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All Journal Jurnal Kebijakan Kesehatan Indonesia Amerta Nutrition Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Berita Kedokteran Masyarakat
Likke Prawidya Putri
Department Of Health Policy And Management, Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada Yogyakarta
Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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Implementasi Program Pengelolaan Penyakit Kronis (Prolanis) di Puskesmas Poasia Kota Kendari Ulfayani Ramsar; Laksono Trisnantoro; Likke Prawidya Putri
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1522.398 KB) | DOI: 10.22146/jkki.v6i4.26899

Abstract

Background: The Chronic Disease Management Program (Prolanis) is a system of health services and proactive approach, implemented in an integrated manner involving participants, health facilities and BPJS Health in order to maintain health for BPJS Health participants who suffer from chronic diseases to achieve optimal quality of life With the cost of effective and efficient health services. Prolanis program is to improve the quality of life of BPJS participants who suffer from chronic diseases, especially diabetes mellitus (DM) type II and hypertension. This prolanis is implemented by a government-owned first-level health facility (FKTP). Aims: to describe the influence of external factors, internal and individual character to the scope of implementation of prolanis program in kendari city. Method: The research type is descriptive research with qualitative method by using single case study design. Informants in this study are stakeholders who play a role in the Implementation of Chronic Disease Management Program (Prolanis) at Poasia Health Center of Kendari City which consists of 12 informants. The way data collection is done is by observation, in-depth interviews, and document review. This research was conducted in April-May 2017. It was analyzed with qualitative abalisa. Result: From the result of the research, it is obtained from the external influences in this case the health service fully supports the prolanis activity. On the internal factors obtained puskesmas poasia is good enough to carry out prolanis. And on the character factor of the invidu still the lack of knowledge and understanding of the health personnel involved in the implementation of prolanis. Conclusion: improving the knowledge and understanding of health personnel involved in the prolanis program. 
Dampak Keterlibatan BAPPEDA dalam Rangka Pengembangan Kapasitas SKPD Lintas Sektor bagi Perencanaan dan Penganggaran Program Kesehatan Ibu dan Anak di Provinsi Papua Deni Harbianto; Laksono Trisnantoro; Tiara Marthias; Muhammad Faozi Kurniawan; Likke Prawidya Putri; Deswanto Marbun
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 2 (2016)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (522.697 KB) | DOI: 10.22146/jkki.v5i2.30786

Abstract

ABSTRACTBackground: Maternal and child mortality rate in Indonesia is still high. Indonesia is also expected not to reach the target of MDG 4 and 5 in 2015. In an effort to improve the health status of mothers and children in the context of decentralization, planning and budgeting at the district health is an important element of the health system. Evidence-Based Budgeting Planning Approach (EBP/PPBB), is a planning approach models that use data and academic health evidence in the framework of program decision-making as a references. Objectives: Describe the impact results of the PPBB KIA implementation in order to analyze, the impact of BAPPEDA involvement in maternal and child health planning advocacy through coordination across sectors.Research Methods: This study is a descriptive-correlative study that analyze the impact of BAPPEDA involvement in cross- sectoral planning for MCH programs, that are carried out in accordance with bottleneck analysis of the existing health system, using 66 interventions based continuum of care.Results: Cross-sectoral involvement in the planning and budgeting for MNCH brings a positive impact on the district health work plan. Bappeda involvement is crucial to coordinate cross-sectoral program for MNCH.Conclusions: Capacity of district planning staff is limited and should be improved, lack of evidence in planning is due to lack of health data, and the cross sector advocacy for health budgeting is insufficient. PPBB approach can improve capacity on planning on evidence-based and integrated planning for MNCH across-sectoral. Key Word: Planning, Maternal and Child Health, Cross Sectoral ABSTRAKLatar Belakang: Angka kematian ibu dan anak di Indonesia masih tinggi. Indonesia juga diprediksi tidak dapat mencapai target MDG 4 dan 5 pada tahun 2015. Dalam upaya peningkatan status kesehatan ibu dan anak dalam konteks desentralisasi, perencanaan dan penganggaran kesehatan di kabupaten merupakan elemen sistem kesehatan yang penting. Pendekatan Perencanaan Penganggaran Berbasis Bukti (PPBB) KIA, merupakan bentuk model perencanaan yang menggunakan bukti data dan referensi akademis dalam rangka pengambilan keputusan program kesehatan.Tujuan: memaparkan hasil implementasi PPBB-KIA dalam rangka melihat hubungan keterlibatan Bappeda dalam advokasi perencanaan perencanaan kesehatan ibu dan anak melalui koordinasi lintas sektor.Metode Penelitian: Kajian ini secara deskriptif-korelatif keterlibatan Bappeda dalam perencanaan lintas sector untuk progam KIA yang dilakukan sesuai dengan sumbatan sistem kesehatan yang ada dan berdasarkan 66 intervensi berbasis continuum of care.Hasil: Keterlibatan lintas sektor dalam perencanaan dan penganggaran KIA membawa dampak positif terhadap rencana kerja. Peran Bappeda semakin kuat dan memberikan kontribusi positif dalam kegiatan ini. Keterlibatan Bappeda terlihat berpengaruh dalam koordinasi program KIA untuk lintas sektor. Kesimpulan: Peningkatan kapasitas staf perencanaan kabupaten yang masih terbatas, kurangnya data kesehatan, peran advokasi lintas sektor ke Pemda yang belum kuat untuk meningkatkan pembiayaan kesehatan. Pendekatan PPBB dapat meningkatkan kapasitas perencanaan KIA secara berbasis bukti nyata terpadu dan terintegrasi dan lintas sektor di daerah. Kata Kunci: Perencanaan, Kesehatan Ibu dan Anak, Lintas Sektor
Efektivitas Fortifikasi Pangan terhadap Kadar Hemoglobin pada Remaja: Tinjauan Sistematis dan Meta-Analisis: Effectiveness of Food Fortification to Anemia in Adolescents: A Systematic Review and Meta-Analysis Karomah, Ulfatul; Dewi, Ni Made Putri Kusuma; Putri, Likke Prawidya
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.466-477

