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All Journal International Journal of Public Health Science (IJPHS) Nurse Media Journal of Nursing Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Jurnal Populasi Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Yodi Mahendradhata
Departemen Kebijakan Dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada
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Faktor yang berhubungan dengan tidak terkonversinya BTA positif pada pengobatan kasus baru di Semarang Marizan Marizan; Yodi Mahendradhata; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 3 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (497.953 KB) | DOI: 10.22146/bkm.7674

Abstract

Tujuan: Penelitian untuk mengidentifikasi faktor yang berhubungan dengan tidak terkonversinya BTA positif pada pengobatan kasus baru.Metode: Penelitian case control melibatkan 128 kasus dan 128 kontrol. Analisa data dengan uji chi square dan regresi logistik.Hasil: Terdapat lima faktor yang signifikan yaitu umur (p=0.023; 95% CI 1.055-4.464; OR=2.143), jenis kelamin (p=0.003; 95% CI 1.269-3.696; OR=2.164), efek samping obat (p=0.031; 95% CI 0.953-45.959), penyakit penyerta (p=0.001; 95% CI 1.598-9.306; OR=3.702) dan gradasi hasil BTA (p=0.000; 95% CI 2.663-9.862; OR=5.063). Gradasi hasil BTA yang terkuat berhubungan setelah dikontrol jenis kelamin dan penyakit penyerta (p=0.000; OR=5.922; 95% CI:3.074-11.410).Kesimpulan: Faktor yang berhubungan adalah umur, jenis kelamin, efek samping obat, penyakit penyerta dan gradasi hasil BTA. Ada tiga faktor yang terbukti secara bersama-sama mempengaruhi adalah gradasi hasil BTA, penyakit penyerta dan jenis kelamin.
KEBERLANJUTAN PROGRAM POS PELAYANAN TERPADU PADA ERA PENERAPAN DANA DESA DI KABUPATEN BANJARNEGARA Sri Budi Utami; Yodi Mahendradhata; Ari Probandari
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.56725

Abstract

Purpose: This study aims to analyze good practices for the sustainability of  Village Fund supported posyandus in Banjarnegara District.Methods: This study used a qualitative approach with a descriptive case study design. The study used purposive sampling with 23 informants. We used in-depth interviews for data collection.Result: Posyandu sustainabilityis supported by the stability of funding sourced from the Village Fund as the main financing strategy. Six Domains of Posyandu Sustainability for political support, funding stability, partnerships, organizational capacity, evaluation, and communication that still need to be strengthened are the organizational capacity of Posyandu. It is necessary to refer to Permendagri No. 18 of 2018. Posyandu sustainability in rural areas is better than in urban areas.Conclusion: It is necessary to strengthen the domain of posyandu organizational stability, with the strengthening of Posyandu institutions that will impact the support policies of villages / sub-districts to Posyandu.
KESIAPAN INTEGRASI LAYANAN TB-HIV PUSKESMAS DI KABUPATEN KULON PROGO Titi Supriati; Yodi Mahendradhata; Ari Probandari
Berita Kedokteran Masyarakat (BKM) Vol 36, No 7 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.56822

