Y. Budi Sarwo
Master of Law Science Concentration of Health Law Soegijapranata Catholic University of Semarang

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Peran Puskesmas Dalam Pelaksanaan Skrinning Hipotiroid Kongenital Untuk Menjamin Kesehatan Anak Di Puskesmas Kabupaten Oku Timur Charunia Anggraini; Y. Budi Sarwo; Hadi Sulistyanto
SOEPRA Vol 4, No 1: Juni 2018
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.367 KB) | DOI: 10.24167/shk.v4i1.1292

Abstract

Health is one of human rights that should be protected and cared for by the Government. Children, as a matter of fact, are to be the generation that will hold this country in the future and that’s why they should be protected. The preliminary study showed that the Congenital Hypothyroid Screening (Skrinning Hipotiroid  Kongenital/SHK) had not been implemented in the first level health facility (Public Health Center or Puskesmas) at East OKU Regency. There was no specific regulation on SHK at East OKU Regency so that SHK would not be implemented to newborn babies. Since SHK was one of the national programs it required a governmental regulation, the commitment of health officer and related profession and it should be integrated with the whole health service system.This research implemented a socio-legal approach having analytical-descriptive specification. The objective was to get an overview of the policies of East OKU regency in supporting the implementation of Congenital Hypothyroid Screening (SHK) beside to see the factors influencing. This study was conducted at Puskesmasof  East OKU regency by using primary data obtained from 3 resource persons and 5 respondents of the Puskesmasmeanwhile the secondary data were obtained from library and archive studies. The data were then qualitatively analyzed.The results showed that the government of East OKU regency had not had a special regency’s or regent’s regulation on Congenital Hypothyroid Screening. However, there were governmental supports to SHK program that were contained in other regulations such as Regional Regulation (Perda) of East OKU regency Nr. 6 of 2016 on Arrangement and Structure of Regency’s Apparatus of East OKU regency and the Regent's Regulation Nr. 39 of 2016 on Position, Organizational Structure of Duties and Functions and the Working Procedures of the Regional Agencies. Besides, the government of East OKU regency would not complicate but it would even provide budget for UPTD of Health Office in running the health program. In running the program the Health Office would refer to the Health Minister’s Regulation (Permenkes) Nr. 78 of 2014 on Congenital Hypothyroid Screening (SHK). So far,during this study was conducted,there was no a single baby having congenital hypothyroid. In accomplishing its duties the Puskesmashad implemented the Standard Operational Procedure (SOP) got from the Health Office of East OKU regency and the SOP itself was derived from Provincial Health Office.
Pelaksanaan Pelayanan Gawat Darurat Bagi Peserta Bpjs Kesehatan Di Rumah Sakit Umum Daerah Ratu Aji Putri Botung Ditinjau Dari Keputusan Menteri Kesehatan Nomor 856/Menkes/Sk/Ix/2009 Tentang Standar Instalasi Gawat Darurat (IGD) Rumah Sakit Jansje Grace Makisurat; Y. Budi Sarwo; Daniel Budi Wibowo
SOEPRA Vol 4, No 1: Juni 2018
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (318.863 KB) | DOI: 10.24167/shk.v4i1.1472

Abstract

Indonesian Hospital is a health service facility to support the implementation of health efforts. RSUD in collaboration with BPJS often accepts patients not according to the criteria of emergency criteria. This study aims to determine the implementation of emergency services for participants JKN Health in IGD and Decree of the Minister of Health of the Republic of Indonesia No. 856 / Menkes / SK / IX / 2009 on Emergency Installation Standards.This research was conducted at the General Hospital of Ratu Aji Putri Botung Area. This research uses sociological juridical approach method with analytical descriptive specification. The data used are primary and secondary data through observation and interview 60 respondents to Head of Health Service, Head of Medical Service, Head of Room of IGD, Head of Unit of Integrated Health Insurance, and manager of BPJS. Data of research result is analyzed by using qualitative method.The results showed that JKN participants were aware of the service flow (32%), were aware of referral service flow (20%), were aware of the emergency’s criteria (28%) and were aware of the JKN participants' rights and obligations (48%). It is because lack of understanding on JKN regulation that become obstacle to access IGD services. Patients who have applied service at the Regional Public Hospital’s emergency unit were served according to the service flow regulated by BPJS. The Triage method was conducted to patients who applied for service at the Emergency unit to sort out which are emergency cases and which are not. RSUD RAPB has not implemented KMK Number 856 / Menkes / SK / IX / 2009 on Hospital's Emergency Unit Standard  was not properly implemented in the hospital includes the absence of legal sanction and the absence of a clear regulation at the regional level, therefore the legalization and modification the regulation is required for the legal product to be effective. Budget support from the government and local government is needed for optimal health service delivery in RSUD RAPB. Supervision and guidance from the Department of Health is needed as a control in ensuring that the regulations are being properly implemented. Intensive socialization by BPJS is required in order to make changes in the general community behavior so that people would understand and obey the rules as JKN participants.