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STUDI PELAKSANAAN KEBIJAKAN PERATURAN DAERAH JAMINAN KESEHATAN DAERAH SUMATERA BARAT SAKATO DALAM MENGHADAPI UNDANG-UNDANG SISTEM JAMINAN SOSIAL NASIONAL DAN UNDANGUNDANG BADAN PENYELENGGARA JAMINAN SOSIAL TAHUN 2013 Ernawati, Tuty
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 03 (2013)
Publisher : Jurnal Kebijakan Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (77.343 KB)

ABSTRACTBackground: Local health insurance (Jamkesda) is an effortmade by the Government of West Sumatra province to improvethe accessibility of health services for the poor or near poorwho are not accommodated in the quota of public healthinsurance (Jamkesmas). Jamkesda was implemented at thestart of 2007 until in 2011 using Governor Regulation WestSumatera Number 40 and Number 41 in 2007. After runningfor five years, there are still many problems in theimplementation. Later in 2011, the provincial parliament of WestSumatera exercised its rights of initiative and enacted LocalLegislation Number 10 year 2011 regarding the implementationof the Health Insurance West Sumatra Sakato. Afterwards,the implementation of Jamkesda West Sumatera Sakato refersto these regulations. The purpose of this study is to evaluatethe implementation of the new regulation of the Jamkesda WestSumatera Sakato in 2013.Methods : This study is a descriptive analysis with a qualitativeusing case study. Data collection is done at the ProvincialHealth Office / District Health Office / City selected, PT HealthInsurance, regional planning agency (Bappeda), and healthprovider. Qualitative data were collected through in-depthinterviews, and secondary data were collected throughdocument review.Result: The results of the study shows that implementation ofhealth insurance on West Sumatra Sakato still had not beenoptimal, namely how the selection of the participants; a lowpremium that is Rp.6.000/month/member by sharing fundingbetween provincial and district budgets / City budgets; thebenefits are not yet comprehensive enough; health providersis still limited in the region of West Sumatra province and onlyin public facilities; health workers has not been evenlydistributed; the team is still not functioning well; the monitoringand evaluation at every level Administrative as well associalization of Jamkesda are not optimal; and the existingpolicy has not referred to higher level policy.Conclusion: Implementation of Jamkesda West SumatraSakato does not go according to the existing policy. Amongothers, the selection of membership, quality of health care,lowpremiums, health facilities are limited, health workers have notbeen evenly distributed, and the monitoring and evaluationteam has not been established as per the guidelines.Suggestion: There is a need to evaluate Jamkesda WestSumatera Sakato policy so that the policies are notcontradicting. There is a need to form a Monev Team forJamkesda so that all parties have a sense of sharedresponsibility.Keywords: Local Regulation of Jamkesda, health financing,Provider Jamkesda.

CAPAIAN IMPLEMENTASI STANDAR PELAYANAN MINIMAL (SPM) KHUSUS KESEHATAN IBU DAN ANAK (KIA): SOLUSI PENURUNAN KEMATIAN IBU & ANAK DI SUMATERA BARAT Ernawati, Ch Tuty
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.68613

Angka Kematian ibu dan anak di Provinsi Sumatera Barat pada tahun 2019 masih cukuptinggi. Terdiri dari 116 kematian ibu (meningkat dari tahun 2018), 547 kematian bayi, dan 665 kematian balita. Sudah banyak intervensi yang dilakukan, tetapi belum mencapai targetStandar Pelayanan Minimal (SPM) yang diharapkan. Keaktifan tim penerapan SPMkabupaten / kota setempat, perbaikan manajemen data, kepastian kegiatan SPM kesehatan ibu dan anak dalam Rencana Pembangungan Jangka Menengah Daerah (RPJMD), Rencana Kerja Pemerintah Daerah (RPKD), Rencana Strategis (Renstra), dan Rencana Kerja (Renja) kabupaten/kota, kepastian pembiayaan kegiatan SPM, informasi yang jelas bagi masyarakat, dan optimalisasi Puskesmas melakukan Pelatihan Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) diharapkan akan mampu meningkatkan target SPM.