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Latar belakang: Indonesia menjadi salah satu negara dengan beban tuberkulosis (TB) dan Human Immunodeficiency Virus (HIV) tinggi. Sebagai respons, negara yang mendukung kampanye TB-HIV, WHO menyediakan layanan yang disediakan termasuk skrining diagnostik dan perawatan untuk pasien TB-HIV. Kulon Progo menyetujui peningkatan layanan di bawah sumber daya sistem kesehatan yang ada, sangat penting untuk memfasilitasi kemampuannya menyediakan layanan TB-HIV yang lengkap.Tujuan: Penelitian ini bertujuan menilai kesiapan integrasi layanan TB-HIV di Puskesmas untuk sistem kesehatan di Kabupaten Kulon Progo.Metode: Metode penelitian menggunakan mixed methods explanatory sequential design. Unit analisis adalah Puskesmas. Observasi ketersediaan dan kesiapan layanan TB dan layanan HIV cross sectional menggunakan kuesioner modifikasi SARA dilanjutkan wawancara mendalam mengekplorasi hambatan dan peluang  integrasi layanan TB-HIV di Puskesmas.Hasil: kesiapan layanan Puskesmas, 93,3% (CI 95%; 92,7%-93,9) Puskemas memiliki kesiapan memberikan layanan kesehatan dasar, 63,8% (CI 95%, 60,7–66,8) Puskesmas kesiapan layanan TB, 80,9% ( 95% CI: 73.6–88.2) kesiapan layanan konseling tes HIV, hanya 1 Puskesmas (4,7%) memiliki kesiapan baik untuk kedua layanan. Berdasarkan penilaian domain, 40,4% Puskesmas memiliki petugas terlatih diagnose dan pengobatan TB, 61,9% memiliki petugas terlatih dan pedoman konseling tes HIV. Tema utama diidentifikasi sistem kepegawaian tidak mendukung, kapasitas sumber daya manusia belum optimal, koordinasi dan kerjasama tim masih lemah dan sistem monitoring dan supervisi belum komprehensif. Dukungan pimpinan dan kebijakan yang baik memobilisasi pendanaan, ketersediaan sarana menjadi peluang layanan TB-HIV terintegrasi dijalankan.Kesimpulan: Menuju kesiapan mengintegrasikan layanan TB-HIV di bawah persetujuan kolaborasi TB-HIV, dukungan kebutuhan jumlah tenaga kesehatan dan membekali petugas dengan pengetahuan dan ketrampilan sebagai peningkatan kapasitas mengelola perawatan terintegrasi. Terkait dengan dukungan faktor penentu kesesuaian untuk penyediaan dukungan, suplai dan obat-obatan sebagai keberlanjutan implementasi. 
PENGAMBILAN KEPUTUSAN STRATEGIS GIZI DAN KESEHATAN IBU DAN ANAK (KIA) PADA KEPALA DINAS KESEHATAN KABUPATEN/KOTA DI DAERAH ISTIMEWA YOGYAKARTA Febria Rahmi; Mubasysyir Hasanbasri; Yodi Mahendradhata
Journal of Health Service Management Vol 19 No 4 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (489.569 KB) | DOI: 10.22146/jmpk.v19i4.1934

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Background: the high maternal and child mortality andmalnutrition in regency/city in special region of Yogyakartademanded head of health department to take strategicdecisions.Objectives: to describe the strategic decision making by headof health department on the issue of maternal and child healthand nutrition.Methods: qualitative with exploratory study.Results: District health office/city in special region ofYogyakarta have not many strategic decisions to solveproblems on maternal and child health and nutrition. However,the decisions are always be hampered by human resources.Only Gunung Kidul District Health Office which states that therewas no political involvement in decisions by the head of thehealth department.Conclusions: Strategic decisions taken by district healthoffice/city in special region of Yogyakarta such as regulationmayor books Maternal and Child Health, delay the age ofmarriage at the age of the child, WhatsApp group of district levelnutritional recovery home.
KAPASITAS SUSTAINABILITY PROGRAM KEBUN GIZI MANDIRI MELALUI PEMBERDAYAAN MASYARAKAT BERSAMA CITA SEHAT FOUNDATION Kurnia Widyastuti; Yodi Mahendradhata; Retna Siwi Padmawati
Journal of Health Service Management Vol 23 No 03 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.348 KB) | DOI: 10.22146/jmpk.v23i03.4249

Abstract

Background: The success of health programs to provide long-term benefits remains a challenge. Similarly, the study of sustainability capacity in health programs in Indonesia is still limited. Cita Sehat Foundation strives to support SDG achievement by ensuring thatthe program has sustainable capacity so that it can run and be beneficial in the long periods. One of the programs delivered by the foundation is the implementation of Kebun Gizi Mandiri in Bantul,Yogyakarta, for five years with and provide benefits and pride through several awards.Objective: The aim of the research is to assess the sustainability capacity of Kebun Gizi Mandiri.Methods: This research uses mixed-methods approach with convergent parallel strategy, where qualitative and quantitative data are collected, analyzed separately, and then compared to see the findings. Quantitative data was obtained from PSAT (Program Sustainability Assessment Tool). Qualitative data were obtained through in depth-interviews and focus group discussions from selected informants involving beneficiaries, program managers and development program NGOs with maximum total variation sampling.Results: The sustainability of the program is well supported by the availability of support from the cadre team as the main manager, community and local stakeholders. The availability of information and involvement of cross- stakeholder support the sustainability of program. Strengthening cadre team capacity, innovation in program development, availability of evaluation forms capable of recording program progress and becoming the basis for improvement, as well as availability of allocations from various funding sources to ensure program sustainability are components of sustainability capacity that still needs improvement.Conclusion: There are several domains of sustainability capacity that still need improvement. Therefore, the formulation of a sustainability action plan can be undertaken to follow-up the result based on a sustainability domain review that still needs special attention for improvement.
IMPLEMENTASI PERATURAN WALIKOTA NO.41 TAHUN 2015 TENTANG PENCEGAHAN DAN PENANGGULANGAN HIV AIDS DI KOTA SINGKAWANG TAHUN 2016 Yulia Farahdini; Laksono Trisnantoro; Yodi Mahendradhata
Journal of Health Service Management Vol 22 No 2 (2019)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.518 KB) | DOI: 10.22146/jmpk.v22i2.4478

