not performed well are 8 attributes. Keywords: cartesian diagram, gancang aron, patient satisfaction
Hubungan Peran Bidan dengan Pengetahuan Ibu Hamil dalam Layanan Provider Initiated Testing and Counseling (PITC) Ibu Hamil Sylvia Kusuma Dewi; Yennike Tri Herawati; Eri Witcahyo
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 2, No 2 (2022): November 2022
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v2i2.558

Abstract

Provider Initiated Testing and Counseling (PITC) merupakan salah satu upaya dalam menurunkan kasus penularan Human Immunodeficiency Virus (HIV) dari ibu ke janin atas inisiatif pemberi layanan kesehatan. Bidan berperan langsung dalam memberikan layanan konseling sesuai dengan prosedur PITC, namun hasil studi pendahuluan di Puskesmas Kendalsari menunjukkan bahwa sebanyak 67% responden belum mendapat informasi dasar HIV dan layanan PITC dari bidan, sedangkan informasi dasar ini harus ibu dapatkan untuk meningkatkan pemahaman ibu hamil tentang HIV sebelum dilakukannya tes HIV. Penelitian ini bertujuan untuk mengetahui hubungan antara peran bidan sebagai motivator, edukator, dan fasilitator dengan pengetahuan ibu hamil dalam layanan PITC ibu hamil. Jenis penelitian ini adalah analitik dengan pendekatan cross sectional. Sampel penelitian ini yaitu 64 ibu hamil yang telah dites HIV di Puskesmas Kendalsari Kota Malang. Teknik pengumpulan data menggunakan metode wawancara dan dokumentasi. Instrumen penelitian ini adalah kuesioner. Teknik analisis data yang digunakan adalah analisis univariat dan bivariat. Hasil penelitian ini menunjukkan bahwa tidak terdapat hubungan antara peran bidan sebagai motivator dan fasilitator terhadap pengetahuan ibu hamil, dan terdapat hubungan peran bidan sebagai edukator terhadap pengetahuan ibu hamil.Provider-Initiated Testing and Counseling (PITC) is an effort to reduce cases of transmission of the Human Immunodeficiency Virus (HIV) from mother to fetus at the initiative of health service providers. Midwives play a direct role in providing counseling services according to the PITC procedure, but the results of a preliminary study at the Kendalsari Health Center showed that as many as 67% of respondents did not receive basic information on HIV and PITC services from midwives, while this basic information must be obtained by mothers to increase pregnant women's understanding of HIV before taking an HIV test. The purpose of this study is to determine the relationship between the role of midwives as motivators, educators, and facilitators and pregnant women's knowledge of PITC services. This type of research is analytic with a cross-sectional approach. The sample for this study was 64 pregnant women who had been tested for HIV at the Kendalsari Health Center in Malang City. Data collection techniques using interviews and documentation The research instrument is a questionnaire. The data analysis technique used is univariate and bivariate analysis. The results of this study indicate that there is no relationship between the role of the midwife as a motivator and facilitator and the knowledge of pregnant women, but there is a relationship between the role of the midwife as an educator and the knowledge of pregnant women.
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.
Gambaran Kinerja Bidan pada Pelayanan Antenatal Care di Puskesmas Dasan Agung Kota Mataram Tahun 2023 Lalu Muhammad Fikri Wardana; Yennike Tri Herawati
Journal of Health Management Research Vol 2 No 2 (2023): Journal of Health Management Research
Publisher : Unit Penelitian & Pengabdian Masyarakat STIKes Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/jhmr.v2i2.444

