Article Per Year (5 Year)
p-Index From 2021 - 2026
7.928
P-Index
This Author published in this journals
All Journal Jurnal Gizi dan Pangan Jurnal Kebidanan Jurnal Kesehatan Masyarakat Indonesia JOURNAL OF COASTAL DEVELOPMENT MEDIA MEDIKA INDONESIANA Journal of Nutrition and Health Media Kesehatan Masyarakat Indonesia JURNAL GIZI INDONESIA JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kedokteran Brawijaya Jurnal Kesehatan Masyarakat Journal of Nutrition College Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Masyarakat Berkala Ilmu Kesehatan Kulit dan Kelamin agriTECH Jurnal Media Gizi Indonesia (MGI) JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Jurnal Kebidanan Jurnal Manajemen Kesehatan Indonesia The Indonesian Journal of Public Health The Indonesian Biomedical Journal Management Analysis Journal Universa Medicina Health Notions Jurnal Gizi Klinik Indonesia Journal Of Nursing Practice Jurnal Epidemiologi Kesehatan Komunitas Journal of Public Health for Tropical and Coastal Region Amerta Nutrition Manuju : Malahayati Nursing Journal Jurnal Kesehatan Ibu dan Anak Public Health Perspective Journal Jurnal Kesehatan Indonesia Jurnal Kesehatan JIDAN (Jurnal Ilmiah Bidan) Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang Journal of Robotics and Control (JRC) PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Farmasi MAHESA : Malahayati Health Student Journal Devotion: Journal of Research and Community Service Narra J Interdisciplinary Social Studies JURNAL KESEHATAN SAMODRA ILMU International Journal of Science and Society (IJSOC) Berita Kedokteran Masyarakat Jurnal Kebidanan dan Keperawatan Aisyiyah International Journal of Integrative Sciences Media Penelitian dan Pengembangan Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Ilmu Keperawatan dan Kebidanan Jurnal Ilmu Kesehatan Masyarakat
Martha Irene Kartasurya
Fakultas Kesehatan Masyarakat, Universitas Diponegoro
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

Published : 158 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 158 Documents
Search

 4   5   6   7   8 
Evaluation on the Implementation of Mobile Clinic Program in Maternal Health Service in Sorong City of West Papua Province Adriana Egam; Martha Irene Kartasurya; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.839 KB) | DOI: 10.14710/jmki.1.2.2013.%p

Abstract

Kementerian  Kesehatan  melaksanakan  program Mobile  Clinic,  untuk  lebih  mendekatkan  akses  pelayanan  kesehatan  pada  masyarakat di  Tanah  Papua.  Target  cakupan  mobile  clinic masih  belum tercapai,  walaupun  biaya  yang  dikeluarkan  sangat  besar.  Tujuan penelitian  adalah  melakukan  evaluasi  pelaksanaan  program mobile  clinic  dalam  pelayanan  kesehatan  ibu  di  Kota  Sorong  Propinsi  Papua  Barat.  Jenis  penelitian  ini  adalah  deskriptif  kualitatif, Informan  utama  adalah  seluruh  tim  mobile  clinic Kota  Sorong.  Informan  triangulasi  adalah  kader  mobile  clinic dan pengelola program mobile clinic. Pengumpulan data dilakukan melalui indepth interview dan focus group discussion. Pengolahan data dilakukan dengan metode analsis isi (content analysis). Hasil penelitian menunjukkan bahwa perencanaan sudah dilakukan oleh semua tim mobile clinic. Ada kendala keterbatasan tenaga pada 2 puskesmas sehingga perlu penunjukan tenaga pelaksana dari unit kerja lain. Pengorganisasian dengan pemberdayaan kader sudah terlaksana dengan baik. Pada  penggerakkan  dan  pelaksanaan  terdapat  dua    kebijakan  yang  tidak sesuai  Juknis  yakni  penambahan  tenaga  dan  pergantian  personil  TMC  (Tim  Mobile  Clinic).  Penambahan  tenaga  meningkatkan  pencapaian   cakupan   dan   penambahan   jenis   pelayanan   yaitu   ANC terpadu.  Pergantian  personil  TMC  pada  tenaga  yang  tidak  dilatih berdampak  tidak tercapainya  target  cakupan. Kerjasama tim, lintas program dan lintas sektoral terjalin baik.Pelaporan tidak lengkap dan  supervise  yang  dilakukan  tidak  memberikan masukan.  Sulitnya  jangkauan  dan  besarnya  biaya  transportasi  tidak  menghambat  pelayanan karena  didukung  alokasi  dana  yang  memadai.  Direkomendasikan agar program dilakukan kembali dengan perbaikan petunjuk teknis dan biaya yang disesuaikan dengan Perda Ministry of Health implemented mobile clinic program to bring health service access closer to the community in Papua land. Target coverage of mobile clinic program was not attained, although the cost spent was very high. Objective of the study was to evaluate the implementation of mobile clinic program in maternal health service in Sorong city of West Papua province. This was a descriptive-qualitative study. Main informants were all team of mobile clinic of Sorong city. Triangulation informants were mobile clinic cadres and mobile clinic managers. Content analysis was applied in the data management. Results of the study showed that planning had been done by all mobile clinic teams. There were limited staffs in two primary healthcarecenters(puskesmas), and this situation allowed choosing executor workers from other work units. Organizational activities with empowerment of cadres had been done properly. There were two policies that did not agree with technical guidelines in the actuating and implementing of the program namely addition of staffs and changing of mobile clinic team (TMC) personnel.Addition of the staffs increased coverage and added type of service. The added type of service was an integrated antenatal care (ANC). The change of TMC personnel with untrained personnel caused a fail to attain the target coverage. Collaboration among teams, cross programs and sectors had been performed well. Reporting was not good, and supervision done did not provide inputs. Difficulty in reaching location and expensive transportation costs did not hamper services due to sufficient funding allocation support. Reimplementation of the program with technical guidance improvement and budget aligned with Perda is recommended.
Analysis on the Reasons for Selecting Birth Attendants by Delivery Mothers at Semarang Regency Ana Puji Astuti; Martha Irene Kartasurya; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (386.85 KB) | DOI: 10.14710/jmki.2.3.2014.%p