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Background: Singkawang is a city in West Kalimantan with the second highest number of HIV in West Kalimantan in 2012. To cope with this, then in November 2015, was issued on Mayor Regulation No. 41 Year 2015 on Prevention and Control of HIV AIDS. Objective: To determine the implementation of Singkawang Mayor Regulation No. 41 Year 2015 on Prevention and Control of HIV AIDS in Singkawang. Methods: The study was a descriptive study with a qualitative method by using a single case study design. The way of data collection is done by observation, interview and document study. Analysis techniques used were the analysis of the content (content analysis). Results: In the aspect of the implementation process, in terms of planning, has been carried out properly. However, not all relevant agencies involved in the planning. In terms of acceptability and appropriateness, Mayor Regulation No. 41 Year 2015 has been quite good. However, the constraints of the implementation is the problem of lack of funds and lack of training for agencies outside the health sector. Conclusion: In the Mayor’s efforts to implement Regulation Singkawang Singkawang Goverment expected to develop aspects of equitable funding and training for all agencies to carry out prevention and control of HIV according to Singkawang Mayor Regulation No. 41 2015.
STUDI KASUS TERAPI ARV PADA PASIEN LOST TO FOLLOW-UP DI JAKARTA PUSAT TAHUN 2021 Awani Luksita; Yodi Mahendradhata; Yanri Wijayanti Subronto
Journal of Health Service Management Vol 25 No 02 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (617.248 KB) | DOI: 10.22146/jmpk.v25i02.5515

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Background: There are 9,338 patients undergoing ARV therapy in Central Jakarta and based on data from April to June 2021, 3,651people are missing due to follow-up. Lost To Follow-Up (LTFU) is when the patient does not revisit after three months or more after thelast visit. Objective: Knowing the factors influencing ARV therapy in LTFU patients in Central Jakarta.Methods: This research is a case study research with a total of 12 informants consisting of LTFU patients, NGOs, doctors, and nursesfrom the priority health office in Central Jakarta. Data collection techniques using in-depth interviews and document review. Data analysis using framework analysis technique. Results: This study shows that the experience of LTFU patients wheninitially diagnosed with HIV experienced a pause in ARV therapy because they could not accept themselves as being HIV positive, andsome patients still did not understand ARV therapy treatment. ARV therapy decision-making is based on the motivation to be healthy andwant to see the child’s growth and development into adulthood. Patients feel that undergoing ARV therapy adds to activities that makethem unable to adjust their medication schedule, hampering work time because they must go to drug collection services. Some alsooften forget to bring medicine and feel the need to hide to take medicine when outside the house. The inhibiting factors for LTFU patientsare the effects of drugs; the COVID-19 pandemic condition; feeling healthy; tired of undergoing therapy; being far from health services,the number of costs incurred to go to services; not receiving complete information; and loss of support from the closest people.Conclusion: The government needs to improve strategies for LTFU patients to return to ARV therapy by optimizing the multi-month dispensing (MMD) program; inviting and providing education for family members or relatives of LTFU patients to take ARV therapy treatment by becoming a Drug Swallowing Supervisor (PMO); and it is important to support the design of HIV treatment telemedicine during the COVID-19 pandemic.
Exploring the Acceptability of Traditional Medicine Clinic Implementation in Indonesian Public Health Centers Yuniarsih, Sri Mumpuni; Padmawati, Retna Siwi; Madyaningrum, Ema; Mahendradhata, Yodi
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.67666