Abstract

Background: Maternal mortality is still a health problem in Indonesia. Antenatal care as a form of prevention program to prevent maternal death. The low coverage of ANC services can be caused by midwives' poor performance in providing services. Permenkes Number 4 of 2019 concerning Health SPM, the performance achievements of district/city regional governments in providing ANC services are assessed from the coverage of health services for pregnant women according to standards in their working areas. Based on Presidential Regulation Number 18 of 2020, the percentage that must be achieved in ANC service coverage is 95%, while data from the NTB Provincial Health Office, the coverage of antenatal care services in Mataram City is below this target with an average K1 and K4 from 2019 - 2021 is 92.67% and 81.66%. Dasan Agung Health Center is a health center located in the city of Mataram, with an average coverage of antenatal care services for K1 and K4 which is still below standard, namely 78.5% for K1 and 60.1% for K4.Aims: the purpose of this study was to determine the factors related to performance in antenatal care services at the Dasan Agung Community Health Center, Mataram City. Method: descriptive research design, the number of samples is 11 people with total sampling. Results: the human resource and leadership variables at the Dasan Agung Health Center tend to be good, the reward and organizational structure variables tend to be quite good. Meanwhile for the performance variable, it was found that the performance of midwives at the Dasan Agung Health Center tended to be good. Conclusion: the results of the study show that the majority of midwives at the Dasan Agung Health Center in Mataram City have good performance in providing antenatal care services
Implementasi Kebijakan Pembayaran Kapitasi Berbasis Kinerja (KBK) di Puskesmas Kabupaten Nganjuk Christyana Sandra; Solikha Tri Cahyati; Yennike Tri Herawati
Jurnal Kebijakan Kesehatan Indonesia Vol 12, No 3 (2023)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.87474

Abstract

KBK has a role as one of the quality control efforts to control costs in FKTP, based on the results of a preliminary study at the Nganjuk District Health Office, it is known that there are 5 Primary Health Care in Nganjuk District that cannot meet the indicators in the KBK so that the capitation received is not 100% full during 2018-2021. This study aims to describe how the KBK payment policy is implemented based on standard variables and policy objectives, resources, communication, and social conditions. This was a qualitative study. Results showed that the standards and objectives of the KBK payment policy are well understood, but the RPPT standards have been difficult to meet so far. Based on the aspect of facility resources, puskesmas are still often constrained by the information system used for data input. Communication in implementing policies has been going well starting from the process of distributing information, clarity of information, and consistency of information. The social conditions of the community around the puskesmas, especially the type of work and age, also influence the achievement of the contact number target at the puskesmas. The KBK payment policy has been implemented, but it is necessary to evaluate the policy so that further improvements and policy developments can be carried out.
The implementation of health operational cost management in reducing stunting in the Kalisat Community Health Centre, Jember Regency Masilatul Khikmah; Yennike Tri Herawati; Ni&#039;mal Baroya
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 4 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(4).335-348

Abstract

Background : BOK Funds are used to finance ten activities that promote and prevent health, including community health centre management and malnutrition reduction. Other sources of funding for stunting include the State Budget, the Local government budget, village funds, and the BOK. According to the 2018 Jember Regency BOK budget realization report, the average utilization of BOK funds by Jember Regency community health centres was 89.99%. This typical rate of absorption is regarded as satisfactory. This is not consistent with the increase in stunting, particularly at the Kalisat Community Health Centre, which increased by 25.07 % in 2019. Objectives : The objectives of the study were: a) to evaluate the planning; b) to evaluate the mobilization and implementation; and c) to evaluate the supervision, control, and performance evaluation of BOK in reducing stunting. Methods : Therefore, this study employed a qualitative methodology and case study research design. Informants involved in this research were the head of the community health center a person in charge of the BOK, secretary and a member of the BOK management, the head of administration, nutritionist at the community health center, and regional midwife. Completed research conducted in August of 2020. An interview guide, in-depth interviews were utilized to collect data. Results : According to the study's found that the series of management activities were in accordance with the guidelines. Planning is carried out from the bottom up, Mobilization and Implementation are carried out through Lokmin, but Lokmin participants are often absent due to multiple tasks (e.g., there were several activities that did not go according to plan, particularly during the pandemic era, there were double jobs, and workshop participants were frequently late.) BOK is used to finance the operational costs of stunting prevention program activities.Conclusions: Planning, mobilization, implementation and use of BOK funds are in accordance with guidelines and budget allocation. Mini workshops should be held at agreed times and take into account officers who have double jobs
KESIAPAN PUSKESMAS MENUJU BADAN LAYANAN UMUM DAERAH (BLUD) DI WILAYAH KABUPATEN JEMBER Herawati, Yennike Tri; Baroya, Ni’mal; Sandra, Christyana; Sulistiyani, Sulistiyani; Ramani, Andrei; Ningrum, Prehatin Trirahayu; Akbar, Kurnia Adriansyah
Jurnal Ilmu Kesehatan Masyarakat Vol 18 No 2 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v18i1.31491

