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Cahya Tri Purnami

Fakultas Kesehatan Masyarakat Universitas Diponegoro, Jl. Prof. H. Soedarto, S.H., Tembalang, Semarang, Indonesia 50275 | Universitas Diponegoro

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Counseling Model Development Based on Analysis of Unwanted Pregnancy Case in Teenagers Nugroho, Efa; Shaluhiyah, Zahroh; Purnami, Cahya Tri; Kristawansari, Kristawansari
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 1 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i1.9488

Teenegers who experience unwanted pregnancies are increasing. The number of client that access the Unwanted Pregnancy counseling services in IPPA Central Java in the year 2006 (94 clients), 2007 (91 clients), 2008 (95 clients), 2009 (68 clients), 2010 (157 clients), 2011 (98 clients), and 2012 (83 clients). Related to that data, 31% of clients were referred Haid Induction (HI), 3% refer shelter, and 66% continue the pregnancy and there were not identified. This research cunducted in 2014 used quantitative-qualitative approach which aimed to develop a model of counseling after mapping the case. Respondents were 5 Unwaned Prenancy counseling clients selected based on the final decision of counseling. From the research developed counseling model for teenage which should have an easy procedure, complete services, opening hours accordingly, no discrimination, respect privacy, provide pro choice, and low prices. Services consists of counseling, contraception, safe abortion, treatment of STIs, information center counseling and HIV testing, gynecological, prenatal and postnatal services, as well as the services of victims of gender based violence and sexual abuse.

FAKTOR YANG BERPENGARUH TERHADAP KEPATUHAN IBU HAMIL PREEKLAMSIA DALAM PEMANFAATAN LAYANAN ANC Mariyana, Kristin; Jati, Sutopo Patria; Purnami, Cahya Tri
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRAK Preeklamsia dapat dicegah apabila didukung oleh kesadaran ibu hamil untuk patuh dalam pemanfaatan layanan ANC. ANC berkualitas yang dilakukan tenaga kesehatan dan kesadaran masyarakat tentang kesehatan ibu hamil, bersalin dan nifas. Penelitian ini untuk menganalisa faktor yang paling berpengaruh dari ibu hamil preeklamsia supaya patuh dalam pemanfaatan layanan ANC di wilayah kecamatan Pemalang. Penelitian kuantitatif dengan pendekatan cross sectional bersifat explanatory research. Sebanyak 66 responden dipilih secara purposive, menggunakan quesioner, dan data diolah secara distribusi. Variabel yang berpengaruh : riwayat keturunan hipertensi dan atau DM (0,037), pengetahuan (p-value 0,021), akseptabilitas (p-value 0,018), dukungan dan sikap tenaga kesehatan (p value 0,041), dan dukungan suami (p-value 0,045). Variabel yang tidak berpengaruh : umur (p-value 0,239), paritas (p-value 0,714), tingkat pendidikan (p-value 0,394), pekerjaan (p-value 0,316), sikap (p-value 0,714), persepsi kerentanan (p-value 0,665), persepsi kegawatan (p-value 0,233), persepsi manfaat (p value 0,066) dan dukungan keluarga (p-value 0,067). Variabel paling dominan berpengaruh adalah variabel pengetahuan (p-value 0,015) dengan OR (Exp B) 5,527. Kata Kunci : Kepatuhan, ibu hamil preeklamsia, ANC   ABSTRACT Preeclampsia can prevented if supported by the awareness of pregnant women to obey the service ANC. ANC performed by qualified health personnel and public awareness about the health of pregnant women, maternity and childbirth. The aim is to analyze the most influential factors of maternal preeclampsia to obey the ANC service utilization. Quantitative research with cross sectional on pregnant women with preeclampsia in Pemalang district. A 66 respondents taken with purposive, using quessionaire, data analyse with distribution. Related variables : hypertension or DM (0,037), knowledge (p-value 0.021), acceptability (p-value 0.018), support-attitude of health workers (p-value 0.041), and the support of her husband (p-value 0.045). Not related variable: age (p-value 0.239), parity (p-value 0.714), educational level (p-value 0.394), occupation (p-value 0.316), attitude (p-value 0.714), perception of vulnerability (p-value 0.665), perception of severity (p-value 0.233), perceived benefits (p-value 0.066), family support (p-value 0.067). Dominant variable is knowledge (p-value 0.015) OR (Exp B) 5.527. Keywords : Compliance, preeclampsia pregnant women, ANC

