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All Journal Media Penelitian dan Pengembangan Kesehatan Jurnal Ekologi Kesehatan BULETIN PENELITIAN SISTEM KESEHATAN Jurnal Kebijakan Kesehatan Indonesia Global Medical and Health Communication Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Prima Jurnal Abdimas Mahakam Jurnal Riset Kesehatan Poltekkes Depkes Bandung Indian Journal of Forensic Medicine & Toxicology Journal Of Applied Food And Nutrition Jurnal Manajerial Bisnis Journal of Global Pharma Technology MAP (Jurnal Manajemen dan Administrasi Publik)

Gurendro Putro

Badan Penelitian Dan Pengembangan Kesehatan

Author-ID : 3163376

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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ANALISIS IMPLEMENTASI KEBIJAKAN JAMINAN PERSALINAN DALAM MENINGKATKAN CAKUPAN PERSALINAN TENAGA KESEHATAN DI KABUPATEN SITUBONDO TAHUN 2013 Putro, Gurendro
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 03 (2013)
Publisher : Jurnal Kebijakan Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (45.823 KB)

Background:The policy of Maternity Benefit for the Uninsured(Jampersal) is based on the philosophy to reduce maternalmortality and infant. The Minister of Health Regulation number2562/Menkes/Per/XII/2011 on A Maternity Benefit for theUninsured Personsâs Technical Guidelines ensures that thegovernment provides services to pregnant women withantenatal care (ANC), parturition and post-parturition for free,including the use of contraceptives post parturition.Objective:To know the confidenceâs level of pregnant womenin seeking help for parturition from the health provider, theprovider commitment to Jampersal policy, and Jampersalsocialization in the community.Methods: Cross-sectional and purposive sampling are usedfor descriptive analysis. Data collection is conducted withinterview using a questionnaire to 40 mothers and 40 midwivesin the district Situbondo. Data is also collected throughsecondary data from the district health office Situbondo andhospital.Results: From the 40 respondents that had been interviewed,92.5% ask for help to providers, but as much as 7.5% ask forpartus help from traditional birth attendants. In addition, theJampersal still charged costs to maternal care to as many as12 people (30%). This is non-conforming to Jampersal policyof giving free maternal care. In Jampersal implementation inSitubondo, 50% of midwives have good commitment. While27.5% showed medium commitment and the remaining 22.5%is less committed. The magnitude of this commitment varies.Respondents with the age of 30-39 years shows excellentcommitment ( 55%), and those who work for 1-9 years arecommitted (50%). Socialization of Jampersal policy hasnât beenoptimal. Jampersal is still not known by all pregnant womenyet. The term âfree treatmentâ is confused with the health cardpolicy.Conclusion: There is a high trust level in pregnant womenwho asks for partus help (92.5%). Commitment of provider inrunning the Jampersal policy is still high. Jampersal socializationhasnât reached the optimal level because people still do notunderstand the conditions of Jampersal.Suggestion: Since birth delivery by the traditional birth attendantsis still common, the midwife should work with traditionalbirth attendants in terms of infant care such as bathing, andgive incentives when collaborating in handling after partus.There is a need to improve midwife skills in detecting the riskof pregnancy and childbirth. Socialization Jampersal need toinvolve community leaders, and religion leaders.Keywords: Jampersal, pregnant womenâ trust, Provider Commitment.

Manajemen Peningkatan Kepesertaan dalam Jaminan Kesehatan Nasional pada Kelompok Nelayan Non Penerima Bantuan Iuran (Non PBI) Putro, Gurendro; Barida, Iram
Media Penelitian dan Pengembangan Kesehatan Vol 27, No 1 (2017)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v1i1.5755.17-24

