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<![CDATA[GAMBARAN IMPLEMENTASI PROGRAM JAMINAN KESEHATAN NASIONAL DI RUMAH SAKIT IBU DAN ANAK HARAPAN BUNDA TAHUN 2016 ]]>
<![CDATA[Pande Made Sri Rahayu]]>;
<![CDATA[Putu Ayu Indrayathi]]>
<![CDATA[ ARCHIVE OF COMMUNITY HEALTH Vol 4 No 1 (2017): Juni (2017) ]]>
Publisher : <![CDATA[Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI) ]]>
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DOI: 10.24843/ACH.2017.v04.i01.p07
<![CDATA[ABSTRAKDalam upaya mencapai Jaminan Kesehatan Semesta (Universal Health Coverage) tahun 2019 maka seluruh elemen kesehatan diharapkan dapat bekerja sama, termasuk rumah sakit RSIA Harapan Bunda sebagai salah satu fasilitas kesehatan tingkat lanjut yang bekerja sama dengan BPJS Kesehatan tercatat mulai pada bulan Maret 2015. Tujuan dari penelitian ini adalah untuk mengetahui gambaran implementasi program JKN di RSIA Harapan Bunda. Penelitian ini merupakan penelitian dengan desain deskriptif kualitatif. Pengumpulan data dilakukan dengan wawancara mendalam kepada responden yang telah ditentukan dengan metode purposive sampling sebanyak 13 orang. Hasil penelitian menunjukkan bahwa RSIA Harapan Bunda perlu persiapan dari bagian manajemen selama 6 bulan agar dapat menerima pasien JKN. Persiapan dari pembentukan tim penanggung jawab pelaksanaan JKN di rumah sakit dan sarana prasarana. Keuntungan secara nominal selama 1 tahun pelaksanaannya belum didapat hanya masyarakat semakin mengenal RSIA Harapan Bunda sehingga kunjungan pasien bertambah. Petugas medis memberikan pelayanan yang sama kepada pasien umum dan pasien pengguna JKN, berdasarkan pada SOP yang telah ditetapkan oleh rumah sakit. Petugas penunjang medis telah berbekal pelatihan tentang penggunaan program INA-CBGs di rumah sakit.Pasien sebagai penerima pelayanan kesehatan merasa sangat terbantu dengan adanya program JKN. Prosedur dalam memperoleh pelayanan kesehatan sudah diketahui, namun masih ada pasien yang belum memahami dengan baik sehingga ada kesalahpahaman dengan petugas pendaftaran rumah sakit. Sosialisasi untuk penyatuan persepsi dan komitmen dari setiap komponen rumah sakit agar seluruh karyawan dapat memahami program ini dan mengetahui hal-hal apa saja yang harus diupayakan untuk mewujudkan pelayanan kesehatan yang cost effective. Kata Kunci: Implementasi, Jaminan Kesehatan Nasional, RSIA.]]>
<![CDATA[PERSEPSI PENGGUNA LAYANAN KESEHATAN PRIMER MENGENAI KUALITAS PELAYANAN PADA PUSKESMAS BADAN LAYANAN UMUM DI KABUPATEN GIANYAR ]]>
<![CDATA[Rina Listyowati]]>;
<![CDATA[Putu Ayu Indrayathi]]>;
<![CDATA[Ni Made Sri Nopiyani]]>
<![CDATA[ ARCHIVE OF COMMUNITY HEALTH Vol 3 No 1 (2016): Juni (2016) ]]>
Publisher : <![CDATA[Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI) ]]>
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<![CDATA[One of the reasons for establishing Public Service Agency (BLU) policy at Community Health Care Centers is the number of complaints for poor quality services. This policy was implemented in January 2010 by the Gianyar Government in every Community Health Care Center in Gianyar. This is the realization of the Gianyar Government's attention in improving the quality of the Community Health Care Center Services. This study aims to determine the public perception of the quality of services provided by the Community Health Care Center in Gianyar District. This study was a cross-sectional analytic study and conducted at four Community Health Care Centers with BLUD’s status in Gianyar District with 105 respondents selected by multistage random sampling method. The data collection included survey questionnaires and analyzed descriptively by chi square test. The results showed that overall the respondents had a "good" perception towards the elements of Community Health Care Center services with BLU status in Gianyar District. However, there are three elements that were "perceived as poor" comprising responsiveness (14.3%), accuracy (11.4%) and environmental comfort (12.4%). The results of the chi square test showed that there were significant differences between the age factors with the respondent perceptions of service quality in Community Health Care Center with BLU status (p = 0.004), but gender, education level and occupation did not have a meaningful relationship. This research suggests that the Health Office should increase the intensity of coaching and facilitation of procedures related to the Community Health Care Center so that the expected performance of attendant care becomes more patterned.]]>