ANALISIS FAKTOR â€“ FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU PELAYANAN KONTRASEPSI OLEH BIDAN DI KABUPATEN KEBUMEN Kusumastuti, K; Purnami, Cahya Tri; Tjondrorini, T
Jurnal Ilmiah Kesehatan Keperawatan Vol 11, No 2 (2015): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

IUD is one of the long term contraceptions which its usage is still below the target of Kebumen goverment on 11%. The local government has done a workshop of Contraception Technology Update (CTU) for the midwives in the Kebumen regency so the numbers of the IUD acceptors had increased to 6.57% in June 2012 but however, this is still below the government's target. Some efforts have been done by the local governement but it still can not show a good of IUD contraveption good services. Objective of the research is to give clear descrpition of the analysis of factors Â relate to intra Uterine Device (IUD) contraception services by midwives inÂ Kebumen Regency.This study Â Â this is an observational research with analytic survey method and cross sectional approach. The data were collected using interview consited of strutured questioners to 80 midwives in Kebumen area. The data were analyzed using univariat, bivariat and multivariat analyses techniques.The results show that the variables of knowledge, motivation, acces, human resource availability and policy are in good category but there are still 40% of midwives who have low motivation so they still prefer to give the other more practical contraceptions instead of IUD, and 31% of the places for the IUD services still have not been provided with flipcharts. The variable of IUD contraception has correlation with the variables of knowledge with (p=0.037), motivation (p=0.045), and the availability of the human resources (p=0.021). Meanwhile the variables of service acces (p=0.691) and policy (p=1.000) have no correlation with the behaviour of IUD contraception service. Togetherly the variables of motivation and human resource availability have influenced the behaviour of IUD contraception service pâ‰¤ 0.05 with Exp.(B) > 2.It is recomended to midwives to motivate them selves in giving more rasionally Family Planning service and it is necessary to hold an Up to date Contraception Technology Workshops for midwives to increase the quality of IUD contraception services. KeywordsÂ Â Â Â :Â IUD Contraception Services, CTU for midwives

Analisis Faktor-Faktor Yang Berhubungan dengan Perilaku Pelayanan Kontrasepsi oleh Bidan di Kabupaten Kebumen Kusumastuti,; Kartasurya, Martha Irene; Purnami, Cahya Tri
Jurnal Keperawatan Soedirman Vol. 08 No. 1 (2013)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2013.8.1.462

Pemerintah Kabupaten Kebumen telah mengadakan pelatihan Contraception Technology Update (CTU) bagi Bidan. Namun tetap saja pemakaian kontrasepsi Intra Uterine Device IUD) masih di bawah target. Penelitian ini merupakan penelitian observasional dengan metode survey analitik dengan pendekatan kuantitatif dan pendekatan waktu cross sectional. Pengumpulan data menggunakan kuesioner terstruktur pada 80 responden bidan di wilayah Kabupaten Kebumen. Analisa data dilakukan dengan analisis univariat, bivariat dan multivariate. Pengetahuan, motivasi, akses, ketersediaan sumberdaya dan kebijakan dalam kategori baik, namun masih terdapat 40% bidan yang motivasinya kurang karena lebih memilih melayani kontrasepsi yang praktis, dan 31% tempat pelayanan responden tidak terdapat lembar balik. Pelayanan kontrasepsi IUD berhubungan dengan pengetahuan bidan, motivasi bidan, dan ketersediaan sumberdaya. Sedangkan akses pelayanan dan kebijakan tidak berhubungan dengan pelayanan kontrasepsi IUD. Motivasi bidan dan ketersediaan sumberdaya berpengaruh terhadap pelayanan kontrasepsi IUD.