In order to achieve universal health coverage by 2019, BPJS Kesehatan needs to involve all people to become members of National Health Insurance (NHI). This study aimed to analyze the mechanism of the increase in membership group of fishermen with non recipient contribution (Non PBI) in the National Health Insurance. This was an observational research method which was used to observe the phenomenon of BPJS Kesehatan membership of a group of fishermen. The type of this study was cross-sectional study design because the data was taken at a certain time which was in the year 2014. The research location was in several cities in Indonesia including Jember City, East Java Province, Balikpapan City, East Kalimantan Province; and Makassar City, South Sulawesi Province. Respondents who participated in NHI as Non PBI was 15 people (9.6%). The lack of NHI participants caused by several aspects such as the difficulties of procedure, registration place and also premium payment place. There is also assumption that there is still cost sharing for NHI member when having a service from health service. The knowledge of respondents associated with the registration procedure was 47.8%, and the information about NHIâs socialization from television was 62.8%. Enhancement of membership could be implemented by doing more often socialization of program and also easier procedure to register and pay the fee.Keywords: National Health Insurance, membership, non premium assistance, informal sectorsAbstrakDalam rangka mencapai universal health coverage pada tahun 2019, Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan perlu melibatkan semua kalangan untuk menjadi anggota. Penelitian ini bertujuan untuk menganalisis mekanisme peningkatan kepesertaan kelompok nelayan non Penerima Bantuan Iuran (PBI) dalam Jaminan Kesehatan Nasional (JKN). Metode penelitian ini adalah observasional dimana digunakan untuk melihat fenomena kepesertaan BPJS Kesehatan dari kelompok nelayan. Rancangan penelitian secara potong lintang karena data diambil pada kurun waktu tertentu yakni pada tahun 2014. Lokasi penelitian dilakukan di beberapa kota di Indonesia diantaranya adalah Kabupaten Jember di Provinsi Jawa Timur, Kota Balikpapan di Provinsi Kalimantan Timur dan Kota Makassar di Provinsi Sulawesi Selatan. Responden yang menjadi peserta BPJS Kesehatan Non PBI sebanyak 15 orang (9,6%). Minimnya peserta BPJS Kesehatan disebabkan berbagai hal diantaranya antara lain prosedur dan tempat pendaftaran, pembayaran premi yang masih menyulitkan, serta anggapan masih ada biaya tambahan pada pelayanan kesehatan bagi peserta BPJS Kesehatan. Pengetahuan responden terkait prosedur pendaftaran sebesar 47,8%, dan pengetahuan tentang sosialisasi BPJS kesehatan didapatkan dari media televisi sebesar 62,8%. Peningkatan kepesertaan BPJS Kesehatan dapat dilakukan dengan cara sosialisasi BPJS Kesehatan yang lebih sering serta cara pendaftaran dan pembayaran premi yang lebih mudah.Kata kunci: Jaminan Kesehatan Nasional, keanggotaan, non penerima bantuan iuran, sektor informalÂ

Analisis Implementasi Kebijakan Pendayagunaan Sumber Daya Manusia Kesehatan di Puskesmas Daerah Tertinggal, Perbatasan, dan Kepulauan (DTPK) Putro, Gurendro; Barida, Iram
Media Penelitian dan Pengembangan Kesehatan Vol 28, No 1 (2018)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

