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All Journal International Journal of Public Health Science (IJPHS) Media Kesehatan Masyarakat Indonesia JURNAL PROMOSI KESEHATAN INDONESIA JURNAL SISTEM INFORMASI BISNIS Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia VISIKES Jurnal Kesehatan Masyarakat Jurnal Bidan Prada Jurnal Administrasi Kesehatan Indonesia MEDISAINS Jurnal Kesehatan Masyarakat (JKM) CENDEKIA UTAMA Jurnal Populasi JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Jurnal Kesehatan Gigi Jurnal Manajemen Kesehatan Indonesia Jurnal Ilmiah Mahasiswa IJNP (Indonesian Journal of Nursing Practices) HIGEIA (Journal of Public Health Research and Development) Management Analysis Journal Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Penelitian Pendidikan IPA (JPPIPA) Syntax Literate: Jurnal Ilmiah Indonesia AcTion: Aceh Nutrition Journal Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Journal of Public Health for Tropical and Coastal Region Al-sihah: The Public Health Science Journal Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Jurnal Ilmiah Kesehatan Amerta Nutrition Manuju : Malahayati Nursing Journal Jurnal Pendidikan Almuslim Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Care : Jurnal Ilmiah Ilmu Kesehatan Unnes Journal of Public Health Public Health Perspective Journal Darmabakti Cendekia: Journal of Community Service and Engagements J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal PREPOTIF : Jurnal Kesehatan Masyarakat Management Studies and Entrepreneurship Journal (MSEJ) Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Ekomaks : Jurnal Ilmu Ekonomi, Manajemen, dan Akuntansi Indian Journal of Forensic Medicine & Toxicology J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan MAHESA : Malahayati Health Student Journal Journal of Community Development Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Indonesian Journal of Multidisciplinary Science Jurnal Riset Kesehatan Masyarakat JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Berita Kedokteran Masyarakat Media Bina Ilmiah Jurnal Pendidikan Geosfer Eduvest - Journal of Universal Studies Journal of Hospital Administration and Management (JHAM) Jurnal Keperawatan Jurnal Pengabdian West Science Ranah Research : Journal of Multidisciplinary Research and Development Promotor: Jurnal Mahasiswa Kesehatan Masyarakat JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Borneo Journal of Pharmacy Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Jurnal Info Kesehatan Jurnal Ilmu Keperawatan dan Kebidanan

Sutopo Patria Jati

Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang

Author-ID : 291587

Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Transportation Veterinary Other

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Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang Ike Johan Prihatini; Sri Achadi Nugraheni; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.5.3.2017.28-35

Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate

Faktor-Faktor Promosi Kenaikan Jabatan, Efektifitas Pembagian Tugas dan Keadilan Pembagian Insentif Yang Mempengaruhi Kepuasan Kerja Terhadap Pegawai Dinas Kesehatan Provinsi Jambi Tahun 2016 Ayu Aztuty Tanjung; Sudiro Sudiro; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 3 (2016): Desember 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

To improve health development in Jambi Province, it needs to be supported by qualified human resource that can improve performance of employees. The decrease in performance might be caused by no work satisfaction among them. One of the problems faced by Health Office of Jambi Province was decreasing a level of work satisfaction among employees from time to time. Promotion, equity in sharing either financial or non-financial incentive, and sharing tasks equally needed to be done in order improve their work satisfaction. The aim of this study was to figure out the influence of promotion, effectiveness in sharing tasks, and equity in sharing incentive towards work satisfaction of employees at the Health Office of Jambi Province. This was an observational study using cross-sectional approach. Number of population was 277 employees of the Health Office of Jambi Province. Meanwhile, number of samples was 74 persons. Data were collected using a questionnaire and analysed quantitatively using methods of univariate, bivariate (a Chi Square test), and multivariate (a Logistic Regression test). The results of this research showed that more than half of the respondents were satisfied (56.8%), had perception of balanced promotion (50%), had good effectiveness in sharing tasks (55.4%), and felt equal in sharing incentive (51.4%). There were any significant relationships between these three variables and work satisfaction of the employees. The results of multivariate analysis demonstrated that variables of promotion (p=0.015) and equity in sharing incentive (p=0.151) jointly influenced work satisfaction of the employees. As suggestions, employees need to pay more attention to the factors of promotion, effectiveness in sharing tasks, and equity in sharing incentive.