Abstract

Background: Anemia is still a global problem with nearly 2 billion people worldwide experiencing anemia by 2021. The population most vulnerable to anemia is adolescent girls. Anemia is prevalent in low- and middle-income countries. Food fortification is an anemia prevention strategy that is considered the most effective, economical, and able to reach the wider community. Objectives: To assess the effectiveness of iron (Fe)-fortified foods, whether or not supplemented with other micronutrients, on adolescent anemia in low- and middle-income countries. Methods: This research follows the PRISMA protocol and PICO rules. The databases used were PubMed, Scopus, Science Direct, and Cochrane. Study participants were adolescent girls aged 10-18 who received Fe-fortified food intervention. The comparison was adolescents who were given non-fortified food or a placebo. The outcome of interest was hemoglobin (Hb) level. Discussions: Of the 482 studies obtained, 10 studies were eligible, and eight studies proceeded to meta-analysis. The results of the meta-analysis showed that the mean change in Hb was higher in the intervention group compared to the control group. However, the variation between studies was heterogeneous (I2=97%, p-value<0.01). The highest mean difference value was fortification in soy sauce with 40 mg NaFeEDTA with Standardized Mean Difference (SMD)=2.88 mg/dL, while the lowest was rice fortification with SMD=0.01 mg/dL. Conclusions: This study can serve as a reference for creating intervention programs for fortification of foodstuffs to prevent anemia in adolescent girls in developing countries and upper-middle-income countries.
The Use of Personal Protective Equipment (PPE) in Maternal Care During the COVID-19 Pandemic Mawarni, Devina Bunga; Ekawati, Fitriana Murriya; Putri, Likke Prawidya; Bismantara, Haryo
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.105109