The availability of health workers in the public health center (puskesmas) in underdeveloped,borders, and islands region (DTPK) areas is very diverse both in number and type. This studyaimed to analyze implementation of government policy towards the utilization of health humanresources based on competence and incentive in DTPK area. This research was cross sectionalstudy, the primary data was collected by interview to respondents and the secondary data was frompuskesmas reports and district health profiles. Research was conducted for 10 months startingfrom January to October 2011. This research was performed in 4 districts, which were Natuna,Nunukan, Sangihe Island, and Belu. The availability of the number and types of health personnelat DTPK health center were currently not in accordance to the ideal requirements of the Ministry ofHealth policy on the placement of health human resources at the DTPK health center. Competenceof health personnel at DTPK health center was still the basic competence of science accordingto the type of education. The placement of health personnel needs to obtain additional specialcompetencies tailored to the characteristics of the DTPK Puskesmas. The incentives of PTT healthworkers and special assigment is higher compare to the civil servant at DTPK area.AbstrakKetersediaan tenaga kesehatan di puskesmas Daerah Tertinggal, Perbatasan, dan Kepulauan(DTPK) sangat beragam baik jumlah dan jenisnya. Tujuan penelitian adalah menganalisisimplementasi kebijakan pemerintah berkaitan dengan penentuan standar sumber daya manusia(SDM) kesehatan berbasis kompetensi dan pemberian insentif tenaga kesehatan di puskesmasDTPK. Jenis penelitian cross sectional, pengumpulan data primer dengan wawancara kepadaresponden dan data sekunder dari laporan puskesmas dan profil kesehatan kabupaten. Waktupenelitian selama bulan Januari-Oktober 2011. Lokasi penelitian di Kabupaten Natuna, KabupatenNunukan, Kabupaten Kepulauan Sangihe, dan Kabupaten Belu. Ketersediaan jumlah dan jenistenaga kesehatan di puskesmas DTPK saat ini belum sesuai dengan syarat ideal kebijakanKementerian Kesehatan RI tentang penempatan SDM kesehatan di puskesmas DTPK. Kompetensitenaga kesehatan di puskesmas DTPK masih bersifat kompetensi dasar keilmuan sesuai jenispendidikan. Penempatan tenaga kesehatan perlu mendapatkan tambahan kompetensi khususyang disesuaikan dengan karakteristik di puskesmas DTPK. Insentif yang diterima petugaskesehatan PTT lebih tinggi dibandingkan dengan gaji yang diterima oleh petugas PNS Puskesmas.

Utilization of Deconcentration Health Funds in Planning, Budgeting, and Implementation in Indonesia Gurendro Putro1, Ristrini1, Tumaji1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i2.3369

Background: Deconcentration funds are funds that given to regions in achieving the target echelon 1 indicator of the main units in the ministry of health with program performance indicators, then translated into echelon 2 targets with the achievement of activity performance indicators. This deconcentration fund is one for health financing in achieving the National Medium-Term Development Plan (RPJMN) in the health sector. Aim: to examine the allocation of deconcentrated funds in planning, implement, monitoring and evaluating. Method: the secondary data document was analyzed for the allocation of deconcentrated funds, from the center in each division of the program. This research was conducted for 4 months from September to December 2018. Result: the highest deconcentration funds from 2016 to 2017 were highest in the North Sulawesi provincial health department of 75.68% and 98.64%, while the lowest in the North Kalimantan provincial department was 39.25% and 68.03%. Whereas for 2018 the highest realiation was in the Southeast Sulawesi provincial health department at 97.36% and the lowest in the Aceh provincial health department was 72.86%. Conclusion: the deconcentration fund planning it is done top down and a menu of programs or activities has been determined. The amount of fund allocation has also been determined by the center, the regions only make and implement what has been made by the center. Activities in the area need to be monitored and evaluated both in substance and financial programs

Utilization of Local Wisdom to Overcome Malnutrition of Children in South Sorong Districts, West Papua Province, Indonesia Gurendro Putro1 , Noor Edi Widya Sukoco1 , Erni Rosita Dewi2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10779

Introduction: In South Sorong Districts in 2013 there were 47.6% cases of malnourished and underweight children under five; short and very short toddler cases (stunting) of 60.7%. In 2017 South Sorong Districts was one of the 100 districts that were the priority in handling stunting problems. Where the problem of stunting is chronic malnutrition in the period ranging from uterus to toddlers. Purpose: this research aims to find the socio-cultural potential and local wisdom in overcoming nutritional problems in these children under five. Method: this riset mix methods by looking for quantitative and qualitative data. Quantitative data with anthroprometry and qualitative data conduct in-depth interviews and village community consultations in finding solutions that are appropriate to the conditions of the community. Result: It was found as many as 49.41% of malnutrition, while stunting was 54.1%. Natural potential in the form of food ingredients, fish, sea shrimp, chicken, sago and various vegetables already exists in the community. The community made an agreement in dealing with the nutritional problems of these children with child care, nutrition, nutrition and sanitation. Conclucion: that in handling nutritional problems of children there is involvement of the community, traditional leaders, religious leaders, support from the village head and the support of the regional government in the form of special team formation and additional budgets on children under five nutrition programs