ANALISIS KESIAPAN PENERAPAN POLA PENGELOLAAN KEUANGAN BADAN LAYANAN UMUM DAERAH (PPK-BLUD) DI UPTD BALAI KESEHATAN INDERA MASYARAKAT (BKIM) PROVINSI SUMATERA BARAT TAHUN 2016 Tuty Ernawati
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.v12i2.370

Regional Public Service Regency (RPSR) to provide services to the community without priority to seek profits, with existing data in unit Region Indra Center of West Sumatra Province has not been optimal yet in financial management, lack of the services have not standards, this study aims to evaluate the readiness of the implementation of the Financial Management Regional Public Service Regency (RPSR) at unit region Indra Centre of West Sumatera Province in 2016. This study uses qualitative study conducted in May to October 2016, with informants as much as 6 (six), data collection using indepth interview, document review and observation, analyzed by triangulation method and source. The results of the research show that the inputs are not well available yet, namely the regulations related to the implementation of the Financial Management Model of the Regional Public Service Regency (RPSR), human resources, limited budget, facilities and infrastructures are not yet eligible. In the process of substantive requirements have been eligible, technical requirements of service performance is quite good. and administrative requirements by assessing 6 documents have > 60% that is with a value of 80.3% which means the documents qualify administrative requirements. The conclusion of the study on the implementation of the Financial Management Model of the Regional Public Service Rgency (RPSR) at Unit Region Indra Centre West Sumatra, Unit Region Indra Centre is able to implement the full RPSR. Researchers suggest that it is necessary to draft the West Sumatra governor’s regulation on RPSR and complete administrative documents and improve the quality of services through improved management.

Faktor-Faktor yang Mempengaruhi Kepatuhan Peserta Mandiri Dalam Pembayaran Iuran Program Jaminan Kesehatan Nasional di Kota Solok Ayu Wulandari; Nur Afrainin Syah; Tuty Ernawati
Jurnal Kesehatan Andalas Vol 9, No 1 (2020): Online March 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i1.1219

Kepatuhan peserta mandiri membayar iuran Jaminan Kesehatan Nasional (JKN) di Kota Solok belum maksimal. Hal ini terlihat dari jumlah peserta mandiri yang menunggak di Kota Solok yaitu 69% dari peserta mandiri terdaftar. Tujuan: Mengidentifikasi faktor-faktor yang mempengaruhi kepatuhan peserta mandiri dalam pembayaran iuran Program JKN di Kota Solok. Metode: Penelitian ini menggunakan rancangan cross sectional, dengan sampel penelitian adalah peserta mandiri program JKN di Kota Solok yang terpilih secara acak. Analisis data dilakukan dengan uji Chi-square. Responden dalam penelitian ini adalah 105 orang peserta mandiri yang minimal berusia 17 tahun dan berdomisili di Kota Solok. Hasil: Uji statistik menunjukkan terdapat hubungan yang signifikan antara tingkat pengetahuan (p=0,019), pendapatan (p=0,038), persepsi terhadap pelayanan kesehatan (p=0,047) dan persepsi terhadap risiko (p=0,043) dengan kepatuhan pembayaran iuran peserta mandiri program JKN BPJS Kesehatan di Kota Solok. Simpulan: Tidak terdapat hubungan signifikan antara tingkat pendidikan, jarak tempuh tempat pembayaran iuran dan jumlah tanggungan terhadap kepatuhan pembayaran iuran peserta mandiri program JKN BPJS Kesehatan di Kota Solok. BPJS Kesehatan Cabang Solok harus meningkatkan kuantitas dan kualitas sosialisasi untuk meningkatkan pengetahuan peserta tentang hak dan kewajiban peserta mandiri program JKN.Kata kunci: kepatuhan, Iuran JKN, BPJS Kesehatan