HUBUNGAN BEBERAPA FAKTOR DENGAN KURANGNYA PENGGUNAAN METODE KONTRASEPSI JANGKA PANJANG PADA IBU USIA 15 – 49 TAHUN DI PROVINSI MALUKU UTARA (ANALISA DATA SDKI 2017) Ternate, Elvicta Venteysa; Nugroho, Raden Djoko; Wirnani, Sri; Purnami, Cahya Tri
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Long Term Contraceptive Method (MKJP) is the most effective contraceptive method in reducing the number of birth rates. In 2012 the prevalence of MKJP of North Maluku Province (23.7%) prevalence of MKJP usage below the national figure (27.5%). This study aims to analyze factors related to the practice of mkjp use in mothers aged 15-49 years in North Maluku Province. This type of research is explanatory research using Cross Sectional design. This study has a population of 316,855 mothers 15 - 49 years, a sample of 1050 mothers who use contraceptives Data sources in this study are the results of the 2017 Indonesian health demographic survey (SDKI). This type of research is quantitative research Stages conducted in data processing are data input, edit, and clening., entry, tabulation. Analysis is done based on univariate (frequency distribution) and bivariate (frequency distribution, cha square, and p-value= 0.05.) The results showed that most mothers who did not use MKJP (81.2%), mothers aged <35 years (61.5%), mothers with the number of children living 0 - 2 (64.6%), mothers with low levels of pedidikan (79.2%), mothers of poor knowledge about the type of contraceptives (54%). Sources of birth control services received by mothers as much as (53.2%) from other sources of service (friends, shops, NGOs). The practice of using MKJP relates to maternal knowledge (p-value = 0.050), maternal education level (p-value = 0.002), the area where the mother lives (p-value = 0.000), and the source of maternal kb services (p-value = 0.018). However, the age of the mother (p- value = 0.436) and the number of children living in the mother (p-value = 0.106) have no relationship with the practice of using MKJP in mothers.Keywords: Long-Term Contraceptive Method, Lifespan, number of children living, knowledge, education level, residential area, source of birth control services.

Evaluasi Pelayanan Persalinan oleh Bidan Desa Selama Pelaksanaan Program Jaminan Persalinan di Puskesmas Salomekko Kabupaten Bone Sulawesi Selatan Tahun 2012 Zulaeha Amirudin Amdadi; Chriswardani Suryawati; Cahya Tri Purnami
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 3 (2012)
Publisher : Center for Health Policy and Management