Peningkatan Keterampilan Bidan dalam Pemasangan KB IUD dengan menggunakan Teknologi Virtual Reality Gumilang, Intan; Hamidiyanti, Baiq Yuni Fitri; Ristrini , Ristrini; Putro, Gurendro; Bachtiar, Adang
Jurnal Abdimas Mahakam Vol. 5 No. 2 (2021): JURNAL ABDIMAS MAHAKAM
Publisher : Institute for Research and Community Services (LPPM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24903/jam.v5i2.1518

Angka Fertilitas atau Total Fertility Rate (TFR) 2,6. Indonesia masih berada diatas rata-rata TFR Negara ASEAN yaitu 2,4.Pusat data dan informasi Kementerian Kesehatan RI mengestimasi jumlah penduduk Indonesia pada tahun 2017 sejumlah 264 juta orang. Total Fertility Rate (TFR) di Propinsi NTB sebesar 2,8 anak, lebih tinggi jika dibandingkan dengan target nasional yaitu sebesar 2,36 anak. Program penguatan kapasitas tenaga untuk pelayanan KB dilakukan dengan berbagai macam pelatihan.Salah satunya adalah program CTU (Contraseptive Update) untuk tenaga bidan.Dalam pelatihan ini tenaga kesehatan khususnya bidan diberikan pelatihan untuk memberikan pelayanan alat kontrasepsi berupa implant dan IUD, namun pelatihan ini masih konvensional yaitu dengan metode ceramah tanya jawab, demonstrasi dan pratikum yang membutuhkan waktu serta tenaga professional.Teknologi VR di sekolah maupun bidang edukasi lainnya diharapkan dapat memotivasi belajar siswa dan meningkatkan pengalaman belajar. Pelatihan ini mampu meningkatkan keterampilan bidan dalam pemasangan KB IUD

ANALISIS IMPLEMENTASI KEBIJAKAN JAMINAN PERSALINAN DALAM MENINGKATKAN CAKUPAN PERSALINAN TENAGA KESEHATAN DI KABUPATEN SITUBONDO TAHUN 2013 Gurendro Putro
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 3 (2013)
Publisher : Center for Health Policy and Management

Background:The policy of Maternity Benefit for the Uninsured(Jampersal) is based on the philosophy to reduce maternalmortality and infant. The Minister of Health Regulation number2562/Menkes/Per/XII/2011 on A Maternity Benefit for theUninsured Persons’s Technical Guidelines ensures that thegovernment provides services to pregnant women withantenatal care (ANC), parturition and post-parturition for free,including the use of contraceptives post parturition.Objective:To know the confidence’s level of pregnant womenin seeking help for parturition from the health provider, theprovider commitment to Jampersal policy, and Jampersalsocialization in the community.Methods: Cross-sectional and purposive sampling are usedfor descriptive analysis. Data collection is conducted withinterview using a questionnaire to 40 mothers and 40 midwivesin the district Situbondo. Data is also collected throughsecondary data from the district health office Situbondo andhospital.Results: From the 40 respondents that had been interviewed,92.5% ask for help to providers, but as much as 7.5% ask forpartus help from traditional birth attendants. In addition, theJampersal still charged costs to maternal care to as many as12 people (30%). This is non-conforming to Jampersal policyof giving free maternal care. In Jampersal implementation inSitubondo, 50% of midwives have good commitment. While27.5% showed medium commitment and the remaining 22.5%is less committed. The magnitude of this commitment varies.Respondents with the age of 30-39 years shows excellentcommitment ( 55%), and those who work for 1-9 years arecommitted (50%). Socialization of Jampersal policy hasn’t beenoptimal. Jampersal is still not known by all pregnant womenyet. The term “free treatment” is confused with the health cardpolicy.Conclusion: There is a high trust level in pregnant womenwho asks for partus help (92.5%). Commitment of provider inrunning the Jampersal policy is still high. Jampersal socializationhasn’t reached the optimal level because people still do notunderstand the conditions of Jampersal.Suggestion: Since birth delivery by the traditional birth attendantsis still common, the midwife should work with traditionalbirth attendants in terms of infant care such as bathing, andgive incentives when collaborating in handling after partus.There is a need to improve midwife skills in detecting the riskof pregnancy and childbirth. Socialization Jampersal need toinvolve community leaders, and religion leaders.Keywords: Jampersal, pregnant women’ trust, Provider Commitment.