Abstract

AKI dan AKB di Kabupaten Semarang masih tinggi yaitu 146,24/100.000 KH dan 13,40/1000 KH pada tahun 2011. Pertolongan persalinan oleh tenaga kesehatan menurun dan masih terdapat 410 persalinan oleh dukun dengan 0,24 % kematian ibu pada tahun 2011. Hal ini terjadi meskipun sudah dilakukan kemitraan bidan dukun dan jampersal. Tujuan penelitian ini untuk menganalisis alasan pemilihan penolong persalinan oleh ibu di Kabupaten Semarang. Penelitian dilakukan dengan metode kualitatif. Pengumpulan data dengan wawancara mendalam dan observasi. Subyek penelitian terdiri dari informan utama sejumlah 8 ibu bersalin (4 ibu bersalin oleh dukun dan 4 ibu bersalin oleh bidan) dan 17 informan triangulasi (4 suami/keluarga dari ibu bersalin dengan dukun, 4 suami/keluarga dari ibu bersalin dengan bidan, 4 tokoh masyarakat/ tokoh agama, 4 bidan koordinator dan Kepala Seksi Kesehatan Keluarga Dinas Kesehatan. Metode analisis data dengan content analysis. Hasil penelitian menunjukkan tingkat pengetahuan ibu tentang persalinan sehat dan aman masih kurang. Ibu yang memilih dukun sebagai penolong persalinan bersikap negatif terhadap bidan karena bidan merobek jalan lahir. Ibu yang memilih bidan berpersepsi baik karena bidan ramah, trampil dan cekatan, ibu yang memilih dukun berpersepsi baik dalam hal perawatan post partum. Tidak adabudaya khusus dalam pertolongan persalinan baik oleh bidan maupun dukun. Kemudahan akses pada saat melahirkan merupakan faktor penentu pada pemilihan penolong persalinan. Biaya persalinan dukun terjangkau karena bersifat suka rela dan dapat berbentuk barang. Dukungan suami dan keluarga cukup kuat dalam pemilihan penolong persalinan. Disimpulkan bahwa pemilihan dukun sebagai penolong persalinan berkaitan dengan pengetahuan, sikap, persepsi mutu pelayanan, biaya dan kemudahan akses bagi ibu bersalin.AKI and AKB in Semarang district were still high, 146.24/100 000 live-birth and 13.40/ 1000 live-birth in 2011. Delivery assistance by health workers deceased, and 140 deliveries were assisted by dukun (traditional delivery assistance) with 0.24% maternal mortality in 2011. Although collaboration between dukun and jampersal (maternity insurance), yet this situation still happened. Objective of this study was to analyze reasons for selection of delivery assistance by maternities in Semarang district. Qualitative method was applied in this study. Data were collected through in-depth interview and observation. Study subjects were main informants and triangulation informants. The main informants were eight maternities (four maternities were assisted by dukun, and 4 maternities were assisted by midwives); 17 triangulation informants (four husbands/ family of maternity assisted by dukun, four husbands/ family of maternity assisted by midwives, four coordinator midwives, and a head of family health section of Semarang district health office. Content analysis was applied in the data analysis. Results of the study showed that knowledge level of mothers about healthy and safe labour was deficient. Mothers who chose dukun as their delivery assistance had negative attitude towards midwives because midwives torn the birth canal. Mothers who chose midwives had good perception towards midwives; they said that midwives were kind and skillful. Mothers who chose dukun had good perception on the post-partum management. No special culture in the delivery assistance by midwives or dukun. Accessibility to the delivery assistance when mothers were in labour was a determinant factor in the selection of the delivery assistance. Fee of delivery by dukun was reachable because it was voluntary and could be substituted by goods. Support from husband and family in the selection of delivery assistance was strong enough. In conclusion, selection of dukun as delivery assistance was related to knowledge, attitude, perception on the quality of service, fee, and accessibility for in labour mother.
Asupan Vitamin D yang Rendah, Obesitas dan Paparan Asap Rokok merupakan Faktor Risiko Preeklampsia Di Puskesmas Indramayu Tahun 2017 Roifatun Nisa; Martha Irene Kartasurya; Siti Fatimah
Jurnal Manajemen Kesehatan Indonesia Vol 6, No 3 (2018): Desember 2018
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (28.107 KB) | DOI: 10.14710/jmki.6.3.2018.204-209