Faktor-Faktor Yang Mempengaruhi Motivasi Bidan Pelaksana Dalam Pelayanan Ibu Nifas Di Wilayah Kabupaten Blora Epi Saptaningrum; Sutopo Patria Jati; Anneke Suparwati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 2 (2016): Agustus 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Maternal Mortality Rate mostly occurred during postnatal period. Midwives played an important role and had responsibility in providing maternal services. Postnatal services in Blora District had not been optimally implemented. This condition was influenced by motivation of midwives in providing postnatal services. Five of seven midwives said that they were lazy to provide postnatal services particularly in visiting maternal. Motivation was influenced by intrinsic and extrinsic factors. Therefore, factors influencing motivation of midwives in providing maternal services needed to be investigated. This was a quantitative-analytic study using cross sectional approach. Data were collected using a questionnaire. Number of population was 359 midwives in Blora District. Number of samples were 76 respondents calculated using minimal sample size. A validity test used pearson product moment whereas alpha Cronbach test was used to analyse reliability. Data were analysed using methods of univariate (Kolmogorov-Smirnov test), bivariate (Chi-Square test), and multivariate (logistic regression test). The results of this research showed that factors of perception of administration and policy (p=0.043; C=0.227), perception of supervision (p=0.001; C=0.346), perception of work (p=0.000; C=0.503) and perception of environmental condition (p=0.001; C=0.350) statistically significantly related to motivation of midwives. Perception of work was the most influenced factor of motivation (p=0.000; Exp(B)=11.655). As suggestions, other researchers need to investigate the factor of perception of work. District Health Office needs to evaluate main and additional tasks and to consider increasing incentive for activities of maternal services. Indonesian Midwives Association of Blora needs to guide and to improve motivation of midwives in providing maternal services. Health Centres (Coordinator Midwives) need to involve midwives in improving perception of work (maternal services) by conducting training.

Analisis Kepuasan Pasien Terhadap Kualitas Layanan Poli Gigi di Rumah Sakit Banyumanik Semarang Aulia Ika Pratiwi; Bagoes Widjanarko; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Based on the medical records of the Banyumanik Hospital, the number of visits in the Banyumanik Hospital dental clinic in 2015 was 766 patients (90%), increasing in 2016 to 781 (91%), but decreased in 2017 to 724 patients (85%) one factor the cause is the quality of service. This study aimed to analyze the effect of quality outpatient services on patient satisfaction in dental polyclinics in hospitals. Banyumanik Semarang. This was quantitative research with cross sectional design. The number of samples in this study were 54 respondents. Research variables were 5 dimensions of service quality. The results of the study showed the dimensions of the quality of outpatient care in dental poly: Real Evidence had a poor result of 68.5, reliability had poor results of 32 respondents 59.3%, poor responsiveness 40.7%, poor guarantees 59.3%, poor empathy at 55.6%, and less patient satisfaction at 44.4%. In the results of multivariate analysis that the responsiveness variable has the highest significance of 0.039 with the value of Exp (B) 4,566. The conclusion of this study was that the dimensions of service quality namely Real Evidence, Responsiveness, and Empathy affect patient satisfaction, while the guarantee does not affect the satisfaction of outpatients in the Dental Polyclinic Hospital. Banyumanik Semarang.