Pelayanan Manajemen Terpadu Balita Sakit (MTBS) pada Puskesmas di Regional Timur Indonesia Suparmi Suparmi; Iram Barida Maisya; Anissa Rizkianti; Kencana Sari; Bunga Christitha Rosha; Nurillah Amaliah; Joko Pambudi; Yuana Wiryawan; Gurendro Putro; Noor Edi Widya Soekotjo; Lovely Daisy; Mayang Sari
Media Penelitian dan Pengembangan Kesehatan Vol 28 No 4 (2018)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v28i4.125

The decline in under-five mortality remains target of health development in Indonesia. One effort that can be done, among others, is to improve the skills of health workers in dealing with sick children through the Integrated management of Chilhood Illness (IMCI). This study aims to evaluate the implementation of IMCI in 10 selected districts/cities in Eastern Region of Indonesia with a sample of 20 puskesmas selected randomly. In total 40 under-five children were observed when receiving IMCI services at the puskesmas. In addition, an assessment of the completeness of filling out of 200 forms of IMCI under-five children who had come to the puskesmas a week before the survey was conducted. Information related to the availability of equipment to support IMCI services is collected through direct observation in 20 selected puskesmas assisted by a check list form. The results showed that 80% of puskesmas in the eastern region have implemented IMCI, but only 25% of puskesmas reaching all the under-five children. As many as 90% of puskesmas have been trained for IMCI, however only 15% have been monitored post training. Only 25% of puskesmas received supervision from the District Health Office in implementing IMCI. The observation results at the IMCI service for children under five showed that, the lowest score for compliance with IMCI was counseling (25.8%) and the highest was diarrhea assessment (73.8%). The results of observing the IMCI forms showed that the lowest score was feeding practice (30.4%) and repeat visits (30.8%). Meanwhile, oral rehydration facilities for diarrhea are reported to be inadequate, because they are only available at 50% of puskesmas. There needs to be monitoring and supervision of officer compliance and increasing the availability of supporting equipment and facilities/insfrastructure in the implementation of IMCI. Abstrak Penurunan angka kematian balita masih menjadi target pembangunan kesehatan di Indonesia. Salah satu upaya yang dapat dilakukan antara lain meningkatkan keterampilan tenaga kesehatan dalam menangani balita sakit, melalui pendekatan Manajemen Terpadu Balita Sakit (MTBS). Penelitian ini bertujuan untuk mengevaluasi pelaksanaan MTBS di 10 Kabupaten/Kota terpilih di regional timur, dengan jumlah sampel 20 puskesmas yang dipilih secara acak. Secara total, 40 pasien balita diobservasi pada saat mendapatkan pelayanan MTBS di puskesmas. Selain itu, dilakukan asesmen kelengkapan pengisian dari 200 formulir MTBS balita yang pernah datang ke puskesmas dalam kurun waktu seminggu sebelum survei. Infomasi terkait dengan ketersediaan peralatan untuk mendukung pelayanan MTBS dikumpulkan melalui observasi secara langsung di 20 puskesmas terpilih dibantu dengan formulir check list. Hasil analisis menunjukkan bahwa 80% puskesmas di regional timur telah melaksanakan MTBS, namun hanya 25% puskesmas yang menjangkau seluruh balita. Sebesar 90% puskesmas telah terlatih MTBS, namun hanya 15% yang dilakukan monitoring pasca pelatihan. Hanya 25% puskesmas yang mendapatkan supervisi dari Dinas Kesehatan Kabupaten/Kota dalam pelaksanaan MTBS. Hasil observasi pada saat pelayanan MTBS pada balita menunjukkan, skor kepatuhan pelaksanaan MTBS yang terendah adalah konseling (25,8%) dan tertinggi adalah asesmen diare (73,8%). Hasil observasi pengisian formulir MTBS menunjukkan, skor terendah pada pengisian pemberian makan (30,4%) dan kunjungan ulang (30,8%). Sementara itu, fasilitas rehidrasi oral untuk diare dilaporkan belum memadai, karena hanya tersedia di 50% puskesmas. Perlu adanya monitoring dan supervisi terhadap kepatuhan petugas serta peningkatan ketersediaan peralatan dan sarana/prasarana pendukung dalam pelaksanaan MTBS.