Abstract

Penyebab  utama  kematian  ibu di  Kabupaten Indramayu  dari tahun 2012 - 2016 adalah preeklampsia yaitu 40 %.  Penelitian ini bertujuan untuk menganalisis faktor-faktor risiko kejadian preeklampsia di Puskesmas Kabupaten Indramayu.Jenis penelitian observasional dengan rancangan kasus kontrol. Subyek sejumlah 55 kasus ibu preeklampsia dan 55 kasus ibu tidak preeklampsia dan dipilih secara purposive sampling. Pengumpulan data dilaksanakan dengan wawancara menggunakan kuesioner terstruktur, pengukuran antropometri dan metode food recall 2 x 24 jam. Analisis data dilakukan dengan chi-square dan regresi logistik ganda.Hasil penelitian menunjukkan faktor risiko terjadinya preeklampsia adalah umur kehamilan berisiko (<20 atau >35 tahun) (OR=5,4, p=0,001), riwayat preeklampsia sebelumnya (OR=7,1, p=0,001), riwayat preeklampsia dalam keluarga (OR=7,2, p=0,001), obesitas (OR=6,5, p=0,001), tingkat kecukupan protein kurang (OR=2,7, p=0,020), tingkat kecukupan vitamin D kurang (OR=3,7, p=0,013), stress (OR=2,6, p=0,013) dan paparan asap rokok (OR=2,3, p=0,030), secara multivariat umur kehamilan berisiko (<20 atau >35 tahun) (OR=2,9, p=0,047), riwayat preeklampsia (OR=4,3, p=0,024), riwayat preeklampsia dalam keluarga (OR=9,1, p=0,001), obesitas (OR=7,1, p=0,001) dan tingkat kecukupan protein (OR=4,1, p=0,026) secara bersama-sama merupakan faktor risiko kejadian preeklampsia. Disimpulkan bahwa faktor risiko yang paling kuat adalah riwayat preeklampsia dalam keluarga dan obesitas.  Disarankan agar memasukkan riwayat preeklampsia dalam keluarga pada daftar data perawatan antenatal, mengintensifkan kunjungan nifas dan melakukan pengawasan bagi mereka yang telah terindentifikasi mempunyai risiko terjadinya preeklampsia.
Pengaruh Internal Marketing dan Kualitas Pelayanan BPJS Kesehatan Terhadap Kinerja Melalui Kepuasan Dokter di RSUD Ulin Banjarmasin) Rismayanti Rismayanti; Martha Irene Kartasurya; Nico L. Kana
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.035 KB) | DOI: 10.14710/jmki.4.1.2016.58-64

Abstract

Internal marketing and service quality BPJS are things that influence the level of satisfaction of doctors that becomes the deciding factor of doctor performance. The aim of this study is to find the influence of internal marketing and service quality performance of BPJS Kesehatan with doctor performance through doctor satisfaction at RSUD Ulin Banjarmasin. This type of research is analytic with cross sectional design. The research method was developed using a questionnaire based on the literature. The number of respondents who came from the science of internal medicine, pediatric, obstetrical and gynaecology, and surgery and met the inclusion criteria as many as 52 people were surveyed. Data was analyzed using Pearson correlation and multiple linear regression. The results showed correlation between internal marketing to the satisfaction of doctors (r = 0.584, p = 0.000), between service quality BPJS and satisfaction of doctors (r = 0.499, p = 0.001), between the satisfaction of doctors and the performance of doctors (r = 0.583, p = 0.0001). Results of research by multiple linear regression analysis showed that the internal marketing and service quality BPJS have contributed influence on physician satisfaction of 44.6% while 55.4% described other factors. Physician satisfaction have contributed influence on physician performance by 32.7% while 67.3% described other variables outside the model. It was concluded that internal marketing and service quality effect on doctors satisfaction which in turn affect the performance of doctors. Suggested to BPJS Health to improve the financing system INA-CBG’s and disseminate laws and regulations better.
Analisis Implementasi Program Penanggulangan Gizi Buruk Di Puskesmas Wilayah Kerja Dinas Kesehatan Kota Sorong Provinsi Papua Barat Zaenab Ismail; Martha Irene Kartasurya; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (45.844 KB) | DOI: 10.14710/jmki.4.1.2016.20-26