Background: The delivery assurance (Jampersal) issued from April 2011 aims to increase access to maternal delivery assistance by health workers in health facilities by providing financing guarantees. Delivery coverage by health workers in Bone District in 2011 was 76.67%. Delivery by health workers was only 60% done in health facilities and Salomekko Health Center had the lowest figure which was 25%. Objective: To evaluate service delivery by village midwives during the implementation of Jampersal in Salomekko Health Center of Bone District of South Sulawesi Province in 2012. Methods: This study was observational using a qualitative descriptive design that was evaluative in nature. The study subjects were 8 village midwives in the work area of Salomekko Health Center. The triangulation informants were the head and midwife coordinator of Salomekko Health Center and the head of MCH section of Bone Health office. Data was collected by in-depth interviews and analyzed by content analysis. Results: All midwives in the village did not perform service delivery well because most of them had not joined APN training. There was no Standard Operational Procedures (SOP), four village health post buildings in the four villages were not adequate (their width, no water or electricity and away from settlements), four other villages had not yet Poskesdes, and delivery equipment was also incomplete. The process of planning, implementation, monitoring and supervision of Jampersal was also not performed well. In 2011 and 2012 (January to April), all deliveries by health workers in the Salomekko Health Center were funded by Jampersal although deliveries took place in non-medical facilities. The culture of siri was expected to encourage mothers to give birth at home. The delivery rate by traditional birth attendants was still high. Although there was no necessity, the mothers should pay around 100,000 00 to midwives for consumables without the knowledge of the health office. The application procedure for Jampersal funds with certain administrative requirements was perceived to be quite complicated. Conclusion: Poskesdes needs to be built immediately in four villages and, for the other four villages that already have Poskesdes, the facilities need improving following the completeness of equipment. APN training and Jampersal SOP socialization should be improved and monitoring and supervision by the health center in the village should be increased. Levies should be removed and delivery by health workers not at the health facilities cannot claim Jampersal. Lastly, the claims of Jampersal process should be simplified. Latar belakang: Jaminan persalinan diberlakukan mulai April tahun 2011 dan bertujuan meningkatkan akses ibu bersalin terhadap pertolongan persalinan oleh tenaga kesehatan di fasilitas kesehatan dengan memberikan jaminan pembiaya- annya. Cakupan persalinan oleh tenaga kesehatan di Kabupaten Bone tahun 2011 yaitu 76,67%. Persalinan oleh tenaga kese- hatan hanya 60% dilakukan oleh fasilitas kesehatan dan Puskesmas Salomekko mempunyai angka terendah yaitu 25%. Tujuan penelitian adalah melakukan evaluasi pelayanan persalinan oleh bidan di desa selama pelaksanaan Jampersal di Puskesmas Salomekko Kabupaten Bone Sulawesi Selatan tahun 2012. Metode: penelitian observasional menggunakan rancangan deskriptif kualitatif yang bersifat evaluatif, dengan subyek penelitian adalah 8 orang bidan di desa di wilayah Puskesmas Salomekko. Informan triangulasi adalah Kepala Puskesmas Salomekko dan Bidan koordinator Puskesmas Salomekko, serta Kepala seksi KIA Dinas Kesehatan Kabupaten Bone. Data dikumpulkan dengan wawancara mendalam dan dianalisis dengan content analysis. Hasil: Semua informan bidan di desa belum melaksanakan pelayanan persalinan dengan baik karena sebagian besar petugas belum mengikuti pelatihan APN, belum adanya Standar Operational Prosedur (SOP), empat gedung Pos Kesehatan Desa di empat desa tidak memadai (luasnya, tidak ada air mau- pun listrik dan jauh dari pemukiman), empat desa lainnya belum memiliki Poskesdes, peralatan persalinan juga belum lengkap. Proses perencanaan, pelaksanaan, monitoring dan pengawas- an Jampersal juga belum terlaksana dengan baik. Tahun 2011 dan 2012 (Januari sampai April) semua persalinan oleh tenaga kesehatan di wilayah Puskesmas Salomekko dibiayai dana Jam- persal walaupun persalinan dilakukan di non fasilitas kese- hatan. Budaya siri diperkirakan mendorong ibu bersalin di rumah. Angka persalinan oleh dukun bayi masih tinggi. Walaupun tidak ada keharusan tetapi cukup memberatkan ternyata sebagian ibu bersalin membayar sekitar Rp100.000,00 ke bidan di desa untuk bahan habis pakai, dan hal ini tidak sepengetahuan dinas kesehatan. Prosedur pengajuan dana Jampersal dengan syarat administrasi tertentu dirasakan cukup rumit. Kesimpulan: Diperlukan segera pembangunan Poskesdes di empat desa dan perbaikan fasilitas di empat desa yang telah mempunyai Poskesdes berikut kelengkapan peralatannya, pelatihan APN dan sosialisasi SOP Jampersal begitu juga peningkatan upaya monitoring dan supervisi oleh Puskesmas berdasarkan rayon wilayah desa, menghilangkan pungutan, persalinan Nakes tidak di Faskes tidak diklaimkan jampersal serta penyederhanaan proses klaim Jampersal.