Abstract

Introduction: The COVID-19 pandemic has driven rapid changes in healthcare delivery worldwide, including maternal care. In Indonesia, there has been an increase in maternal and infant mortality during the COVID-19 pandemic. Hospitals and health centers are high-risk locations for the transmission of this disease. Controlling potential hazards in healthcare facilities can be achieved by using Personal Protective Equipment (PPE). However, there has been an increased demand for PPE during the pandemic, leading to a shortage of availability. Nevertheless, PPE is a crucial component for protecting both healthcare staff and patients from COVID-19 transmission. Research related to the evaluation of PPE usage among healthcare workers during the COVID-19 pandemic, especially in maternal healthcare, is limited. Therefore, this study aims to evaluate the use of Personal Protective Equipment (PPE) by healthcare workers when providing maternal care in healthcare facilities in the city of Banjar, West Java. Methods: This research is a quantitative study in the form of a descriptive cross-sectional study. The minimum sample size consisted of 96 individuals, including general practitioners, midwives, nurses, and obstetricians who are currently actively providing maternal care services in healthcare facilities in the City of Banjar. Data collection was conducted using the snowball sampling method in February – March 2022, with the El-Sokkary questionnaire from 2021 as the modified instrument distributed online. Result: The research results showed that the majority of respondents were female (96,3%), worked as midwives (95,4%), were aged 25-34 years (40,3%), had 6-10 years of work experience (29,3%), and in the past two weeks, the majority worked in primary care settings (40,3%). Exposure to training and guidelines, as well as exposure to COVID-19 patients, were both considered high (grand mean 2,7 and 2,2). Healthcare facility policies indicated that the majority did not impose sanctions (75,2%) if personal protective equipment (PPE) was not used according to guidelines, and the compliance rate ranged from 65-80% (43,1%). The frequency of PPE usage was categorized as high (grand mean 3,6), with only 58,7% feeling that the availability of PPE was sufficient, with N95 masks and similar items experiencing the most shortages (73,3%). Healthcare workers' negligence was relatively low (grand mean 2,9), but the compliance with PPE usage guidelines varied from 0 to 42,8%, depending on the type of service provided.  Conclusion: The types of personal protective equipment (PPE) frequently used by healthcare professionals (midwives, nurses, general practitioners, and obstetricians) include surgical masks/N95 masks, waterproof surgical gowns, face shields, goggles, headgear, protective shoes, aprons, and gloves. The overall compliance rate for the use of PPE is approximately 65-80% according to local healthcare facility regulations. The evaluation of PPE usage indicates that the compliance with PPE usage among maternal healthcare providers varies depending on the type of service provided, with the highest compliance observed in the case of delivery services for suspected/confirmed COVID-19 patients. The results of this research are expected to be considered by healthcare facilities and relevant stakeholders in documenting and providing the necessary types of PPE required by healthcare professionals in their daily practice.
Congenital heart disease screening program in elementary schools: a research-based policy Dinarti, Lucia Kris; Hartopo, Anggoro Budi; Hadwiono, Muhammad Reyhan; Wiradhika, Abdul Majid Halim; Meliala, Andreasta; Putri, Likke Prawidya; Fajarwati, Prahesti; Anggrahini, Dyah Wulan
BKM Public Health and Community Medicine Vol 39 No 01 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i01.5783

Abstract

Purpose: CHD is a condition where heart abnormalities develop before birth and can lead to severe complications such as heart failure and premature death, especially among younger adults. Delayed diagnosis and treatment worsen the situation for CHD patients. Early screening can prevent CHD and ensure timely interventions. This study discusses the latest advancements in CHD screening for primary school children and the valuable insights gained from the program. Method: The CHD screening program in Yogyakarta province involved three stages: consolidation, implementation, and incorporation. During the consolidation stage, key decision-makers in the province and local health offices were involved. Primary healthcare workers and primary school teachers were trained to deliver the screening during the implementation stage. Stakeholders, health workers, and teachers were invited to discuss the results, and the Provincial Governor's office was engaged during the incorporation stage. Results: In 2018–2019, 18 CHDs were identified from 6,116 school-age children in 4 districts in Indonesia. The screening program was led by academics in the Universitas Gadjah Mada through 3 stages: consolidation, implementation, and incorporation. Strong collaboration with local stakeholders has contributed to the program's success in engaging 130 schools, 60 community health centers, and 190 health workers. Several opportunities for improvement are: strengthening the capacity and number of health providers at health centers to screen CHDs using 12-lead electrocardiography, addressing patients' reluctance to visit the health facility due to the COVID-19 pandemic, and motivating parents to have their children checked. Conclusion: CHD screening using 12-lead electrocardiography and auscultation should be part of primary school health screenings. Academics can train health workers, and local governments can provide funding and prepare health facilities for follow-up treatment.
Analysis of Policy Implementation of Minimum Service Standards in the Field of Health Indicators of Health Services for People with Diabetes Mellitus in Magelang Regency Agustina, Nika Maya; Mahendradhata, Yodi; Putri, Likke Prawidya
Jurnal Kebijakan Kesehatan Indonesia Vol 12, No 2 (2023): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.84260