Factors Influencing Readiness of Companies in Implementing Social Insurance Organizing Body in Mataram City Una Zaida; Sutopo Patria Jati; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKBPJS kesehatan merupakan perlindungan berupa jaminan sosial untuk melindungi masyarakat Indonesia dari masalah kesehatan. Masalah kesehatan pada masa ini membutuhkan biaya yang besar. Tenaga kerja perlu mendapat perhatian dan perlindungan dari resiko sakit atau kecelakaan kerja yang dapat menyebabkan menurunnya tingkat produktivitas. Oleh karena itu pemerintah didalam UU Jaminan Sosial Tenaga Kerja mewajibkan pengusaha untuk mendaftarkan pekerjanya untuk mengikuti program-program jaminan yang diberlakukan salah satunya program jaminan pemeliharaan kesehatan yang akan bertransformasi kedalam program BPJS. Perkembangan jumlah perusahaan yang beropersi di Kota Mataram dan telah terdaftar pada PT. Jamsostek dari tahun 1993 sampai dengan tahun 2012 sebanyak 1595 unit perusahaan. Masih ada beberapa 101 unit perusahaan yang tidak aktif. Hal ini disebabkan karena masih rendah kepesertaan pekerja formal swasta dari perusahaan menengah, kecil dan mikro di Kota Mataram. Dalam hal ini peserta belum mengetahui manfaat dari jaminan social, tidak mengetahui kepengurusan kepesertaan, iuran yang harus dibayarkan dan pelayanan kesehatan yang diterima sebagai peserta program jaminan social. Hal ini disebabkan karena kurangnya sosialisasi yang dilakukan terkait masalah kepesertaan, iuran dan pelayanan kesehatan yang diperoleh. Tujuan penelitian ini adalah untuk mengetahui factor-faktor yang mempengaruhi kesiapan perusahaan dalam pelaksanaan BPJS. Jenis penelitian survey analitik dengan pendekatan cross sectional. Instrument penelitian menggunakan kuesioner pada 113 unit perusahaan dan pimpinan perusahaan sebagai responden. Data penelitian diolah secara kuantitatif dengan uji univariat, bivariat dan multivariate dengan menggunakan uji analisis regresi linier. Hasil penelitian menunjukkan bahwa responden berpendidikan D3 (27,4%), jenis usaha menurut tingkat pendapatan perusahaan tertinggi usaha micro (64,6%), jenis usaha bila dilihat dari jumlah tenaga kerja termasuk dalam usaha kecil sebesar (90,3%). Berdasarkan pengelompokkan jawaban diperoleh hasil bahwa pengetahuan kurang baik (52,2%), karakteristik inovasi kurang baik (50,4%), saluran komunikasi baik (52,2%), system social kurang baik (54%), promosi agen pembaharuan kurang baik (50,4%) dan kesiapan perusahaan dengan tidak siap (54%). Hasil analisis hubungan menunjukkan ada hubungan antara pengetahuan (p=0,0001, r =0,898 ), karakteristik inovasi (p=0,0001, r = 0,888), saluran komunikasi (p=0,0001, r = 0,886), system social (p=0,0001, r = 0,894) dan promosi agen pembaharuan (p=0,0001, r = 0,704) dengan kesiapan perusahaan. Hasil analisis pengaruh bersama-sama berdasarkan nilai p value d” 0,05, F = 223,404 didapatkan bahwa pengetahuan, karakteristik inovasi, saluran komunikasi dan system social berpengaruh secara bersama-sama terhadap kesiapan perusahaan dalam pelaksanaan BPJS. Disarankan untuk melakukan sosialisasi pada perusahaan. Didalam lingkungan perusahaan penyampaian informasi dengan komunikasi interpersonal. Informasi yang disampaikan harus jelas dan lengkap.Kata kunci : Pengetahuan, karakteristik inovasi, saluran komunikasi, system social, promosi agen perubahan, kesiapan perusahaanABSTRACTSocial Insurance Organizing Body is to protect community and Indonesian workers from health problems. Until 2010, many companies in Mataram City had not been a member of social insurance for workers because there was a lack of socialization in terms of the importance of health insurance for companies’ sustainability. This research aimed to identify factors influencing readiness of companies in implementing Social Insurance Organizing Body.This was analytic survey with cross-sectional approach. Samples were 113 company managers. Data were collected using a questionnaire and analyzed using the methods of univariate, bivariate, and multivariate (Linear Regression test). The result of this research revealed that percentage of respondents graduated from Diploma III was 27.4%, type of business based on the highest income level of a micro business (64.6%), and type of small business based on number of employees (90.3%). In addition, mostly respondents had low knowledge (52.2%), bad characteristics of innovation (50.4%), good communication channel(52.2%), bad social system (54%), bad promotion of reforming agent (50.4%), and unready company (54%). Furthermore, variables of knowledge (p=0.0001, r=0.898), characteristics of innovation (p=0.0001, r=0.888), communication channel (p=0.0001, r=0.886), social system (p=0.0001, r=0.894), and promotion of reforming agent (p=0.0001, r=0.704) had significant correlation with readiness of companies in implementing Social Insurance Organizing Body. Multivariate analysis showed that variables of knowledge, characteristics of innovation, communication channel and social system jointly influenced readiness of companies (F test= 223.404). As a suggestion, dissemination of information needs to be conducted among companies. Additionally, providing information in companies needs to be done by using a method of interpersonal communication. Provided information must be clear and complete.Keywords : Knowledge, Characteristics of Innovation, Communication Channel, Social System, Promotion of Reforming Agent