Evaluasi Sistem Informasi Manajemen Puskesmas Guna Mendukung Penerapan Sikda Generik Menggunakan Metode Hot Fit Di Kabupaten Purworejo Viera Juniver Thenu; Eko Sediyono; Cahya Tri Purnami
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 2 (2016): Agustus 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Purworejo District Health Office (DHO) has developed Health Center Management Information System (HCMIS) to provide quick, precise, and accurate information for supporting the process of decision making and the policy of services at Health Center. However, there was still any empty forms and did not use the system. To standardize Health Information System, Ministry of Health has released a concept of Generic SIKDA. Therefore, the system applied by Purworejo DHO needs to be evaluated using the method of HOT fit. This was qualitative research using indepth interview and direct observation. Main informants were nine data operators and informants for triangulation purpose was six persons from health centers and five persons from DHO. Furthermore, data were analyzed using content analysis. The result of this research revealed that the application of HCMIS at Purworejo DHO was equal to Generic SIKDA. The system had been applied routinely but there was no a guidance book and training. Number of human resources was sufficient. However, there needed to make an implementer team of Health Information System in accordance with competency. There was no routine monitoring and current budget was not sufficient to maintain hardware to support the system. Quality of the system used was good, easy to use, and available of menu to communicate data. Unfortunately, quality of resulted information had still been inaccurate and incomplete because it did not cover data of services at Subsidiary Health Centers (SHC) and Village Health Posts (VHP). The lateness of services was related to a funding procedure. HCMIS at Purworejo DHO was equal to Generic SIKDA but it had not been used to make a decision. As a suggestion, DHO needs to conduct training, monitor, and provide hardware and a network. Meanwhile, Health Centers needs to make a commitment for applying the HCMIS maximally by SHC and VHP.

Analysis on the Influence of Nurses Perception in Nursing Management and Working Environment on Nurses Job Satisfaction at Inpatient Unit of Tugurejo General Hospital, Semarang Komariyatun Komariyatun; Cahya Tri Purnami; Bambang Edi Warsito
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Manajemen keperawatan merupakan proses perencanaan, pengorganisasian, pengarahan dan pengawasan untuk mencapai tujuan keperawatan. Kepuasan kerja adalah berbagai persepsi perawat terhadap lingkungan pekerjaannya. Kenyataan pelaksanaannya belum sesuai dengan perencanaan, pengorganisasian, pengarahan dan pengawasan, serta perlu lingkungan kerja yang baik. Tujuan penelitian adalah mengetahui hubungan dan pengaruh persepsi perawat pelaksana dalam perencanaan, pengorganisasian, pengarahan dan pengawasan manajemen keperawatan serta lingkungan kerja terhadap kepuasan kerja perawat di ruang rawat inap RSUD Tugurejo Semarang. Penelitian ini merupakan penelitian observasional deskriptif analitik dengan pendekatan cross sectional. Responden penelitian adalah 114 orang perawat pelaksana. Analisis data dengan analisis univariat, analisis bivariat dan analisis multivariat dengan regresi logistik. Hasil penelitian menunjukkan persepsi manajemen keperawatan berhubungan dengan kepuasan kerja perawat pelaksana adalah perencanaan (p value = 0,0001), pengorganisasian (p value= 0,0001), pengarahan (p value = 0,0001) dan pengawasan (p value= 0,0001), serta didapatkan lingkungan kerja baik (p value = 0,0001). Persepsi manajemen keperawatan yang berpengaruh bersama-sama terhadap kepuasan kinerja perawat pelaksana adalah perencanaan (exp B=27,631), pengorganisasian (exp B=7,549) dan pengawasan (exp B=17,166). Rekomendasi penelitian untuk manajer keperawatan perlu menyusun kembali perencanaan strategis, uraian tugas, tanggung jawab dan wewenang perawat pelaksana, mengoptimalkan pendelegasian wewenang kepada kepala ruang, memberi arahan dan penjelasan kembali kepada perawat pelaksana tentang prosedur pelayanan keperawatan serta memberikan perhatian serta motivasi dalam pengembangan profesional perawat, menjadi mediator yang baik dalam penyelesaian masalah dan melakukan monitoring dan evaluasi berkala program keperawatan di RSUD Tugurejo Semarang. Influence Analysis of Nurses Perception in Nursing Management and Work Environment with Job Satisfaction of Nurses in Ward of Tugurejo General Hospital of Semarang Nursing Management is process of planing, organizing, directing and controlling to achieve the aim of nursing services. Job satisfaction is many perception of nurse with work environment. The nursing management is not matched with planing, organizing, directing and controlling and need good environment of work. The purpose of this study was to describe the correlation and influence of nurses perception in nursing management such as planing, organizing, directing and controlling and work environment with job satisfaction of nurses in ward of Tugurejo General Hospital of Semarang. This study was a analytic describtive observational, cross sectional approach. Respondens were 114 nurses. Analysis of data using bivariat analysis, univariat analysis and multivariat analysis with logistic regression. The results showed nursing management perception related to job satisfaction of nurses was planing (p value=0,0001), organizing (p value=0,0001), directing (p value=0,0001) and controlling (p value=0,0001), and good environment of work (p value=0,0001). Nursing management perception influenced together with job satisfaction of nurses was planing (exp B=27,631), organizing (exp B=7,549) and controlling (exp B=17,166). Recommendations from this research is aimed to nursing management in Tugurejo General Hospital of Semarang to restructure a strategic planing and nurses job description, empower head of ward to delegate responsibility, redirect to nurses about nursing services standard, make attention and motivation to nurses professional development, made as mediator in problem solving and make schedule monitoring and controlling nursing programme.