STUDI PELAKSANAAN KEBIJAKAN PERATURAN DAERAH JAMINAN KESEHATAN DAERAH SUMATERA BARAT SAKATO DALAM MENGHADAPI UNDANG-UNDANG SISTEM JAMINAN SOSIAL NASIONAL DAN UNDANGUNDANG BADAN PENYELENGGARA JAMINAN SOSIAL TAHUN 2013 Tuty Ernawati
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 3 (2013)
Publisher : Center for Health Policy and Management

ABSTRACTBackground: Local health insurance (Jamkesda) is an effortmade by the Government of West Sumatra province to improvethe accessibility of health services for the poor or near poorwho are not accommodated in the quota of public healthinsurance (Jamkesmas). Jamkesda was implemented at thestart of 2007 until in 2011 using Governor Regulation WestSumatera Number 40 and Number 41 in 2007. After runningfor five years, there are still many problems in theimplementation. Later in 2011, the provincial parliament of WestSumatera exercised its rights of initiative and enacted LocalLegislation Number 10 year 2011 regarding the implementationof the Health Insurance West Sumatra Sakato. Afterwards,the implementation of Jamkesda West Sumatera Sakato refersto these regulations. The purpose of this study is to evaluatethe implementation of the new regulation of the Jamkesda WestSumatera Sakato in 2013.Methods : This study is a descriptive analysis with a qualitativeusing case study. Data collection is done at the ProvincialHealth Office / District Health Office / City selected, PT HealthInsurance, regional planning agency (Bappeda), and healthprovider. Qualitative data were collected through in-depthinterviews, and secondary data were collected throughdocument review.Result: The results of the study shows that implementation ofhealth insurance on West Sumatra Sakato still had not beenoptimal, namely how the selection of the participants; a lowpremium that is Rp.6.000/month/member by sharing fundingbetween provincial and district budgets / City budgets; thebenefits are not yet comprehensive enough; health providersis still limited in the region of West Sumatra province and onlyin public facilities; health workers has not been evenlydistributed; the team is still not functioning well; the monitoringand evaluation at every level Administrative as well associalization of Jamkesda are not optimal; and the existingpolicy has not referred to higher level policy.Conclusion: Implementation of Jamkesda West SumatraSakato does not go according to the existing policy. Amongothers, the selection of membership, quality of health care,lowpremiums, health facilities are limited, health workers have notbeen evenly distributed, and the monitoring and evaluationteam has not been established as per the guidelines.Suggestion: There is a need to evaluate Jamkesda WestSumatera Sakato policy so that the policies are notcontradicting. There is a need to form a Monev Team forJamkesda so that all parties have a sense of sharedresponsibility.Keywords: Local Regulation of Jamkesda, health financing,Provider Jamkesda.

Hubungan Kepesertaan JKN Mandiri dengan Pendapatan, Pengetahuan, Persepsi, Akses, dan Kepercayaan Masyakat Suku Sakai di Desa Petani Kecamatan Mandau Kabupaten Bengkalis Tahun 2018 Ch.Tuty Ernawati; Dhina Uswatul
Jurnal Kebijakan Kesehatan Indonesia Vol 8, No 1 (2019)
Publisher : Center for Health Policy and Management