<![CDATA[ASSESSMENT OF LIFE QUALITY OF CERVICAL CANCER PATIENTS DELIVERED BLEOMYCIN ONCOVIN MITOCYN PLATINUM (BOMP) CHEMOTHERAPY REGIMENS IN SANGLAH DENPASAR ]]>
<![CDATA[Rini Noviyani]]>;
<![CDATA[I Nyoman Gede Budiana]]>;
<![CDATA[Putu Ayu Indrayathi]]>
<![CDATA[ International Journal of Biosciences and Biotechnology Vol 2 No 2 (2015) ]]>
Publisher : <![CDATA[Central Laboratory for Genetic Resource and Molecular Biology, Faculty of Agriculture, Udayana University in cooperation with Asia-Oceania Bioscience and Biotechnology Consortium (AOBBC) ]]>
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<![CDATA[Cervical cancer disease is one of cancers that attack many women in the world and ranks second afterbreast cancer. Symptoms of cervical cancer may cause degradation quality of patients life.Chemotherapy is one of treatments of cervical cancer patients. Chemotherapy provides therapeuticeffects, however, it can causes a decrease in life quality due to its side effects. BOMP is one ofregimens that can be used as one of the management of cervical cancer. Assessment of quality ofpatients life with cervical cancer are needed to see the changes in the quality of life in patients besidesknowing the functional status changes from time to time. Monitoring the effects of treatment, andcollecting the data on quality of life can be used as initial data for consideration in formulating theappropriate action for the patient, And also assist physicians in selecting an effective and welltolerated drug for patients.The study was conducted in February to June 2014 in Obstetrics Clinic andCempaka Timur Room General Hospital (RSUP) Sanglah in observational design with cross sectionalprospective. The sample selection is done by consecutive sampling. The methods used for datacollection using questionnaires EORTC QLQ with interview techniques before and afterchemotherapy in patients suffering cervical cancer of squamous cell stage IIB - IIIB who had BOMPchemotherapy regimens for 3 series in RSUP Sanglah. Research for quality of life is conducted ingeneral and the 15 domains that affect the quality of life of patients. In this study, 12 patients indicatedthe inclusion criteria. There were significant differences in the value of the quality of life of patientswith cervical cancer squamous cell stage IIB - IIIB before and after BOMP chemotherapy with 0.001p value. BOMP chemotherapy regimens can improved the quality of life of cervical cancer patientsincreasing from 44.833 ± 6.235 to 60.333 ± 9.168. In 15 ratings domain included decrease the qualityof life of pain domain, nausea domain, vomiting domain, decreased appetite domains, fatigue domain,physical function domain, functional role domain, social functioning domain, sleeplessness domain,constipation domain and domain of financial difficulties and on the other hand emotional domainincrease.]]>
<![CDATA[PELATIHAN UNIT COST SEBAGAI DASAR PENETPAN TARIF BAGI BIDAN PRAKTEK SWASTA DI WILAYAH KELURAHAN PENATIH,DENPASAR ]]>
<![CDATA[WIDARSA WIDARSA]]>;
<![CDATA[P.A. INDRAYATHI]]>;
<![CDATA[ARYA UTAMI]]>;
<![CDATA[K. SUTIARI]]>;
<![CDATA[K. SUARJANA]]>;
<![CDATA[HARI MULYAWAN]]>
<![CDATA[ Buletin Udayana Mengabdi Vol 7 No 2 (2008): Volume 7 No.2 – September 2008 ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian kepada Masyarakat ]]>
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<![CDATA[ABSTRACT Midwifery as paramedic in a village plays an important role in primary health care in order to pursue Indonesia Sehat 2010. Midwifery should provide good services with adequate tariff for society. As one indicator of service, the use of unit cost method has become an important part in tariff calculation. It was found that knowledge of the local Midwifery about unit cost was quite low. The activity of community services was carried out at IKK-IKP department Faculty of Medicine, on 01st September 2007. This activity aimed to improve knowledge and ability of midwifery of how to use Unit Cost in tariff calculation. The method was practicing on calculate several health care services cost. The result of this activity was midwifery can create adequate tariff base on unit cost.]]>