Quality of Antenatal Care Services by Midwives After Training of Integrated Antenatal Care to Pregnant Women in Province of Central Sulawesi Mercy Joice Kaparang; Bagoes Widjanarko; Cahya Tri Purnami
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKKematian ibu masih cukup tinggih di propinsi Sulawesi tengah. Terdapat 122 angka kematian ibu yang terdiri dari 48 kematian ibu hamil, dan 45,83% penyebab kematian karena Hiper tensi dalam kehamilan. yang seharusnya kasus ini bisa diatasi pada saat pemeriksaan kehamilan. Kegiatan peningkatan kemampuan, sikap dan keterampilan pelaksana asuhan ibu hamil (ANC) yang bermutu disebut dengan Pelatihan ANC Terpadu. Penelitian ini bertujuan Menganalisis dimensi mutu pelayanan asuhan Antenatal care oleh bidan pasca pelatihan ANC Terpadu di Propinsi Sulawesi Tengah.. Penelitian ini dilakukan dengan metode kualitatif. Pengumpulan data dilakukan dengan observasi dan wawancara mendalam pada empat belas orang informan utama yaitu bidan yang telah mengikuti pelatihan ANC terpadu di daerah terpencil dan perbatasan serta daerah yang bermasalah kesehatan yang bertugas di Puskesmas. Informan triangulasi adalah empat belas orang ibu hamil, dan enam orang Kasi KIA DKK Kabupaten, Kota dan Propinsi Sulawesi Tengah. Analisis data dilakukan dengan metode analisis isi. Hasil penelitian menunjukkan aspek masukan: asuhan Antenatal care dilakukan oleh bidan,dengan latar belakang pendidikan D III kebidanan, Pelayanan antenatal care tidak dipunggut biaya, dan alat pemeriksaan laboratorium seperti pemeriksaan HB, test protein dan glukose belum lengkap sehingga tidak dapat mendeteksi adanya komplikasi atau penyakit yang menyertai kehamilan, yang menyebabkan mutu pelayanan bidan kepada ibu hamil belum baik. Proses pembuatan perencanaan asuhan, pemeriksaan Kehamilan dilaksanakan Setiap ada kunjungan pemeriksaan Kehamilan., sesuai tahapan standar pelayanan dan pengawasan pelaksanaan Asuhan dilakukan Sebulan sekali dan yang diawasi adalah Pencapaian PWS, Kinerja bidan, Kasus kematian, Kasus rujukan.Mutu pelayanan asuhan Antenatal care oleh bidan pasca pelatihan ANC Terpadu kepada ibu hamil di Propinsi Sulawesi Tengah sudah berjalan baik. Bidan dalam memberikan pelayanan antenatal care kepada ibu hamil menghargai, menghormati, memberikan perhatian dan mendengarkan keluhan dan juga menjaga rahasia ibu hamil. Direkomendasikan kepada Kasi KIA DKK Propinsi Sulawesi Tengah untuk lebih memperhatikan dan memenuhi kelengkapan alat pemeriksaan kehamilan, khususnya alat pemeriksaan laboratorium seperti Test Protein, Glukose dan pemeriksaan HB.Kata kunci : Mutu Pelayanan asuhan Antenatal, aspek masukan, Proses, keluaran.ABSTRACTMaternal Mortality Rate in Province of Central Sulawesi was high (122/100,000 live births).Therefore, there needed to conduct a training to improve ability, attitude, and skills of midwives in providing Antenatal Care Services (ANC). This related to quality of ANC services. An integrated training of ANC had been conducted at a province level in 2012. The aim of this study was to analyse dimensions of quality of ANC services by midwives after training of integrated ANC. This was a qualitative study. Data were collected by conducting observation and indepth interview towards 14 main informants consisted of midwives working at health centres who had followed the training of integrated ANC in remote and border areas and in an area that had health problems. Meanwhile, informants for triangulation purpose consisted of 14 pregnant women and 6 heads of Maternal and Child Health (MCH) sections at District Health Office, City Health Office, and Province Health Office of Central Sulawesi. Furthermore, data were analysed using content analysis. The results of this study showed that regarding input, ANC services were provided by Midwives graduated from D III Midwifery, ANC services were free of charge, and there was lack of laboratory equipment particularly for tests of Haemoglobin, Protein, and Glucose. Planning was made when there was any visit, ANC was conducted in accordance with a service standard. The local area monitoring of MCH coverage was implemented once a month. Midwives in providing ANC services appreciated, respected, paid attention, listened complaints, and keep secrets of pregnant women. As suggestions, Heads of MCH sections at Health Offices in Province of Central Sulawesi need to provide laboratory equipment for pregnancy test particularly for tests of protein, glucose, and haemoglobin.Keywords : Quality of Antenatal Care Services, Aspects of Input, Process, and Output