Abstract

The prevalence of under-five children with severe malnutrition in Sorong city West Papua in 2008, 2009 and 2010 consecutively was 3.59%, 1.1% and 1.9%. Implementation of a program could be influenced by many factors such as communication, resources, disposition and bureaucracy factors. The objective of this study was to know the implementation of severe malnutrition control program at primary healthcare centers (puskesmas) in the working area of Sorong city health office West Papua in 2010. This was a qualitative study with cross sectional approach. Data was collected through in-depth interview using interview guideline. There were 5 primary healthcare centers studied with program executors as main informants. Triangulation informants were family or parents of under-five children with severe malnutrition, head of puskesmas and head of nutrition section of Sorong city health office West Papua province. Results of the study showed implementation of the program had not run according to the standard of implementation from the Ministry of Health. It was caused by not optimal communication that was done by Sorong city health office through program socialization. The availability of resources such as human resource to implement the program was insufficient. Only those who had nutrition educational background implemented the program and other workers were not involved in the program. There was no nutrition care team in all puskesmas. Additionally, the majority of the workers had not received training yet. Management of program funding was not according to the unit cost. Facilities were inappropriate and there was still improper puskesmas. The executor workers were needed for implementing the program; unfortunately due to less transparency and socialization, commitment was also low. No authority or standard operating procedure (SOP) given by Sorong city health office to puskesmas. In addition there was no supervision to the nutrition program workers. It was concluded that the implementation of severe malnutrition control program in Puskesmas in the working area of Sorong city health office West Papua province was not optimal. It was suggested to Sorong city health office to improve socialization about severe malnutrition control program to all program executors including heads of puskesmas in the working area of Sorong city health office; to create nutrition care and training teams. Funding allocation should be given to the right target and facilities should be completed.   Supervision, monitoring and evaluation were done continuously.
Faktor Risiko Internal dan Eksternal Preeklampsia di Wilayah Kabupaten Pati Provinsi Jawa Tengah Kasriatun Kasriatun; Martha Irene Kartasurya; Sri Achadi Nugraheni
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.07 KB) | DOI: 10.14710/jmki.7.1.2019.30-38

Abstract

 AbstrakPenyebab  utama  kematian  ibu di Kabupaten Pati dalam tiga tahun terakhir  adalah preeklampsia. Pada tahun 2016, 35% kasus kematian ibu disebabkan oleh preeklampsia. Penelitian ini bertujuan untuk menganalisis faktor-faktor risiko kejadian preeklampsia di Wilayah Kabupaten Pati. Jenis penelitian observasional analitik dengan rancangan kasus kontrol. Subjek sejumlah 40 kasus preeklampsia dan 120 kasus non preeklampsia  dipilih secara purposive. Pengumpulan data dilakukan dengan wawancara terstruktur menggunakan kuesioner. Data asupan makanan diperoleh dari  FFQ (Food Frequency Questionnaire). Analisis data dilakukan dengan chi-square dan regresi logistik ganda. Hasil penelitian menunjukkan faktor risiko terjadinya preeklampsia adalah faktor risiko internal : riwayat keluarga preeklampsia (OR=6,74; 95%CI:2,54-17,89, obesitas (OR=2,68; 95%CI:1,29-5,60), riwayat hipertensi (OR=7,4; 95%CI:2,91-18,82), stress  (OR=2,64; 95%CI:1,26-5,51), dan faktor risiko eksternal: asupan anti oksidan yang  rendah (OR=3,71; 95%CI:1,23-11,19), asupan natrium berlebih (OR=2,54; 95%CI:1,14-5.67), paparan asap rokok (OR=2,43; 95%CI:1,14-5,17).  Analisis multivariat menunjukkan riwayat  keluarga preeklampsia  (OR=5,32; 95%CI:1,63-17,40), obesitas (OR=4,01; 95%CI:1,60-10,09, riwayat hipertensi (OR=7,38; 95%CI:2,32-23,45), stress atau kecemasan (OR=3,30; 95%CI:1,31-8,33), asupan anti oksidan yang rendah (OR=4,22; 95%CI:1,13-15,74) secara bersama-sama merupakan faktor risiko kejadian preeklampsia. Variabel yang bukan merupakan faktor risiko preeklampsia adalah usia ibu, paritas, dan penambahan berat badan berlebihan selama kehamilan. Disimpulkan bahwa faktor risiko yang paling kuat adalah riwayat hipertensi ibu sebelum kehamilan. Disarankan agar memasukkan riwayat hipertensi, riwayat keluarga preeklampsia, obesitas, dan stres dalam anamnese  pelayanan antenatal untuk mendeteksi dini preeklampsia.
Analisis Determinan Kualitas Pelayanan Antenatal Trimester I (SATU ) Kehamilan Oleh Bidan Desa Di Kabupaten Temanggung Retno Wulandari; Martha Irene Kartasurya; Nurjazuli Nurjazuli
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (143.374 KB) | DOI: 10.14710/jmki.5.1.2017.21-31