Faktor - Faktor yang Mempengaruhi Komitmen Dokter di Puskesmas untuk Tidak Merujuk Kasus Non-Spesialistik Pasien BPJS di Kota Semarang Hendro Sucipto; Chriswardani Suryawati; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.7.2.2019.102-108

Patients who should be able to be treated at the health center (puskesmas) but because of some matters referred to and handled in a hospital, it is a waste of health costs. Hence, BPJS will pay more according to INA CBG's tariff. 3 Advanced Health Facilities, in this case a hospital, is also object to having to deal with non-specialist cases, while the case can actually be completed at the first health facility. Handling non-specialist cases in hospitals leads to health services being less well targeted. The hospital will be very busy handling patients who are not supposed to, while patients who really need treatment in the hospital can be neglected. 2 This study aims to analyze factors which influence the commitment of doctors not to refer to non-specialist cases in health centers in the city of Semarang The study was conducted with a cross sectional quantitative research design. The data were collected by calculating the total results of the questionnaire measurements on each variable with a Likert scale on 73 doctors in 37 health centers spread across the city of Semarang. The study was conducted during March to May 2018. The results showed that the number of non-specialist cases of BPJS Health participant patients was still relatively high. This has to do with the commitment of doctors at the health center not to refer to non-specialist cases. The most influence factor to the commitment of doctors not to refer to non-specialist cases was the doctor's perception of the completeness of facilities and infrastructure and the doctor's perception of his competence

Analisis Pemanfaatan Pelayanan Pertolongan Persalinan Non Tenaga Kesehatan oleh Ibu Bersalin di Kabupaten Kolaka Timur (Studi Kasus di Puskesmas Ueesi) Muh. Ridha Setiawan Salam; Sutopo Patria Jati; Sri Achadi Nugraheni
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Traditional services or service by dukun is a phenomenon of community tradition that needs to be evaluated, especially related to birth assisstance. The scope of delivery by health workers was still low of 68% in 2016.This was qualitative research with phenomenological approach. The subjects of this study were maternal mothers who gave birth within the last 1 (one) year selected from the highland region and lowland region in the Uesesi Puskesmas area. Data were collected by in-depth interview techniques. Processing and data analysis using content analysis. Results showed that there were predisposition factors, enabling factors and reinforcing factors which influenced the behavior. The predisposition factors were 1) the informant is able to explain about healthy labor but unable to explain the safe delivery 2) The informant is still more inclined to the service of dukun maternity 3) The high trust of informant to the dukun maternity. The enabling factors were 1) access to utilize the service of dukun maternity is easy because dukun apply method "pick up ball" 2) Cost of labor can be reached by informant. The reinforcing factors were family and some toma support while some other toma leads to no longer utilize the services of dukun maternity.It is advisable to develop strategies to minimize the number of shamans who perform delivery services, provide education and understanding to the community about delivery by health personnel, and to update and conduct regular meetings on issues related to midwifery science so as to create a quality profession.