Abstract

Badan Layanan Umum Daerah yang selanjutnya disingkat BLUD adalah Satuan Kerja Perangkat Daerah di lingkungan pemerintah daerah yang dibentuk untuk memberikan pelayanan kepada masyarakat berupa barang dan/atau jasa yang dijual tanpa mengutamakan mencari keuntungan, dan dalam melaksanakannya kegiatan didasarkan pada prinsip-prinsip efisiensi dan produktivitas. Peraturan Menteri Dalam Negeri Nomor 79 Tahun 2018 suatu Unit Pelaksana Teknis Daerah dapat menerapkan BLUD apabila meyelenggarakan pelayanan umum baik sebagai penyediaan barang maupun jasa layanan umum kepada masyarakat terutama untuk penyedia pelayanan kesehatan. Unit – unit di bidang kesehatan yang dapat menerapkan BLUD diantaranya adalah puskesmas, rumah sakit, dan Laboratorium Kesehatan Daerah (Labkesda). Penyelenggaraan BLUD di Puskesmas bertujuan untuk memberikan keleluasaan bagi pemberi pelayanan kesehatan dalam memberikan dan meningkatkan pelayanan kesehatan sesuai dengan kebutuhan masyarakat di wilayah puskesmas. Akan tetapi untuk dapat menerapkan kebijakan BLUD tersebut puskesmas harus memenuhi persyaratan yang telah ditentukan baik itu persyaratan substantif, teknis, maupun administratif serta kesiapan struktur birokrasi, sumber daya organisasi, dan budaya organisasi. Analisis dilakukan terhadap 10 puskesmas terpilih di wilayah Kabupaten Jember yaitu Puskesmas Kaliwates, Ajung, Klatakan, Patrang, Sumberbaru, Lojejer, Kalisat, Silo 2, Sukowono, dan Sumberjambe. Hal ini dilakukan mengingat belum adanya puskesmas berstatus BLUD di wilayah tersebut. Mayoritas puskesmas sudah mendapatkan sosialisasi dan siap meningkatkan status mejadi BLUD namun perlu adanya dasar regulasi yang kuat, sumber pembiayaan dan melengkapi fasilitas dan sumber daya manusia terutama tenaga akuntan yang dibutuhkan untuk mendukung terbentuknya puskesmas BLUD. Puskesmas juga diharapkan melakukan survey kepuasan pelanggan sebagai salah satu indikator persyaratan yang harus dipenuhi untuk mengajukan diri sebagai puskesmas BLUD
ANALISIS PERBEDAAN VARIABEL PENENTU KINERJA BIDAN DALAM MENGELOLA DESA/KELURAHAN SIAGA AKTIF BERSTRATA PURI DAN NON PURI DI KABUPATEN LUMAJANG TAHUN 2018 Vitasari, Ratna; Herawati, Yennike Tri; Ririanty, Mury
Jurnal Ilmu Kesehatan Masyarakat Vol 15 No 2 (2019)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v15i2.17555

Abstract

In Lumajang Regency, the coverage of Desa dan Kelurahan Siaga Aktif Puri in 2018 around 15% out 70% target set. The active performance of midwives in development of Desa dan Kelurahan Siaga Aktif is highly expected. They have a role in managing Desa dan Kelurahan Siaga Aktif. This study was a quantitative study aimed to analysis differences of midwives job performance managing desa/kelurahan siaga aktif with puri strata and Non pur strata in Lumajang Regency 2018. The results showed there was significantly different between Desa and Kelurahan Siaga Aktif with Puri Strata and non Puri in Lumajang Regenc among facilities and infrastructure (p = 0,000), training (p = 0.004) and community support (p = 0,000) There was no difference between knowledge variables (p = 0.107), years of service (p = 0.483), domicile (p = 0.546), intrinsic motivation (p = 0.756), extrinsic motivation (p = 0.151), supervision (p = 0.660), midwife performance (p = 0.105) with strata of Desa dan Kelurahan Siaga Aktif Puri with non Puri in Lumajang Regency.It can be concluded midwives among Desa dan Kelurahan Siaga Aktif strata Puri have different facilities and infrastructure, training, community support from the midwives Desa and Kelurahan Siaga Aktif strata non Puri.