Abstract

Tingginya capaian cakupanprogram pelayanan kesehatan ibu dan anak (KIA) belum berpengaruh terhadap penurunan jumlah kasus kematian ibu di Kabupaten Temanggung. Penyebab kematian ibu terbanyak adalah karena penyakit penyerta yang seharusnya dapat terdeteksi pada pemeriksaan antenatal trimester pertama yang dilakukan oleh bidan desa. Penelitian ini bertujuan untuk menganalisis kualitas pelayanan antenatal trimester 1 kehamilan oleh bidan desa di Kabupaten Temanggung. Metode penelitian adalah survey analitik dengan design cross sectional. Subjek penelitian adalah 60 orang bidan desa yang dipilih secara systematic random sampling dari 14 Puskesmas terpilih kasus kematian ibu. Pengumpulan data dilakukan dengan angket dan observasi langsung menggunakan kuesioner terstruktur . Analisis data menggunakan uji chi square, kualitas pelayanan ANC dinilai dengan ketepatan pelayanan bidan dalam pemberian pelayanan ANC sesuai standar asuhan kebidanan dan standar operasional 10 T ANC.Hasil penelitian menunjukkan faktor yang berhubungan dengan kualitas pelayanan antenatal trimester I kehamilan oleh bidan desa adalah beban kerja(p = 0,002), pengetahuan(p = 0,006) dan supervisi(p = 0,002). Faktor yang tidak berhubungan adalah dana (p = 0,570), ketersediaan dan pelaksanaan SOP(p = 0,164), dan ketersediaan peralatan(p = 0,251). Ada hubungan bersama – sama variabel beban kerja(p = 0,002) pengetahuan responden(p = 0,006) dan supervisi(p = 0,002)dengan kualitas pelayanan Antenatal Trimester I Kehamilan.Disarankan kepada Dinas Kesehatandan Puskesmas di Kabupaten Temanggung untuk lebih memfokuskan bidan desa pada tugas pokok utamanya sebagai pemberi pelayanan KIA disamping tugas tambahan bidan desa lainnya. Mengadakan peningkatan pengetahuan dan ketrampilan tentang asuhan pelayanan antenatal secara merata untuk seluruh bidan yang kegiatannya dilaksanakan secara berkesinambungan, dan meningkatkan kualitas pelaksanaan kegiatan supervisi fasilitatif sesuai petunjuk tekhnis pelaksanaan yang telah ditentukan. Kepada Bidan Koordinator dan bidan desa diharapkan bersama – sama menguatkan kembali komitmen untuk meningkatkan dan menjaga kualitas pelayanan antenatal pada setiap ibu hamil yang dilayaninya.
Analisis Kebijakan Donor Darah Dan Implementasi Program Rekrutmen Donor Di Unit Donor Darah (UDD PMI) Kota Pontianak Ria Risti Komala Dewi; Martha Irene Kartasurya; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 2 (2016): Agustus 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.787 KB) | DOI: 10.14710/jmki.4.2.2016.109-117

Abstract

The availability of blood in Blood Donor Unit of Indonesian Red Cross (BDU-IRC) cannot fulfil the necessity of blood in Pontianak City for every year. Until the year 2014, there was only 37.3% of the total blood demand that could be provided. The aim of this study was to analyse problems of resource, attitude and commitment, a bureaucracy structure, communication, and social condition in implementing the blood donor recruitment program in BDU-IRC in Pontianak City.This was an observational study using a descriptive-qualitative design. Data were collected using methods of indepth interview, Focus Group Discussion, and observation. Main informants consisted of five P2D2S officers (a head of department and four staffs of P2D2S). Informants for triangulation purpose were 22 persons consisted of two decision makers, (a head of BDU and a deputy head of IRC), five coordinators of KDD, five persons of DDS, five persons of DDP, five citizen of Pontianak City. Data were analysed using content analysis.The results of this research showed that resource was quantitatively sufficient but it was qualitatively insufficient, particularly willingness of the officers in implementing their duties. Amount of budget was limited. There were a poor attitude and lack of commitment of the officers due to lack of willingness and low motivation to implement their duties in accordance with available regulations and goals. Not all the implementation was referred to Standard Operating Procedure released by the main office of IRC because the officers assumed that they had understood the ways to recruit blood donor. Communication was unclear and inconsistent. Support from blood donor groups was not optimal due to lack of attention and support from the program implementer such as supervising, providing rewards, and providing a supporting facility. In conclusion, the implementation of the blood donor recruitment program have not been well implemented. BDU-IRC needs to improve a competency of the officers by conducting training for untrained officers. The unit also needs to conduct a meeting to arrange a work program and a budget allocation annually. In addition, a community needs to be proactively asked to provide their blood to the IRC.
Management of High Risk Pregnancy Early Detection on Antenatal Care at Primary Health Care in Jepara District Triana Widiastuti; Martha Irene Kartasurya; Dharminto Dharminto
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.692 KB) | DOI: 10.14710/jmki.2.3.2014.%p