<![CDATA[Perception Of Contraception Access And Utilization In Teenagers In Senior High School No 8 Denpasar, Bali ]]>
<![CDATA[R. Listyowati]]>;
<![CDATA[N. M. S. Nopiyani]]>;
<![CDATA[P. A. Indrayathi]]>
<![CDATA[ Journal of Health Sciences and Medicine Vol 1 No 2 (2017): JHSM (September 2017) ]]>
Publisher : <![CDATA[Institute for Research and Community Services Udayana University ]]>
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<![CDATA[The images of teenagers in the world, especially in South Asia and Southeast Asia have less information about reproductive and sexual health because of the assumption that it is unnecessary even considered harmful if they knew it. It’s not surprise that the teen birth rate is still quite high. previous research in Indonesia on adolescent premarital sexual behavior, obtain a yield of about 25% - 51% of teens have sex before marriage. (Utomo ID 2009; 40 (2) :. 133-46.). Studies in Bali obtain the results of teenage boys in high school (SMA) and junior high school (SMP) more premarital sex (40.3% and 29.4%) than girls (3.6% and 12.5%). Teenage boys in Bali more permissive toward premarital sexual behavior than girls and about 5% of teens have sex before marriage (Faturochman 1992; 1 :. 12-7) Adolescents have a right to a healthy life. They need to have access of the tools that can protect their health, such as condoms, contraception and youth-friendly health services are comprehensive. Governed by Law no. 36/2009 Article 4 and 5, which states that everyone has the same right to gain access of health and this rule does not see marital status. The purpose of this study was to describe the general perception of access and use of contraception among adolescents in the city of Denpasar.]]>
<![CDATA[Influence of Social Media Exposure on Knowledge and Behaviour of COVID-19 Preventive Measure ]]>
<![CDATA[Putu Ayu Indrayathi]]>;
<![CDATA[Putu Erma Pradnyani]]>;
<![CDATA[Pande Putu Januraga]]>;
<![CDATA[Luh Putu Sinthya Ulandari]]>;
<![CDATA[Laszlo Robert Koloszvari]]>;
<![CDATA[Benny Tjahjono]]>;
<![CDATA[Desak Putu Yuli Kurniati]]>;
<![CDATA[Monika Sri Yuliarti]]>
<![CDATA[ International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022 ]]>
Publisher : <![CDATA[Intelektual Pustaka Media Utama ]]>
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DOI: 10.11591/ijphs.v11i4.21926
<![CDATA[A lot of misinformation about COVID-19 on social media possibly hinder the practice of healthy behaviors that are essential to protect individuals. This situation is exacerbated by the lack of health literacy in Indonesia. This study aimed to determine the influence of social media information exposure on the knowledge and behavior of Indonesians in compliance with COVID-19 protocols. An online survey of 909 people was conducted from July 2nd to August 10th, 2020. The data collected were knowledge and behavior of preventing COVID-19, while independent variables were socio-demographic characteristics and exposure to social media information. Inclusion criteria were defined as follows: minimum age of 18 years and domiciled in the country during the data collection period. The analysis used for the data collected were univariate and multivariate. The result showed that gender, age, marital status, and social media presence significantly affect a person's knowledge about COVID-19 with a p-value of 0.05. Enforcement behavior of health and healthy living protocols is significantly influenced by the respondent’s gender, marital status, education level, the island of residence, and exposure to online information. The frequency of exposure to information affects people's knowledge and behavior to implement health protocols and healthy living in the COVID-19 era, and it is further influenced by socio-demographic characteristics.]]>
<![CDATA[PERCEIVED QUALITY OF CARE DURING COVID-19 AT SANJIWANI HOSPITAL GIANYAR, BALI ]]>
<![CDATA[Putu Ayu Indrayathi]]>;
<![CDATA[Putu Erma Pradnyani]]>;
<![CDATA[Ni Luh Saptiaryati]]>;
<![CDATA[Luh Putu Sinthya Ulandari]]>;
<![CDATA[Laszlo Robert Kolozsvari]]>
<![CDATA[ Jurnal PPI Dunia Vol 5 No 2 (2022) ]]>
Publisher : <![CDATA[OISAA ]]>
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DOI: 10.52162/jie.2022.005.02.4