Sistem Pemantauan Pengobatan Pasien TB Paru di Puskesmas Kabupaten Kudus Ari Setiawan; Sutopo Patria Jati; Farid Agushybana
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Pecatatan pengobatan Pasien TB paru tentang jadwal pengobatan pasien TB Paru di puskemas Kabupaten Kudus pada lembar catatan pengobatan. Dimana ada lembar yang disimpan petugas dan ada lembar yang dibawa oleh pasien. selain itu, dalam mengirimkan pean petugas harus mencari kontak pasien melihat catatan pasien yang diimpan dalam box file. Dari kondisi tersebut menyebabkan petugas mengalami kendala dalam memantau pasien dalam jadwal pengobatan. Tujuan penelitian ini untuk menghasilkan Sistem Informasi pemantauan pengobatan pasien TB Paru yang dapat digunakan untuk memantau pengobatan pasien, pengiriman pesan pengingat dan menghasilkan rekap laporan mendukung evaluasi Program TB Paru di Kabupaten Kudus. Jenis penelitian yang digunakan adalah actions research berupa pengembangan sistem (system development). Pengembangan sistem menggunakan metode FAST (Framework for the Application of System Techniques). Subjek penelitian terdiri dari 5 responden yang terdiri dari kepala seksi penanggulanagan penyakit menular, pengelola TB Paru di Dinas Kesehatan dan 3 orang petugas TB Paru Puskemas. Hasil dari pengembangan ini adalah sitem informasi berbasis web dengan fitur SMS gateway. Dengan sistem ini petugas lebih mudah dalam memantau pengobatan pasien. dalam list pasien dapat dilihat jadwal pengobatan berdasarkan tanggal yang di inginkan oleh petugas. Dalam pengiriman pesan pengingat lebih mudah dilakukan karena nomor handphone pasien tersimpan dalam basis data sistem. Selain itu rekap laporan pengobatan pasien TB Paru, dan grafik pengobatan pasien berdasarkan puskesmas.

Peran Dokter Dalam Pencegahan Dan Penanggulangan Medication Error Di Rumah Sakit ( Studi di RSI NU Kabupaten Demak ) Abdul Aziz; Sarsintorini Putra; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 6, No 1 (2018): April 2018
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Pencegahan dan penanggulangan medication error perlu dilakukan untuk menurunkan insiden terutama KTD dan mengoreksi sistem dalam rangka meningkatkan keselamatan pasien . Di RSI NU Demak pada 5 tahun terakhir 2012-2016 masih ditemukan medication error . Oleh karena itu perlu dilakukan penelitian peran dokter dalam pencegahan dan penanggulangan medication error di RSI NU Demak. Desain penelitian ini bersifat deskriptif analitik dengan pendekatan kualitatif. Subjek penelitian secara purposive sebagai informan utama 5 dokter yang memberikan pelayanan di RSI NU Demak, informan triangulasi 2 apoteker, 2 perawat dan 2 keluarga pasien. Data dikumpulkan dengan teknik wawancara mendalam, focus group discussion dan observasi. Pengolahan dan analisis data menggunakan analisis isi. Hasil survei dari 100 lembar resep didapatkan hasil: penulisan resep yang sulit terbaca ada 14 lembar resep (14%), dosis kurang tepat ada 75 lembar resep (75%), polifarmasi) ada 55 lembar resep (55%) , interaksi minor ada 28 lembar resep (28%), dan interaksi mayor ada 1 lembar resep (1%). Hal tersebut dilatarbelakangi oleh :1) Predisposisi factor dari aspek pengetahuan terutama interaksi obat masih ada dokter yang kurang memahaminya, aspek beban kerja era BPJS pasiennya semakin banyak tenaga terbatas; 2) Enabling factor ; komitmen dan ketrampilan dalam pencegahan dan penanggulangan medication error masih kurang 3) Reinforcing factor dari aspek managemen RS perencanaan program belum dilakukan sesuai pedoman, sosialisasi SPO terkait kelengkapan administratif resep, HAM, Polifarmasi dan interaksi obat kepada semua dokter, apoteker dan perawat belum dilakukan sesuai pedoman, pelaksanaan monev terhadap indikator mutu patieny safety ( medication error) belum dilakukan sesuai pedoman. Disarankan untuk advokasi dan sosialisasi kepada pengambil kebijakan diikuti deklarasi komitmen bersama dari pihak managemen, dokter, apoteker, perawat untuk mensukseskan program patient safety, pelaksanaan program patient safety dilakukan dengan system pencacatan dan pelaporan,monitoring dan evaluasi agar dapat dilaksanakan sesuai pedoman.