Abstract

Angka Kematian Ibu di Jepara tahun 2012 menduduki peringkat ke 10 di Jawa Tengah sebesar 21 per 100.000 kelahiran hidup. Penyebab terbanyak preeklamsi berat 8 orang (30%). Data PWS KIA menunjukkan cakupan deteksi dini risiko tinggi oleh tenaga kesehatan tahun 2012 sebesar 19,01%, belum mencapai target nasional. Tujuan penelitian ini untuk mengetahui manajemen deteksi dini ibu hamil risiko tinggi pada pelayanan antenatal di tingkat puskesmas Kabupaten Jepara. Jenis penelitian ini adalah kualitatif. Variabel pada penelitian ini adalah input (SDM, dana, sarana, SOP), Proses (perencanaan, pembinaan, supervisi dan monitoring) dan Output. Informan utama adalah kepala Puskesmas dan Bidan koordinator. Informan triangulasi adalah Kasi Kesga (kepala seksi kesehatan keluarga) dari DKK (Dinas Kesehatan Kabupaten) dan 16 bidan desa. Pengumpulan data dilakukan melalui wawancara mendalam dan Focus Group Discussion. Pengolahan data dilakukan dengan metode analsis isi (content analysis). Hasil penelitian menunjukkan bahwa Puskesmas dengan cakupan rendah mempunyai rasio bidan per penduduk yang rendah, SOP belum ditempel, perencanaa dilaksanakan per tahun, pembinaan dilakukan setiap 6 bulan dan umpan balik hasil supervisi disampaikan secara lisan. Puskesmas dengan cakupan tinggi juga mempunyai rasio bidan per penduduk masih rendah, perencanaan dilaksanakan per bulan melalui lokakarya mini, pembinaan dilakukan per bulan, umpan balik supervisi disampaikan secara tertulis serta ada sangsi apabila laporan terlambat. Disimpulkan bahwa manajemen deteksi dini ibu hamil risiko tinggi dipengaruhi oleh perencanaan, pembinaan, dan supervisi/ monitoring. Disarankan kepada puskesmas untuk melakukan perencanaan dan pembinaan per bulan serta supervisi dan monitoring secara lebih intensif. Maternal Mortality Rate in Jepara District in 2012 placed the 10 th rank in Central Java, namely 21 per 100.000 live births. Severe preeclampsia was the most common cause, namely 8 persons (30%). Data of Local Area Monitoring in 2012 showed that coverage of high risk early detection by health workers was only 19.01% and had not achieved the national target yet. This research aimed to identify early detection management of a high risk pregnant woman on Antenatal Care services at health center in District of Jepara. This was qualitative research. Research variables were Input (human resources, funds, means, and Standard Operating Procedure), Process (planning, actuating, supervising, and monitoring), and Output. Main informants were head of health center and midwife coordinator. In addition, informants for triangulation purpose were head of family health section at District Health Office and 16 village midwives. Data were collected by conducting indepth interview and Focus Group Discussion. Furthermore, data were analyzed using a method of content analysis. The result of this research revealed that at health centers with low coverage, ratio between midwife and population was low, Standard Operating Procedure had not been displayed, planning was arranged annually, actuating was done every six month, and feedback of supervision results was informed verbally. In contrast, health centers with high coverage indicated that ratio between midwife and population was low, planning was arranged monthly through mini workshop, actuating was done every month, feedback of supervision results was informed in writing, and there also was any punishment if a report was late to submit. As a conclusion, early detection management of a high risk pregnant woman was influenced by planning, actuating, and supervising/monitoring. As a suggestion, head of health center needs to make a plan and actuate every month, and also supervise and monitoring intensively.
Analysis on the Implementation of Delivery Assurance Programme by Village Midwives in Lumajang District Warih Respitowati; Martha Irene Kartasurya; Lucia Ratna Kartika Wulan
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.507 KB) | DOI: 10.14710/jmki.3.2.2015.%p