Evaluasi Kinerja Sistem Informasi Manajemen Farmasi Di Rs Roemani Muhammadiyah Dengan Metode Hot Fit Model Reni Murnita; Eko Sediyono; Cahya Tri Purnami
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Performance evaluation of Pharmacy Management Information System (PMIS) at Roemani Hospital was done because a policy of pharmacy system operation had not been fully implemented, a finance manager was difficult to predict expenditures to buy stock of medicines, information about amount of medicine on the pharmacy information system was different from amount of medicine which was available in repository, and quality of pharmacist was still low. Analysis model of HOT - Fit put important components on information system namely Human, Organization, and Technology. This research aimed to find out about performance of pharmacy information system at Muhammadiyah Roemani Hospital viewed from users’ perceptions using indicators of Hot Fit Model. This was descriptive research using quantitative approach. Population was all officers (40 persons) who were involved in PMIS. Research instruments consisted of a questionnaire, an observation sheet, and guidance interview. Furthermore, data were analyzed using descriptive statistics continued by categorizing to be good (e”mean/median) and bad (<mean/median) using data normality. The result of observation revealed that overall; viewed from total score of all aspects, mostly respondents had good performance of PMIS (75%). In addition, viewed from the aspects of human and organization, most of them had bad performances (55%) and (57.5%) respectively. In contrast, viewed from the aspect of technology, most of them had good performance (55%). As a conclusion, the performance of PMIS had been categorized as good. It had fulfilled the aspects of timeliness of receiving information and completion of the information. In addition, the aspects of information quality had fulfilled criteria of completeness and relevance but have not fulfilled accuracy of information. The aspect of technology was categorized as good performance whereas performances of the other aspects, namely human and organization were not good. These factors caused inaccuracy and quickness of providing information. As a suggestion, further pieces of follow- up research need to be conducted to examine recommendation (SOP of a pharmacist, SOP of a MIS officer, a training schedule, and master plan of pharmacy IS) which is provided to identify effects of a PMIS use. In addition, supervision by head of pharmacy needs to be done to monitor performance of pharmacist related to the implementation of SOP.