Arrangement of Draft Outline of a Regent Regulation as an Operational Regulation of Local Regulation Number 4 Year 2012 about Health of Maternal, Infant, Baby, and Children under 5 years old in District of Hulu Sungai Selatan in Province of South Borneo Ismayanti Ismayanti; Sutopo Patria Jati; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKABSTRAK Implementasi Perda Kabupaten HSS Nomor 4 Tahun 2012 tentang KIBBLA belum dilaksanakan secara optimal, hal ini dikarenakan selama kurun waktu 2 tahun sejak disahkannya Perda KIBBLA, DKK HSS hanya melakukan kegiatan-kegiatan yang masih bersifat himbauan saja tanpa didukung peraturan lain di bawah Perda yang lebih mengikat. Tujuan penelitian mengevaluasi seberapa jauh kinerja implementasi Perda Nomor 4 Tahun 2012 tentang KIBBLA di Kabupaten HSS terkait penyusunan outline draft Peraturan Bupati tentang KIBBLA. Desain penelitian kualitatif disajikan secara deskriptif eksploratif, pendekatan menggunakan teknik non probability sampling dengan purposive sampling. Subjek penelitian 4 orang informan utama yaitu Kepala Dinas Kesehatan, Kabid Kesga, Kasi KIA dan Kasi Gizi, total informan triangulasi sebanyak 24 orang, yang terbagi dalam 2 kelompok yaitu 12 orang berasal dari tenaga kesehatan pelaksana Perda KIBBLA dan 12 orang sasaran Perda KIBBLA. Data dikumpulkan dengan wawancara mendalam (indepth interview) FGD dan workshop, pengolahan data dengan metode analisis isi (content analysis). Hasil penelitian menunjukkan bahwa: 1) evaluasi kinerja implementasi Perda KIBBLA melalui indikator sebagai berikut: a) akses sasaran Perda KIBBLA untuk menjangkau fasilitas dan pelayanan KIBBLA bervariasi tergantung dari letak geografis; b) pelayanan KIBBLA masih belum dapat dijangkau oleh semua kelompok sasaran; c) frekuensi sasaran mendapat pelayanan KIBBLA beragam tergantung dari jenis pemberi pelayanan; d) masih terdapat penyimpangan terhadap penerapan Perda KIBBLA di lapangan; e) pelayanan yang diberikan masih belum sesuai standar; f) akuntabilitas yang dilaksanakan sebatas pada kegiatan rutin; g) keluaran kebijakan yang diterima oleh sasaran masih belum sesuai dengan kebutuhan; 2) telah dilakukan proses identifikasi masalah dan masukan untuk penyusunan Peraturan Bupati dari sasaran dan petugas kesehatan; 3) telah dilakukan perumusan outline draft Perbup, mengenai: wewenang, tanggung jawab Pemda, pelayanan persalinan, jenis tenaga KIBBLA, jenis sarana pelayanan kesehatan dan kualifikasi yang dibutuhkan, tata cara pelaporan, pengaduan, pembentukan unit pengaduan masyarakat dan tata cara verifikasi dan tingkat kesiapan.Kata kunci : Evaluasi kinerja implementasi, Perda KIBBLA, Outline Draft Peraturan Bupati.ABSTRACTThe local regulation Number 4 Year 2012 about health of maternal, infant, baby, and childrenunder 5 years old in District of Hulu Sungai Selatan had not been optimally implemented because it was not supported by other regulation below its regulation since it was approved two years ago. This research aimed to arrange a draft outline of Regent regulation as an operational regulation of the local regulation Number 4 Year 2012 about Health of Maternal, Infant, Baby, and Children under 5 years old in District of Hulu Sungai Selatan in Province of South Borneo. This was qualitative research presented using descriptive-explorative methods. Number of main informants were 4 persons selected using non probability sampling with purposive sampling. They consisted of head of District Health Office, head of family health department, and heads of maternal and child health section and nutritional section. Informants for triangulation purpose were divided into two groups namely 12 health workers and 12 people of target of the local regulation. Data were collected using in-depth interview, FGD, Brainstorming, and workshop. Furthermore, data were analyzed using content analysis.The result of this research showed that: 1) the indicators to evaluate the local regulationimplementation were as follows: a) access to reach service facilities and obtaining the variousservices depended on geographical location; b) the services of Health of Maternal, Infant, Baby, and Children under 5 years old had not been used by all target people; c) frequency of target people who obtained the services varied depending on types of providers; d) there was any irrelevance in implementing the local regulation; e) there was any unstandardized service; f) a form of accountability was only as a routine activity; g) a released policy was not appropriate with necessity of target people. 2) There had been done a process of problem identification and input to arrange the draft outline of the regent regulation from target people and health workers. 3) Some important points that would be written on the draft outline were: authority, local government responsibility, delivery service, types of workers, types of health service means and qualification needed for the services, reporting procedure, complaint, forming a complaint unit and a procedure to verify and level of readiness.Keywords : Performance Evaluation of Implementation, Local Regulation of Health of Maternal, Infant, Baby, and Children under 5 years old, Draft Outline, Regent Regulation