Abstract

ABSTRAKImplementasi jaminan persalinan di Kabupaten Lumajang masih belum sesuai petunjuk teknis seperti pelaksanaan KB pasca salin. Tujuan dari penelitian ini adalah menjelaskan implementasi program jaminan persalinan oleh bidan desa di Kabupaten Lumajang. Jenis penelitian ini adalah penelitian eksplanatif. Informan utama yaitu 2 orang bidan desa dari puskesmas PONED dan non PONED dengan cakupan persalinan tertinggi dan 2 orang bidan desa dengan cakupan persalinan terendah dari masing-masing puskesmas. Informan triangulasi berjumlah 8 orang yang terdiri dari 1 orang pengelola jampersal Dinas Kesehatan, 1 orang verifikator jampersal, 2 orang kepala puskesmas dan 8 orang pasien jampersal. Data didapatkan melalui indepth interview serta menggunakan metode observasi terhadap sarana dan prasarana polindes. Analisis data penelitian ini menggunakan content analysis. Hasil penelitian menunjukkan bahwa pelaksanaan program jaminan persalinan belum sesuai dengan petunjuk teknis dalam hal KB pasca salin. Namun demikian pelayanan KIA sudah sesuai standar pelayanan minimal. Dalam hal ukuran dasar dan tujuan kebijakan belum ada aturan tambahan di tingkat Kabupaten, hanya berupa himbauan. Dana masih dirasakan kurang memadai, fasilitas tidak dipenuhi dan kompetensi sumber daya manusia belum ditingkatkan. Ada dukungan bidan pelaksana terhadap program tetapi kompetensi pelaksana masih belum ditingkatkan. Sosialisasi dilaksanakan mendadak melalui perwakilan puskesmas. Kondisi ekonomi masyarakat membuat ibu bersalin lebih mudah dirujuk dengan adanya program jampersal akan tetapi semua bidan masih merasa program ini hanya sebuah kewajiban. Pelaksanaan jaminan persalinan belum dilaksanakan secara lengkap karena belum ada kebijakan pendukung, keterbatasan sumber daya, sosialisasi belum menyeluruh dan dirasakan sebagai kewajiban yang memberatkan.Kata kunci : Implementasi, Jaminan Persalinan, Bidan Desa.ABSTRACTImplementation of delivery assurance (Jampersal) program in Lumajang district was not doneaccording to the technical guideline; it was not done by way of the implementation of KB after delivery program was done. Objective of this study was to explain the implementation of delivery assurance program by village midwives in Lumajang district. This was an explanatory study. Main informants were two village midwives from PONED and non PONED primary healthcare centers (Puskesmas) with the highest delivery coverage, and two villagemidwives from each puskesmas with the lowest delivery coverage. Triangulation informants were 12 people. Those people were one Jampersal manager from district health office, one Jampersal verification person, two heads of Puskesmas, and 8 Jampersal patients. Data were collected through in-depth interview and observation to Polindes (village polyclinic) facility. Content analysis method was applied in the data analysis. Results of the study showed that activities of delivery assurance service were conducted using minimal standard service. Delivery assurance policy was a right policy to solve health cost problems. Executors of the policy were village midwives who had competency that suited with program purposes. Target and environment supported the program implementation. Basic indicator and purpose of the policy were clear and understandable for village midwives. However, funding was not maximal, and it caused many complaints from midwives. Communication and coordination were adequate; however social condition and community economy did not completely support the implementation of post-delivery KB (family planning). Funding for Jampersal was very small for both delivery assistance and consumable materials. This condition made the implementation of program was only for fulfilling the responsibility. Recommended suggestions for Lumajang district health office are to provide regulations related to post-delivery KB, to do proper planning regarding resources requirement to support serviceimplementation. Monitoring on the usage of KIA (Mother and Children) book should be done by Puskesmas to minimize technical problems such as double claim due to using double KIA book.Keywords : implementation, delivery assurance, village midwives