<![CDATA[COVID-19 has caused a decrease in the number of visits to health care due to restrictions on public activities to reduce local transmission, but the quality of service is essential to be maintained. This study measured and examined factors related to public satisfaction with the inpatient services provided by Sanjiwani Hospital. This research is an observational study with a cross-sectional design. Of the 204 patients were taken using a consecutive sampling technique. Data collection was conducted from October-November 2020. Data collected of social demographic, 41 questions related to public satisfaction, and six aspects of the prevention of COVID-19. Data were analysed in univariate and bivariate analysis using the T-Test and Oneway Anova to determine factors related to the level of public satisfaction. The results showed general satisfaction score is a value of 4.10, meaning that it is in the satisfied category. There is a trend of increasing public satisfaction scores from 2018 to 2020. The factors related to public satisfaction are based on the type of National Health Insurance (JKN) membership the patient uses during treatment. Sanjiwani hospital should consider establishing digital service innovations to make it easier to access health care in the era of COVID-19.]]>
<![CDATA[Perceived quality of primary healthcare services among the National Health Insurance members and fee for service patients in the West Denpasar II Public Health Center Bali, Indonesia ]]>
<![CDATA[Nitya Nijyoti]]>;
<![CDATA[Putu Ayu Indrayathi]]>;
<![CDATA[I Made Ady Wirawan]]>
<![CDATA[ Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020) ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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DOI: 10.53638/phpma.2020.v8.i1.p10
<![CDATA[Background and purpose: The Government of Indonesia established the National Health Insurance or in Indonesia called Jaminan Kesehatan Nasional (JKN) in 2014 with the target of achieving universal health coverage (UHC) by 2019. However, many have not become JKN participants and still use the fee for service financing system. The purpose of this study was to determine patient’s perceptions of the quality of health services under the JKN and fee for service payment methods. Methods: A cross-sectional study was conducted at West Denpasar II Public Health Centre (PHC) with 133 outpatient respondents who were selected sequentially. Data collection was carried out in June 2019 through interviews. Patients’ perceptions of service quality were measured according to the six domains of health service quality established by the Institute of Medicine (IOM) which include effectiveness, efficiency, timeliness, patient-centered approach, safety and equity. Bivariate analysis was conducted with Mann Whitney test and multivariate analysis with Ancova. Results: Patients’ perceptions of the quality of services in the JKN and fee for service payment methods were found to be quite good with an average of 3.08 and 3.17 of the maximum value of 4.0. Bivariate analysis showed a significant difference with a mean rank of 54.28 for JKN and 79.16 for fee for service (p<0.01). Patients’ perceptions of service quality also differed significantly based on the dimensions of efficiency (p=0.001), effectiveness (p=0.005), timeliness (p=0.007) and patient-centered approach (p=0.032). Multivariate analysis showed that the variable that was significantly related to patient perceptions of service quality was the payment methods (p<0.001). Conclusion: Patients with a fee for service payment methods have a better perception of service quality than patients who use JKN. Advocacy to policy makers and service providers should be conducted in order to ensure the equal quality of service for all patients.]]>
<![CDATA[Analysis of Public Health Centre Financing using the District Health Account (DHA) Model in Karangasem District, Bali, Indonesia ]]>
<![CDATA[Ni Nengah Murniati]]>;
<![CDATA[Putu Ayu Indrayathi]]>;
<![CDATA[Pande Putu Januraga]]>
<![CDATA[ Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020) ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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DOI: 10.53638/phpma.2020.v8.i1.p11