PENDAMPINGAN MAHASISWA DAN PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG TANDA BAHAYA KEHAMILAN, NIFAS DAN BAYI BARU LAHIR DI TUJUH KABUPATEN/KOTA DI INDONESIA Suparmi Suparmi; Siti Masitoh; Anissa Rizkianti; Iram Barida Maisya; Ika Saptarini; Andi Susilowati; Sugiharti Sugiharti; Heny Lestary; Novianti Novianti; Joko Pambudi; Nurillah Amaliah; Bunga Christita Rosha; Indri Yunita Putri; Kencana Sari; Rika Rachmalina; Fithia Dyah Puspita; Rina Marina; Gurendro Putro; Noor Edi Widya Soekotjo; Milwiyandia Milwiyandia; Syafran Arrazy; Mochamad Iqbal Nurmansyah
JURNAL EKOLOGI KESEHATAN Vol 18 No 3 (2019): JURNAL EKOLOGI KESEHATAN VOL 18 NO.3 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

ABSTRACT Reducing maternal and neonatal mortality still have many challenges. One of the Ministry of Health’s strategy is to collaborate with universities through the assitance of pregnant women by students. This study aims to determine the effect of students’mentoring on increasing knowledge of pregnant women on dangerous sign of pregnancy, postnatal and newborns. The study is an operational research with quasi-experimental design that was conducted in seven districts/cities in Indonesia. Two Puskesmas were chosen for each district and it categorized as intervention and control group with the number of samples was 280 pregnant women for each group. The results of pre-test showed no difference in the level of knowledge about the dangerous signs of pregnancy, postnatal and newborns between the intervention and control groups, but after mentoring there were significant differences (p-value <0.001). The logistic regression results show that mothers in the intervention group had a 33% higher chance of having good knowledge about the dangerous signs of pregnancy; 92% higher knowledge about dangerous signs of postnatal and 78% higher knowledge about dangerous signs of newborns compared to control group. Therefore, student mentoring can be used as an alternative method of delivering information to increase the knowledge of pregnant women. Keywords: Mentoring, pregnant women, students, danger sign of pregnancy, postnatal, newborn ABSTRAK Upaya penurunan angka kematian ibu dan bayi baru lahir masih memiliki banyak tantangan. Salah satu strategi Kementerian Kesehatan adalah berkolaborasi dengan Perguruan Tinggi melalui kegiatan pendampingan ibu hamil oleh mahasiswa. Penelitian ini bertujuan untuk mengetahui pengaruh pendampingan terhadap peningkatan pengetahuan ibu hamil tentang bahaya kehamilan, nifas dan bayi baru lahir. Penelitian ini merupakan riset operasional berdesain quasi experiment yang dilaksanakan di tujuh Kabupaten/Kota di Indonesia. Tiap Kabupaten/Kota dipilih dua Puskesmas, satu Puskesmas sebagai lokasi intervensi dan satu Puskesmas lain sebagai kontrol. Besar sampel adalah 280 orang ibu hamil pada masing-masing kelompok intervensi dan kontrol. Hasil pretest menunjukkan tidak ada perbedaan tingkat pengetahuan tanda bahaya kehamilan, nifas dan bayi baru lahir diantara kelompok intervensi dan kontrol, namun setelah pendampingan terdapat perbedaan signifikan (p-value <0.001). Hasil regresi logistik menunjukkan bahwa ibu di kelompok intervensi memiliki peluang 33% lebih tinggi untuk memiliki pengetahuan baik tentang tanda bahaya kehamilan; 92% lebih tinggi pengetahuan tanda bahaya nifas dan 78% lebih tinggi pengetahuan tanda bahaya bayi baru lahir dibandingkan ibu kelompok kontrol. Oleh sebab itu, pendampingan mahasiswa dapat digunakan sebagai salah satu alternatif metode penyampaian informasi untuk menngkatkan pengetahuan ibu hamil. Kata kunci: Pendampingan, ibu hamil, mahasiswa, tanda bahaya kehamilan, nifas dan bayi baru lahir

