Tuty Ernawati
Fakultas Kesehatan Masyarakat Universitas Andalas

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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

Abstract

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.
Factors Associated with Female Bodily Autonomy in West Pasaman District Markolinda, Yessy; Ernawati, Ch Tuty; Ramadani, Mery; Husna, Nadiyatul
Jurnal Kesehatan Vokasional Vol 10, No 2 (2025): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.101853

Abstract

Background: Women's involvement in decision-making related to health services has a significant impact on improving maternal and child health, as well as strengthening women's empowerment. In 2022, the Maternal Mortality Rate (MMR) in Pasaman Barat District was 195 per 100,000 live births, ranking first among districts and cities in West Sumatra Province.Objective: This study aims to identify factors associated with women's physical independence in accessing maternal and child health (MCH) services.Methods: This is an analytical study using a cross-sectional design. The sample size was 106 participants.Results: 3.2% of respondents had low independence in utilizing MCH services. Residential area (p-value = 0.038; AOR = 0.321) and knowledge about MCH (p-value = 0.001; AOR = 7.015) were the dominant factors associated with women's physical independence in utilizing MCH services. Meanwhile, husband's education, number of family members, mother's occupation, age group, mother's education, husband's occupation, family income, and access to health facilities were confounding variables in this study.Conclusion: The low level of women's autonomy in utilizing KIA services is primarily influenced by the area of residence and the level of knowledge about KIA. Educational efforts, training of health workers, and cross-sectoral collaboration are needed to improve access and gender equality in health services.
Analisis Pelaksanaan Pelayanan Penderita Hipertensi dan Diabetes Mellitus dalam Peningkatan Capaian Standar Pelayanan Minimal Ernawati, Tuty; Siswati, Sri; Anshari, Luthfil Hadi
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2303

Abstract

Indonesia is currently facing a double burden of disease, comprising both communicable and non-communicable diseases (NCDs), each of which has a significant impact on public health and national economic growth. NCDs such as hypertension and diabetes mellitus have become leading causes of morbidity and mortality, requiring serious attention.To ensure the quality of healthcare services, the government has established standards through Minister of Health Regulation No. 6 of 2024 concerning Technical Standards for Fulfilling the Quality of Basic Services under the Minimum Service Standards (SPM) in the health sector.This study aims to analyze the implementation of healthcare services for patients with hypertension and diabetes mellitus in an effort to improve SPM achievement at Alahan Panjang Public Health Center (Puskesmas), Solok Regency.The research employed a mixed-methods approach, combining quantitative and qualitative methods to gain a more comprehensive understanding.The results showed that 44.6% of patients had a low level of knowledge about their disease, while 55.4% had a high level of knowledge. The Puskesmas has implemented an NCD program based on Minister of Health Regulation No. 71 of 2015 and has its own Standard Operating Procedures (SOPs). The performance of healthcare personnel was generally adequate, but there were challenges due to scheduling conflicts with integrated Posyandu (community health post) activities. Budget constraints from the district health office also affected program funding. In addition, the availability of medical equipment, such as blood pressure monitors, remains limited. The implementation of integrated Posyandu services alongside NCD programs and other life cycle-based activities has been initiated, but these efforts do not always run optimally due to limited human resources and infrastructure. These findings highlight the need to strengthen support for NCD services to achieve the 100% SPM target.