Co-Authors Abdi, Imanul Abdul Aziz Aditya Kusumawati, Aditya Agnes Melissa Agung Purwanto Agus Budiono Agus Samsudrajat. S Agus Suwandono Aileen, Sophie Akha Pratila Sari Aminarto, Bambang Amni Zarkasyi Rahman, Amni Zarkasyi ANDRI PURNOMO Ani Margawati Anindya, Prakasita Artha Anna Mieke Anneke Suparwati Anneke Suparwati Annisa Pratiwi, Annisa ANNISA RAHMAWATI Annisa Rakhmaningtyas Annisa, Viona Antarini Antarini Antarini Antarini, Antarini Antono Suryoputro Antono Suryoputro Anwar, Choiroel Apoina Kartini Ari Setiawan Arinta Riza Andriani Aris Puji Widodo Aris Puji Widodo Aris Sugiharto Ariyani, Ima Armunanto, Armunanto Arnita Sofianingrum Aryani, Asri Indah Asfiya, Nissa Atul Atik Mawarni Aulia Ika Pratiwi Ayu Aztuty Tanjung Ayun Sriatmi Bagoes Widjanarko Bagus Ronggonundarmo Bagus Widjanarko Baju Widjasena Bernadeta Lintang Hardy Bernadeta Lintang Hardy Bintang Agustina Pratiwi Budiyanti, Rani Tyas Budiyono Budiyono Budiyono Budiyono Budiyono Budiyono Cahya Tri Purnami Cahyaningsari, Brillian Ayu Chriesma Revolaninggar Cika Hanjani Pratiwi Cindi Widia Lestari Dahlan, Muslih Desi, Nina Maria Deviana, Dika Dewi, Eltanin Kumala Dhwi Ba diya Maulina Ikhsani Dian Nursanti Dina Septiyanita Pratiwi Dodik Tugasworo Pramukarso Dodik Tugasworo Pramukarso Dyah Ayu Oktavia Edy Dwi Purwanto Eka Yunila Fatmasari Eka Yunila Fatmasari Eka Yunila Fatmasari, Eka Yunila Elsa Febrie Alvianitasari Endah Sri Lestari Epi Saptaningrum Falentine Lidya Telussa Fani Alizi Ilmifaluthi Fanny, Nabilatul Farid Agushybana Farid Agushybana Farid Farid Agushybana Feby Rahmawati, Feby Feliana Mirnawati Fiany Dharyanti Firman Firman Fitri Aviana Fitria, Candra Tyas Nur Friska, Erlin Guesthi Lunes Mutiara Cintha Handayani, Novia Handayani, Novia Hanun, Hafida Zahara Hapsari, Ika Sulistyaningrum Hardi Warsono Harisa Laraswatie Hartuti Purnaweni Hendra Teguh Setiawan Hendro Nurcahyo Hendro Sucipto Hidayat Waluyo Ika Sulistyaningrum Hapsari Ike Johan Prihatini Iksaruddin, Iksaruddin Imawan, Satria Aji Indah Mutiara Puspita Sari Indah Widiastuti Indriani, Cynthia Rizky Inggita Raiesa Rahmi Inna Maulina Intan Dewi Kumalasari Intan Dewi Kumalasari Intan Hardian Putri Irena Intania Irianti, Gita Febri Ismayanti Ismayanti Johanes Sugiarto Juwita Pratiwi Kaminang, Megawati Ayu Zharani Kartini Pekabanda Khansa Maghfira Djatnika Khasna Fikriya Kholidah, Miskiyatul Kristie Hapsari Primaharini Kusworo Adi Laksmono Widagdo Lathifah Safaatul Uzhma Lelly Prakusya Lestari, Ayu Fina Linda Meliati Lisnia Sari Loveloi Putri Sihanari Lucia Ratna Kartika Wulan Luluk Andani M. Choiroel Anwar Mahalul Azam Maharani, Virgi Mayang Manja Mania Mariyana, Kristin Martha Irene Kartasurya Martini Martini Martini Martini Masrifan Djamil Mateus Sakundarno Adi, Mateus Sakundarno Matsna