RISET EVALUASI PELAYANAN KESEHATAN JAMINAN KESEHATAN DAERAH DI KABUPATEN KUTAI KARTANEGARA, PROVINSI KALIMANTAN TIMUR Gurendro Putro; Betty Roosihermiatie; Abdul Samad
Buletin Penelitian Sistem Kesehatan Vol 20 No 4 (2017)
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

The implementation of District Health Insurance (the Jamkesda) in Kutai Kartanegara District since the Decree of Kutai Kartanegara District Number 180.188/HK-782/2008 on the initial target of the Jamkesda program in Kutai Kartanegara District 2008, followed by Kutai Kartanegara District Decree Number 1/SK-Bup/HK/2011 on target of the Jamkesda Program Target member in Kutai Kartanegara District. The study aimed to evaluate implementation of the Jamkesda in Kutai Kartanegara District that operating from 2009 to 2013. It was an observational study with a cross sectional design. The total samples were 6.635 people in Kutai Kartanegara District. The study was conducted from August to November 2013. Data collection were by interview. Bivariate data were analyzed by chi square test. Characteristics of members the Jamkesda program in Kutai Kartanegara District were mostly of 50.5% ≥ 41 years old; 26.6% high school educated, 29.1% of farmers; 48.5% with low income of Rp.1.000.0000, - or less; 53.2% had 3–4 family members. For the Jamkesda health services, the majority 90.6% knew about the Jamkesda and 69.4% used the services. People aged ≥ 41 years old, mostly farmers and fi shermen, lower family income, higher family members, and living near to health facilities were associated with utilization of the health services. Education was not associated with utilization of the Jamkesda health services. But the higher education, the higher knowledge on utilization of the Jamkesda (p = 0.000), likely they understood information on the Jamkesda health services. Conversely according to level of satisfaction, the lower education the more satisfi ed to the Jamkesda health services (p=0,029). It needs to socialize the health insurance in providing qualifi ed health services for all patients and its sustainability within the framework of national health scheme to achieve universal health coverage. ABSTRAK Pelaksanaan Jaminan Kesehatan Daerah (Jamkesda) di Kabupaten Kutai Kartanegara sejak Keputusan Bupati Kutai Kartanegara Nomor 180.188/HK-782/2008 tentang sasaran awal program Jamkesda kabupaten Kutai Kartanegara tahun 2008, diikuti Keputusan Bupati Kutai Kartanegara Nomor 1/SK-Bup/HK/2011 tentang Penetapan Sasaran Kepesertaan Program Jamkesda Kabupaten Kutai Kartanegara. Penelitian ini bertujuan melakukan evaluasi terhadap pelaksanaan Jamkesda di Kabupaten Kutai Kartanegara yang berjalan dari tahun 2009 sampai 2013. Jenis penelitian adalah observasional dengan desain potong lintang. Total sampel sebanyak 6.635 orang di wilayah Kabupaten Kutai Kartanegara. Waktu penelitian pada bulan Agustus sampai dengan November 2013. Pengumpulan data dengan wawancara. Analisis data bivariat dengan chi square test. Karakteristik masyarakat Kabupaten Kutai Kartanegara peserta program Jamkesda yang terbanyak 50,5% berumur ≥ 41 tahun; 26,6% berpendidikan tamat SMA, 29,1% petani, 48,5% dengan penghasilan rendah yaitu Rp.1.000.0000,- atau kurang, 53,2% memiliki 3-4 anggota keluarga. Pelayanan kesehatan Jamkesda menunjukkan 90,6% masyarakat mengetahui tentang Jamkesda dan 69,4% yang memanfaatkan pelayanannya. Masyarakat dengan umur semakin tua, ≥ 41 tahun, jenis pekerjaan terutama petani dan nelayan, berpenghasilan rendah, jumlah anggota keluarga banyak, dan bertempat tinggal dekat dengan fasilitas kesehatan berhubungan dengan pemanfaatan pelayanan kesehatan Jamkesda. Pendidikan tidak berhubungan dengan pemanfaatan pelayanan kesehatan Jamkesda. Tetapi semakin tinggi pendidikan masyarakat maka semakin tinggi pengetahuannya terhadap pemanfaatan pelayanan kesehatan Jamkesda (p = 0,000). Tampaknya mereka paham terhadap informasi pelayanan Jamkesda. Sebaliknya menurut tingkat kepuasannya, semakin rendah pendidikannya maka semakin puas terhadap pelayanan kesehatan Jamkesda (p = 0,029). Perlu sosialisasi tentang jaminan kesehatan untuk memberikan pelayanan jaminan kesehatan yang berkualitas kepada semua pasien dan keberlangsungannya dalam kerangka jaminan kesehatan nasional guna mencapai universal health coverage.