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Background: The World Health Organization (WHO) encourages the integration of traditional medicine (TM) into healthcare services, recognizing its cultural importance in countries like Indonesia. However, this integration needs improvement to ensure quality and accessibility. Previous research has primarily focused on policy implementation or health outcomes with limited exploration of the acceptability of TM clinics in Primary Health Centers (PHCs) from the perspectives of stakeholders using the Theoretical Framework of Acceptability (TFA). Operational and ethical challenges of this integration remain underexplored.Purpose: The purpose of this study was to explore the acceptability of traditional medicine clinics in PHC settings using the TFA, focusing on the perspectives of healthcare workers, traditional medicine practitioners, and patients.Methods: An exploratory qualitative study was conducted in five PHCs in Boyolali, Indonesia, with 25 participants, including healthcare workers, traditional medicine practitioners, and patients. Participants were purposely selected based on the following inclusion criteria: (1) healthcare workers providing services in traditional medicine clinics at PHCs, (2) traditional medicine practitioners operating within the clinic area, and (3) patients who had used the clinic’s services at least once. Data were collected through in-depth interviews and analyzed using a thematic approach.Results: Thematic analysis identified four key themes: (1) Perceived Benefits and Trust in TM Clinics, with participants reporting high satisfaction and trust in the services, (2) Readiness and Competency of Healthcare Workers, emphasizing confidence, ongoing training, and collaboration with traditional medicine practitioners, (3) Barriers to Acceptability and Implementation, including heavy workloads, limited resources, and a lack of dedicated personnel, and (4) Alignment with Professional and Cultural Values, focusing on the importance of cultural integration and ethical considerations for the sustainability of TM clinics.Conclusion: Traditional medicine clinics in PHCs are generally well accepted, but their sustainability depends on addressing resource constraints and enhancing staff training. Strategic investment and policy support are crucial for overcoming operational and ethical challenges and ensuring the successful integration of public health services.
RESILIENSI PROGRAM POSBINDU PTM PADA MASA PANDEMI COVID-19: TANTANGAN DAN ADAPTASI DI PUSKESMAS KOTA YOGYAKARTA Munana, Nila; Mahendradhata, Yodi; Prawidya Putri, Likke
Journal of Health Service Management Vol 28 No 01 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i01.19521

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Non-Communicable Diseases (NCDs) are a major cause of death in Indonesia, leading the government to implement the Integrated Health Post (Posbindu PTM) program for early detection and risk factor control. The COVID-19 pandemic significantly impacted the implementation of Posbindu, resulting in a decline in service coverage in several areas. This study aims to explore the barriers and enablers to resilient Posbindu-PTM (community-based NCD screening program) at Yogyakarta City, Indonesia. We conducted a qualitative study by reviewing regulations and interviewing 10 informants by using purposively-selected Community, Community Health Workers (CHWs) and health professionals in two public community health centers (puskesmas) about Posbindu-PTM program. The collected information was analyzed using content analysis. The results show The pandemic led to a decrease in NCD screening coverage from 100% (2019) to 58.73% (2021) at Gondokusuman I, while at Umbulharjo II, it declined to 88%. Key factors contributing to resilience included community involvement, flexible policy support, and service adaptation with strict health protocols. We conclude that, the enable improving resilience of Posbindu-PTM, the role of the community, leadership from DHA and puskesmas staff is imperative. It is also critical to ensure adequate human resources for health, including health professional and CHWs, not only to perform routine activities in NCD screening, but also for managing information systems
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

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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.
Co-Authors Adi W Gunawan Agustina, Nika Maya Ari Kurniawati Ari Probandari Awani Luksita Dwi Handono Sulistio Dyah Wulan Sumekar Rengganis Wardani Ema Madyaningrum Febria Rahmi Fitriah, Yunita Hanifah Rogayah Hari Kusnanto Kurnia Widyastuti Kwartarini Wahyu Yuniarti Laksono Trisnantoro Likke Prawidya Putri Lina Apriana Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lutfan Lazuardi Maria Agustina P.Tondong Marizan Marizan Mitsel Mitsel Mubasysyir Hasanbasri Muhadjir Darwin Munana, Nila Perigrinus Sebong Praptoharjo, Ignatius Prawidya Putri, Likke Ratna Kusumasari Purbani Regina Satya Wirahardja Riana Dian Anggraini Riris Andono Ahmad Sri Budi Utami Sri Mumpuni Yuniarsih Suryobintoro, Bagas Susetyo, Muriandono Budi Titi Supriati Trisno Agung Wibowo Yanri Wijayanti Subronto Yulia Farahdini