Haniifah MC. Inge Hartini Meitrika Damayanti Melati, Ayu Sekar Meytri Saraswati Moh Syarofil Anam Mohammad Zen Rahfiludin mufakhhir, Abdulaziez Muh. Ridha Setiawan Salam Muhammad Azinar Muhammad Farras Razin Perdana Muhammad Mukhlis Sujudi Mumpuni Sari Kusumastuti Murdiati, Ari Muslihin, Muslihin - Mustikowati, Mutia Galuh Muthmainnah M, Muthmainnah Mya Rosiana Naintina Lisnawati Nandini, S.KM., M.Kes, Nurhasmadiar Nanik Sulistyorini Nanik Sulistyorini Naylul Izza Izza Ni Made Deviana Widiantari Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nimas Ariyani Damayanti Nining Ningrum Nissa Kusariana Nofa Martina Ariani, Nofa Martina Noor Fadhilah Dyah Anggraini Nufika Fatasyadhuha Nur Endah Wahyuningsih Nurhasmadiar Nandini Nurhasmadiar Nandini Nurlita Putri Apriliani Nurul Fajriah Nurul Fajriah Nurul Hidayati kusumastuti Onny Setiani Ossie Happinasari Paramesthi, Prasasya Pramono Apriawan Wijayanto Pramono Apriawan Wijayanto Puteri Inandin Nabiha Putri Asmita Wigati Putri, Intan Hardian Putri, Sefira Salsabila Rabiatul Amaliah Hariadi Rahmasari, Annisya Aulia Rahmi Rahmi Rani Tiyas Budiyanti Rapotan Hasibuan Rasipin Rasipin Ratna Murpratiwi Ratnawati, Misrina Retno Hestiningsih Reza Fadly, Teuku Riama Haposanita S. Risdanti, Syafira Ristiyana, Lia Sarita Rizani Shofi Rochwati, Siti Romdhonah Romdhonah Ronald Mahudin Rosalia, Marcheda Rahma Rosanti, Aan Runjati Salma Salma salnia salnia Sandyaga Ghaffar Purwanto Sari, Emy Novita Sarsintorini Putra Septo Pawelas Arso Septyana Fauzy Shabika Imany Putri Wiguna Shinta Trinovia Kumalasari Shofiyana Shofiyana Silavati, Yuni Adhita Silfia Addina Sinaga, Ong Felin Siti Raihanah Soakakone, Minnalia Sri Achadi Nugraheni Sri Isroyati Sri Maryati Sri Maryati Sri Suwitri Sri Yuliawati Suci Aull Radian Sudarmono sudarmono Sudiro Sudiro Sugiarto, Puput Suhardi S Suhartono Suhartono, Suhartono Sulianti Rosianna Sihotang Surjoputro, Antono Suryawati, Chriswarandi Suryosaputro, Antono Susanti susi yanti Syafira Risdanti Syamsulhuda BM Syamsulhuda Budi Musthofa Tasia Deastuti Tika Purbadiyanti Pranata Titik Handayani, Titik Tjahjono Kuntjoro Tjahjono Kuntjoro Tomi Konstantia Setiaji, Tomi Konstantia Tri Haryani Nur Liyana Tri Wardhani, Ria Trianita Eka Pamundhi Triastuti, Akyuning Una Zaida Untung Sujianto Vannisa Fandyar Maulidhika Viona Febya Pangestika Virgi Mayang Maharani Virgi Mayang Maharani Wibowo, Dony Kurniadi Wijaya, M. Indra Hadi Wijayanto, Pramono Apriawan Wildan Nur Aiman Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Yanti, Ni Luh Devi Yoga Dwi Ardianto Yudhy Dharmawan Yulia Elesta Nitbani Yuliani Setyaningsih Yulianto Prabowo Yuliastuti, Ika Kurnia Yuni Adhita Silavati Zahroh Shaluhiyah Ziaurrahmi, Ziaurrahmi

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