<![CDATA[Background and purpose: Health financing aspects of the public health centres (PHC) may influence the achievement of PHC’s programs and its minimum service standards (SPM). The District Health Account (DHA) is a model used to describe and evaluate health financing at the PHC level. The purpose of this study was to analyze health financing mechanism from both the government and national health insurance in the Karangasem District using the DHA Model. Methods: This study was an evaluation research with a case study approach using the DHA Model. Evaluations were carried out at two PHC, Manggis II PHC and Abang I PHC, between March and April 2018. Data were collected from the Karangasem District Health Office and the PHCs. These include PHC realization data, report on program achievements and SPM. The research instrument used for the data collection and analysis was the DHA extraction form and pivot table which includes information on cost sources, financing managers, service providers, functions, programs, types of activities, budget lines, levels of activities and beneficiaries. Results: We found the source of budget in both PHC was dominated by the district budget (APBD) and the national budget (APBN). The institutions which manage the budget and provide service were predominantly the Health Office and PHC. The most frequent financing functions was for governance and administration, while the largest types of activities covered was the indirect activities. Budget spending for operational costs was higher than for maintenance and investment. Realization of the activity for community program efforts (UKM) and prevention program (UKP) was lower than for the capacity building program. Conclusion: The DHA model was able to identify patterns of health budget allocation by health agencies. The use of the DHA model to analyze health financing should be adopted routinely in order to provide evaluation reports for health agencies at the district level.]]>
<![CDATA[Bukti Keefektifan Program Harm Reduction dalam Mencegah Penyebaran HIV di antara Pemakai Narkoba dengan Jarum Suntik ]]>
<![CDATA[Putu Ayu Indrayathi]]>
<![CDATA[ Jurnal Ilmu Kesehatan Masyarakat Vol. 1 No. 3 (2010): Jurnal Ilmu Kesehatan Masyarakat ]]>
Publisher : <![CDATA[Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University ]]>
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<![CDATA[Latar Belakang: Jumlah pemakai narkoba suntik (penasun) senantiasa meningkat di hampir semua belahan dunia. Penasun merupakan salah satu faktor penyebab meningkatnya penyebaran virus HIV. Oleh karena itu, stategi untuk menanggulangi penyebaran virus HIV diantara penasun harus segera dikembangkan untuk meminimalkan penyebaran virus HIV dan dampak negative lainnya. Salah satu metode yang bisa dipakai untuk meminimalkan penyebaran virus HIV adalah dengan program harm reduction.Metode: Metode yang dipakai dalam makalah ini adalah review dari literatur yang ada untuk menganalisa keefektifan program harm reduction untuk mencegah penyebaran virus HIV pada penasun.Hasil: Intisari dari program harm reduction adalah untuk meminimalkan dampak negatif dari penggunaan obatobatan terlarang melalui jarum suntik seperti penyakit yang menular melalui darah,overdosis, komplikasi medis karena menggunakan obat-obat terlarang dan dampak sosial lainnya tanpa harus menghentikan penggunaan obat secara seketika.Tujuan dari program harm reduction adalah menjaga agar penasun tetap bisa hidup sehat dan produktif sampai program ini dapat mengurangi ketergantungan penasun akan narkoba. Dalam prakteknya, ada beberapa strategi yang dipakai dalam program harm reduction yaitu needle syringe programs (NSP), drug replacement therapy, voluntary counselling and testing (VCT) and HIV Outreach Program and Education. Pendekatan harm reduction telah terbukti efektif mampu mengurangi perilaku beresiko para penasun sehingga mampu mencegah penyebaran virus HIV. Pelaksanaan program harm reduction secara menyeluruh sangat mendesak untuk dilaksanakan, terutama di Negara-negara yang menghadapi peliknya permasalahan HIV/AIDS. Kesimpulan: Harm reduction bertujuan untuk meminimalkan permasalahan yang timbul karena penggunaan obat-obatan terlarang terutama pengguna narkoba suntik. Program ini aman untuk diterapkan dan tetap menjunjung harkat,martabat dan hak asasi para penasun.Kata kunci: harm reduction, HIV, penasun, needle syringe program and VCT.]]>