Latar Belakang : Kepesertaan Jaminan Kesehatan Nasional (JKN) wajib bagi seluruh penduduk Indonesia dan akan dicapai tahun 2019, Kabupaten bengkalis peserta JKN sebesar 58 %, hampir separohnya peserta JKN PBI (48,31%),jumlah kepesertaan JKN masyarakat Suku Sakai masih 40 % dari jumlah penduduk. Tujuan penelitian: untuk mengetahui hubungan kepesertaan JKN Mandiri dengan pengetahuan, pendapatan, persepsi, akses dan kepercayaan pada masyarakat Suku Sakai di Desa Petani kecamatan Mandau Kabupaten Bengkalis. Metodologi Penelitian: menggunakan metode kuantitatif dengan desain cross sectional. Sampel penelitian terdiri dari 72 responden, dengan menggunakan teknik systematic random sampling. Analisis yang digunakan analisis univariat dan analisis bivariat dengan uji statistic chi- square. Hasil penelitian: didapatkan 51,4% responden belum menjadi peserta JKN. Responden yang memiliki pengetahuan rendah 37,5 %, pendapatan rendah 43%, persepsi negatif responden terhadap JKN Mandiri 48,6%, responden menyatakan sulit untuk mengakses pelayanan kesehatan 50%, dan responden memiliki kepercayaan kesehatan yang rendah 38,9%. Hasil analisis bivariat diperoleh bahwa kepesertaan JKN Non PBI Mandiri memiliki hubungan yang bermakna dengan variabel pengetahuan, pendapatan, persepsi dan akses terhadap pelayanan kesehatan. Kesimpulan : Terdapat hubungan yang bermakna antara kepesertaan JKN Mandiri dengan pengetahuan, pendapatan, persepsi, dan akses terhadap pelayanan kesehatan pada Suku Sakai di Desa Petani Kecamatan Mandau Kabupaten Bengkalis Tahun 2018. Saran : Mengusulkan ke pihak terkait bagi masyarakat yg berpenghasilan rendah untuk mendapatkan JKN-KIS dari APBN, APBD kabupaten/Provinsi, meningkatkan sosialisasi dan promosi manfaat dari program JKN. Pemerintah Kabupaten mengatasi kesulitan mengakses pelayanan kesehatan dengan menyediakan sarana dan prasarana penunjang seperti transportasi umum.

CAPAIAN IMPLEMENTASI STANDAR PELAYANAN MINIMAL (SPM) KHUSUS KESEHATAN IBU DAN ANAK (KIA): SOLUSI PENURUNAN KEMATIAN IBU & ANAK DI SUMATERA BARAT Ch. Tuty Ernawati
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.69497

Angka Kematian ibu dan anak di Provinsi Sumatera Barat pada tahun 2019 masih cukup tinggi. Terdiri dari 116 kematian ibu (meningkat dari tahun 2018), 547 kematian bayi, dan 665 kematian balita. Sudah banyak intervensi yang dilakukan, tetapi belum mencapai target Standar Pelayanan Minimal (SPM) yang diharapkan. Keaktifan tim penerapan SPM kabupaten / kota setempat, perbaikan manajemen data, kepastian kegiatan SPM kesehatan ibu dan anak dalam Rencana Pembangungan Jangka Menengah Daerah (RPJMD), Rencana Kerja Pemerintah Daerah (RPKD), Rencana Strategis (Renstra), dan Rencana Kerja (Renja) kabupaten/kota, kepastian pembiayaan kegiatan SPM, informasi yang jelas bagi masyarakat, dan optimalisasi Puskesmas melakukan Pelatihan Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) diharapkan akan mampu meningkatkan target SPM.

Analisis Pengendalian dan Pencegahan Penyakit Infeksi Berbasis Kesehatan Lingkungan Dalam Era Pandemi Covid-19 di Puskesmas Kabupaten X Tahun 2021 Luthfil Hadi Anshari; Ch. Tuty Ernawati; Ulfah Winanda Putri
Jurnal Kesehatan Komunitas Vol 8 No 1 (2022): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss1.1132

Efforts to prevent and limit the transmission of infection in health centers during the Covid-19 pandemic are important because of the many activities of health centers conducting swab tests, vaccination activities and other service activities that cause the transmission of infection. This study aimed to find out the picture of control and prevention of infectious diseases based on environmental health in the health center of district X. This study was a mixed method study with the determination of qualitative research informan and purposive sampling and the sample of study was 75 respondents.The results showed that there was a lack of knowledge level of the health workers. Input: there were policies such as SOPs, HR PPI teams consisting of doctors, nurses, and sanitation workers, infrastructure facilities are available and funds come from BLUD. Process: the implementation of hand hygiene, PPE, waste management, environmental control has been implemented, and some are not in accordance with regulations such as sorting waste that is still mixed, transporting waste that is late and also waste storage that has not used coldstorage, Output: the management of medical waste puskesmas has been implemented and has not been in accordance with applicable regulations. The conclusion of medical waste management has not been in accordance with Decree No. 27/2017 and Permen LHK No. 56/2015. Suggestions to coordinates and cooperates with cross-sector related sectors in addressing medical waste problems and improving environmental health-based infection disease control and prevention efforts.