Abstract

In order to overcome diabetes, the government set some laws and regulations. One of them is Government Regulation Number 2 of 2018 concerning minimum service standards. SPM for Health is regulated in Permenkes number 4 of 2019. District / City Health SPM consists of 12 indicators. One of the indicators is health care in patients with diabetes mellitus according to the standard. Magelang regency is the third lowest Regency in 2020 with achievements of only 41.9 percent and 59.75 percent in 2021. Necessary analysis related factors inhibiting and supporting implementation. This study was conducted by the method of Qualitative content analysis. Using in-depth interview techniques, field observation and secondary data retrieval.The results of the study there are variations between the achievement of SPM Puskesmas. factors inhibiting the achievement of SPM in the field of health indicators of health services in patients with diabetes mellitus in Magelang regency is the lack of availability of budget, infrastructure and Human Resources, community characteristics and lack of understanding and knowledge both from the organizers and users. Supporting factors for the achievement of SPM in the field of health indicators of health services for people with diabetes mellitus in Magelang regency are leadership support and the chosen policy strategy.
Evaluasi Kerjasama Lintas Sektor dalam Meningkatkan Capaian Imunisasi Dasar Lengkap di Kabupaten Sumba Tengah Fitriah, Yunita; Mahendradhata, Yodi; Putri, Likke Prawidya
Jurnal Kebijakan Kesehatan Indonesia Vol 13, No 3 (2024): September
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.96378

Abstract

Imunisasi merupakan salah satu investasi kesehatan yang paling cost effective (murah), karena terbukti dapat mencegah dan mengurangi kejadian kesakitan, kecacatan, dan kematian akibat Penyakit yang Dapat Dicegah Dengan Imunisasi (PD3I). Kabupaten Sumba Tengah selama 5 tahun terakhir (Tahun 2018-2022), kondisi cakupan imunisasi dasar lengkap bada bayi di Kabupaten Sumba Tengah masih fluktuatif atau belum stabil. Menurut Profil Dinas Kesehatan Kabupaten Sumba Tengah Pada Tahun 2018 cakupan IDL baru sebesar sebesar 88,7%, Tahun 2019 cakupan IDL sebesar 51,5%, Tahun 2020 cakupan IDL memenuhi target dengan capaian sebesar 96,5% namun pada Tahun 2021 cakupan IDL kembali menurun menjadi 91,1% dan pada Tahun 2022 sebesar 82,9% dari target imunisasi yang ditentukan oleh Kementrian Kesehatan melalui RPJMD Dinas Kesehatan Provinsi yaitu sebesar 95%. Penelitian deskriptif kualitatif ini mengumpulkan data melalui wawancara mendalam dan observasi, melibatkan petugas kesehatan, lintas sektor, dan pengambil kebijakan, menggunakan purposive sampling. Hasil menunjukkan bahwa kerjasama lintas sektor dalam program imunisasi di Kabupaten Sumba Tengah sudah terjalin, namun kerjasama yang sudah ada belum dilakukan secara optimal. Efektifitas program dapat ditingkatkan melalui peningkatan komunikasi dan koordinasi lintas sektor yang berdampak terhadap keterlibatan dan pemberian dukungan kepada program imunisasi serta penyusunan kebijakan formal yang dapat mendukung kerjasama lintas sektor dalam program imunisasi.  Kesimpulan studi ini Kurangnya komunikasi, koordinasi, keterlibatan dalam pelaksanaan kegiatan imunisasi serta belum tersedianya kebijakan yang mengatur. Peningkatan capaian imunisasi di Kabupaten Sumba Tengah dapat dilakukan dengan menerapkan prinsip collaboration governance dalam pelaksanaan program imunisasi.
Co-Authors Agustina, Nika Maya Andreasta Meliala Anggoro Budi Hartopo Anggrahini, Dyah Wulan Bismantara, Haryo Deni Harbianto Deswanto Marbun Dewi, Ni Made Putri Kusuma Fajarwati, Prahesti Fitriah, Yunita Fitriana Murriya Ekawati Karomah, Ulfatul Laksono Trisnantoro Lucia Kris Dinarti Mawarni, Devina Bunga Muhammad Faozi Kurniawan Muhammad Reyhan Hadwiono Tiara Marthias Ulfayani Ramsar Wiradhika, Abdul Majid Halim Yodi Mahendradhata