Co-Authors AA Sudharmawan, AA Abdul Samad Adang Bachtiar Administrator Administrator Andi Susilowati Anissa Rizkianti Arifin, Achmad Awan Dramawan Barida, Iram Betty Roosihermiatie Bunga Christita Rosha Bunga Christitha Rosha C. Sri Hartati C.Sri Hartati Cathrine Sri Hartati Dede Anwar Musadad Dwi Ripnowati Elizabeth Murniaty Endang Puji Astuti Farid Husin Fithia Dyah Puspita Gumilang, Intan Hamidiyanti, Baiq Yuni Fitri Heny Lestary Hermin ÔÇÄ Ida Susanti Ika Saptarini Indri Yunita Putri Intan Gumilang Iram Barida Maisya Iram Barida Maisya Joko Pambudi jurnalmap map jurnalpps pps Kencana Sari Kumalasari, Isti Lovely Daisy Maruni Wiwin Diarti Mayang Sari Milwiyandia Milwiyandia Mochamad Iqbal Nurmansyah Mugi Wahidin Noor Edi Widya Soekotjo Noor Edi Widya Soekotjo Novianti Novianti Nurillah Amaliah Pratiwi, Intan Gumilang Rai Pandudita Retno Dwi Hapsari Rika Rachmalina Rina Marina Ristrini , Ristrini Ristrini Ristrini Ristrini Ristrini Ristrini Ristrini Rozana Ika Agustiya Rr Ratna Budi Sri Sugiastuti Rusminto ÔÇì Septa Agung Siti Masitoh Siwi Pramatama Sugiharti Sugiharti Suparmi Suparmi Syafran Arrazy Tities Puspita Tumaji Tumaji Wawan Ridwan Yuana Wiryawan

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