Co-Authors A.A. Ketut Agung Cahyawan W Achadi Nugraheni, Sri Adi, Matheus Sakundarno Adiba, Cholida Adriana Egam Adzika, Alda Alfi Fairuz Asna Ali Rosidi Ana Puji Astuti Andika Rikarno Putra Andini Aridewi Angela Astrid Pramesti, Angela Astrid ANGELINE DEWI SUHENDRO Anggriani Septiana Ani Margawati Ani Margawati Anies Anies Anies Anies Anisatul Khofidzoh Anna Mieke Anneke Suparwati Anneke Suparwati Antono Surjoputro Apoina Kartini Apoina Kartini Kartini Ardiati Setianingsih Ari Suwondo Ariawan Soejoenoes Arie Nugroho, Arie Ariyanti, Lilik Arulita Ika Fibriana Asif Yuliati Astri Praba Shinta Atik Mawarni Aulia Ulfah Mutiara Dewi Awanis Farisa Setyarahma Ayesha, Rebecca Ayun Sriatmi Bagoes Widjanarko Banundari Rahmawati Bintari Fajar Kurnianingtyas Budhi Setianto Cahya Tri Purnami Cahya Tri Purnami Choirun Nissa Choirun Nissa Cholida Adiba Daniati Ristia Ayu, Daniati Ristia Desy Kustiyanti Dewi Susilowati Dewi, Aulia Ulfah Mutiara Dharmawan, Ligar Tresna Dharminto Dharminto Diah Krisnansari Diah Retno Wahyuningrum Dian Fajriyah Pangestika Dian Isti Cahyani Dian Ratna Sawitri Dina Mila Aulia Dina Rahayuning Pangestuti, Dina Djauharoh A. Hadie Djoko Tri Hadi Lukmono Dodik Pramukarso Dwi Indah Iswanti Dwi Pudjonarko Dwi Sutiningsih Dyah Umiyarni Purnamasari Eko Wigiantoro Emy Shinta Dewi Endah Purwaningsih Endang Mahati Endang Purwaningsih Etika Ratna Noer Farid Agushybana Farid Farid Agushybana Faridah Faridah Farinisa, Aliva Nabila FILLAH FITHRA DIENNY Fillah Fithra Dieny Firman Firman Gandha Sunaryo Putra Hagnyonowati Hagnyonowati Hana Sofia Anugraheni Hanifa Maher Denny, Hanifa Maher Hanik Machfudloh Hanin Imtinan Alwina Hapsari, Rani Ayu Hardhono Susanto Hardhono Susanto Hardhono Susanto Harima M Hayuningsih, Akmaliya Henry Setyawan Henry Setyawan Susanto Henry Setyawan Susanto Hernayanti, Munica Rita Hertanto Wahyu Subagio Hijra Hijra, Hijra Hikma Hikma Hilaria Dita Regi Indarwati, Novi Indarwati, Novi Indra Gunawan Intan Pratama Ismisari, Melly Adya Janet Pandora Jauhanita, Denisa Jauharany, Firdananda Fikri Jayawarsa, A.A. Ketut Joni Periade Judiono Judiono Julia Pertiwi Julia Pertiwi, Julia Jumianti Lestari Thamrin Karina Marcelia, Karina Kartika Nuraini Kasriatun Kasriatun Kis Djamiatun Kudarti Kudarti Kurnia Purwandini Kusmiyati kusmiyati Kusmiyati Kusmiyati Kusmiyati Tjahjono Kusmiyati Tjahjono Kusumastuti, K Lailil Masruron Laksmi Widajanti Laksmi Widajanti Latifah, Hasna Izdihar Layli, Alvia Nur Lazendra, Arien Delfi Lela Hartini Lia Awwalia Majida Liagustri Maulisazen Basuki Lilis Endang Wijayanti, Lilis Endang Lucia Ratna Kartika Wulan Lucia Ratna Kartika Wulan Lucia Ratna Kartika Wulan, Lucia Ratna Kartika Lukmono, Djoko Tri Hadi M. Zen Rahfiluddin Mahalul Azam Manurung, Togar Hasudungan Marantina Diska Widayani, Marantina Diska Maria Mexitalia Maria Yensiska Siahaan Martini Martini Mateus Sakundarno Mateus Sakundarno Adi, Mateus Sakundarno Matheus Sakundarno Adi Mohammad Z. Rahfiludin Mohammad Zen Rahfiludin Morse, Avery Muchlis Achsan Udji Sofro mufakhhir, Abdulaziez Muhamad Nur Aini Munica Rita Hernayanti Mutiara Dewi, Aulia Ulfah Nadia Hapsari Oktarina Naintina Lisnawati Naluri Widyaningsih Syamsiedi Nani Purwati Nico L. Kana Niken Puruhita Ninik Dwi Ambarwati Noer, Etika Noor Pramono Noor Pramono Novi Kardyanti Nugroho P, Priyadi Nunuk Sri Lestari Nuridzin, Dion Zein Nurjazuli Nurjazuli Nyoman Suci Widyastiti Pamungkas, Motris Patemah Patemah, Patemah Pujo Semedi Pusaka, Semerdanta Putri Lili Heldawati Putri Sriwulandari Pangestika Putri, Ligar Tresna Darmawan Qusna Nur Anisa R. Rizal Isnanto RA Kisdjamiatun RMD, RA Kisdjamiatun Rahmah, Farida Noor Rani Ayu Hapsari Ratmawati Ratmawati Ratnawati Ratnawati Reni Yuli Astutik Retnaningsih Retnaningsih Retnaningsih Retnaningsih Retno Murwani Retno Widyaningsih, Retno Retno Wulandari Revi Rosavika Kinansi Revi Rosavika Kinansi Rhisma Nasita Sianti Ria Risti Komala Dewi Riezky Aulia Yulandani Rifatul Masrikhiyah Rika Andriani Rimbun Situmorang Riny Henderawaty Riski, Finia Rismayanti Rismayanti Rita Sariani Saragih Riva Mustika Anugrah Rizka Dwiyovita Rohani Retnauli Simanjuntak Rohma Yuanita Roifatun Nisa Ronny Aruben Rr. Sri Ratna Rahayu Selamat Budijitno Sentha Kusuma PJ Septo Pawelas Arso Silitonga, Steward Febrianto Silvia Etika Sari Simamora, Deborah Siti Fatimah Siti Fatimah Siti Fatimah Siti Fatimah Muis Siti Fatimah Pradigdo Siti Fatimah-Muis, Siti Siti Nurul Huda Siti Syofiatul Rohmah Siva Candra Rukmana Solichati Solichati Sri Achadi Nugraheni SRI RAHAYU Sri Rulihari Sri Winarni Stephani Nesya Renamastika Sugeng Maryanto Suhartono Suhartono, Suhartono SULISTIYANI SULISTIYANI Sulistiyani Sulistiyani Susanti Lestari Susi Herawati Susilani, Amalina Tri Sutopo Patria Jati SUYATNO Suyatno Suyatno Suyatno Suyatno Suyatno Suyatno Syamsulhuda BM Teguh Ady Nur Cahyo, Teguh Ady Teguh Akbar Budiana Teungku Nih Farisni Thamrin, Jumianti Lestari Thijs Eijsvogels Tjahjono Kuntjoro Togar Hasudungan Manurung Togar Hasudungan Manurung Tri Wardhani, Ria Triana Widiastuti Udin Bahrudin Udin Bahrudin, Udin Ustriyaningsih, Ustriyaningsih Vinna Audinni Putri Vitania Mutiara Sari Siregar Warih Respitowati Wati, Erna K. Wellina, Wiwien Fitrie Wening Widjajanti Wening Widjajanti Winda Meirina Yade Kurnia Yasin, Yade Kurnia Yasi Anggasari Yohanes Mario Vianney Yudhy Dharmawan Yuliastuti, Erni Yuni Atika Sari Yurizka, Berta Zaenab Ismail Zaenal Amirudin Zahroh Shaluhiyah