Implementasi Kebijakan Pelayanan Obstetri dan Neonatal Emergency Dasar (PONED) di Puskesmas Kabupaten Solok Tuty Ernawati; Sri Siswati; Luthfil Hadi Anshari
Jurnal Kesehatan Komunitas Vol 9 No 1 (2023): Jurnal Kesehatan Komunitas (Inpress)
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss1.1245

The mortality rate of mother infants in West Sumatra is very high, with a mother mortality rate of 12, an infant mortality rate of 15, and a neonatal mortality rate of 71 in 2020. This indicates that emergency obstetrics and neonatal care practices are not yet optimal. (PONED) is located at a PONED-compatible health center. The purpose of this study is to analyze the implementation of PONED program services at health centers. The survey method used the descriptive qualitative method conducted from March to October 2021, with deep interviews, document reviews, observation-based data collection, and seven information providers. KIA, District Program, PONED Health Center, 4 people, analysis using data content technology Analysis by triangulation. The implementation of PONED-enabled public health center guidelines is not optimal and still being implemented by the health sector, starting with preparations for the selection of PONED health centers, resources, or PONED. Provides availability for teams, infrastructure, equipment, medicines, and consumables. Engagement, stakeholder communication, and community socialization processes were not optimal. A unified referral system that plays an important role in implementing PONED, including budget awareness, coordination, stakeholder involvement, and comprehensive neonatal emergency obstetric services at professional associations, NGOs, communities, and hospitals. This requires good cooperation and support from local governments. In summary, the implementation of the PONED Health Center program is not optimal, and maternal, infant, and newborn deaths are still recorded. Therefore, there is an urgent need to assist local governments and stakeholders by providing resources in accordance with PONED implementation requirements at health centers

Analisis Tantangan Kesiapan Implementasi Rekam Medis Elektronik di Puskesmas Kota Padang Sri Siswati; Sri Siswati; Tuty Ernawati; Muthia Khairunnisa
Jurnal Kesehatan Vokasional Vol 9, No 1 (2024): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.92719

Latar Belakang: Puskesmas merupakan salah satu fasilitas kesehatan yang wajib melaksanakan Rekam Medis Elektronik (RME) paling lambat 31 Desember 2023 melalui Permenkes Nomor 24 Tahun 2022 tentang Rekam Medis. Namun, faktor kesiapan sumber daya manusia menjadi tantangan dalam implementasi.Tujuan: Penelitian ini bertujuan untuk mengetahui faktor dan hambatan yang mempengaruhi kesiapan tenaga kesehatan dalam menerapkan RME di Puskesmas.Metode: Penelitian ini menggunakan mixed-method dengan model sequantial explanatory dilakukan pada Mei sampai Oktober 2023 di 23 Puskesmas Kota Padang. Pengambilan data kuantitatif dengan crosssectional dilakukan pada 69 sampel, yaitu dokter, perekam medis, dan perawat, sedangkan kualitatif dilakukan terhadap 46 informan, yaitu 23 kepala puskesmas dan 23 perekam medis dengan cara purposive sampling. Hasil: Tenaga Kesehatan yang siap menerapkan RME hanya 33 orang (47,8%). Faktor Tingkatpendidikan, pengalaman kerja, pengetahuan, dan persepsi berpengaruh signifikan terhadap kesiapan tenaga kesehatan melaksanakan RME. Temuan wawancara mendalam diketahui penyebab belum siap tenaga kesehatan dalam melaksanakan RME adalah kurangnya pengetahuan tentang RME karena pelatihan RME tidak diberikan ke seluruh tenaga kesehatan selain itu keterampilan penggunaan komputer menjadi hambatan utama. Kesimpulan: Tidak semua tenaga kesehatan siap menerapkan RME karena pelatihan hanya oleh perekam medis sehingga perlu pelatihan serta pendampingan dari dinas kesehatan guna memantau keberhasilan implementasi

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