Co-Authors A., Oktarisa Khairiyah Afifah, Aini Ula Agung Budi Prasetijo Agung Budi Prasetijo, Agung Budi Agung Budi Prasetjo Agung Budi Prasetjo Al Asyary Alfi Fairuz Asna Amelia Donsu Amni Zarkasyi Rahman, Amni Zarkasyi Anisa Nur Cahyanti Antono Suryoputro Antono Suryoputro Yudhy Dharmawan Apoina Kartini Apoina Kartini Aris Puji Widodo Arnia Rizkiana Asep Hermawan Atidipta, Santi Atik Mawarni Atik Mawarni Aulia Ulfah Mutiara Dewi Ayun Sriatmi Azhari , Novi Julia Bachtiar, Yusrial Bagoes Widjanarko Bambang Edi Warsito Budi Utomo Budiyono Budiyono Cahyanti, Anisa Nur Choirunissa, Risza Chriswardhani Suryawati Chumair, Nisrina Ocktalifa Cintya, Ranindyta Elda DASUKI DASUKI Dea Amarilisa Adespin Delfia, Fila Denny, Hanifa Maher Dessy Lutfiasari Dewi, Aulia Ulfah Mutiara Dharminto Dharminto Dharminto Dharminto Dina Bisara Dini Fitri Damayanti Diwian Jaya Putra, I Putu Okta Djauharoh A. Hadie Doni Lasut Dustar, Ghinanissa Azzahra Dwi Retno Murdiyanti DWI RIKI Dwi Sulistyawati Dwi Sutiningsih Efa Nugroho Eko Sediyono Eko Wigiantoro Elyzabeth Sylviana Girsang Emi Latifah Farid Agushybana Farid Agushybana Farid Farid Agushybana Fatiha Tasyakurrisma, Adisa Fauzirra Dhiya Azhar, Aghitsa Fila Delfia Fitriani Fitriani Hadina Eka Camalia Hamdan Syah Alam Harahap, Ana Pujianti Harlen Yunita Heri Nugroho Husna, Eriana Mayasari Imawan, Satria Aji Indarwati, Novi Indarwati, Novi Inneke Elysia Lavender Irianti, Gita Febri Johnston, Caroline Kahowi, Yustina Oru Karisa Andini Khairiyah, Oktarisa Komariyatun Komariyatun Krisnamurti Krisnamurti Kristawansari, Kristawansari Kristina Kristina Kujariningrum, Oktavia Beni Kurniawati, Yacinta Puji Kusumastuti, K Kusworo Adi Laksmono Widagdo Laksmono Widagdo Lina Dwi Yoga Pramana Lina Dwi Yoga Pramana Lucia Ratna Kartika Lucia Ratna Kartika Wulan M Rokhis Khomarudin, M Rokhis Mareta Adya Tiar Maria Holly Herawati Mariyana, Kristin Martha Irene Kartasurya Martha Irene Kartasurya Martini Martini Mateus Sakundarno Adi, Mateus Sakundarno Mercy Joice Kaparang Moh. Hasyim Purwadi Muhamad Anja Ahul Alaiha Kavit Muhammad Azinar Muhammad Hadiyanto Muhammad Priyatna, Muhammad Muhdar Muhdar Murdiyanti, Dwi Retno Muslimahtun Baadiah Naila Fauziatin Naintina Lisnawati Nashihah, Prenati Nasywa Hanifati Ninik Dwi Ambarwati Nisa , Rofifatun Noer Endah Pracoyo Nofa Martina Ariani, Nofa Martina Noor Edi Widya Sukoco Novia Handayani Novita Wulandari Nunung Wulandari Nur Endah Wahyuningsih Nuridzin, Dion Zein Oktavia Beni Kujariningrum Opik Taufik Permani, Fadilah Pujiningtyas Prasetijo , Agung Budi Prasetyono, Thifal Zakiyyah Putra, I Putu Okta Diwian Jaya Putri , Ulfa Ariska Qatrannada, Shabrina Arifia R. Djoko Nugroho Raden Djoko Nugroho, Raden Djoko Raflizar Raflizar Reni Murnita Rina Sri Widayati Rivaldi Indra Nugraha Rofifatun Nisa Rona, Elfa Rr. Devi Noviana Setyoningsih Salma Salma Sani Khoirul Amalia Seftika Indra Murhanda Putri Septo Pawelas Arso Septo Pawelas Arso Siti Fatimah Pradigdo Sri Achadi Nugraheni Sri Achadi Nugraheni Sri Winarni Sri Winarni Sri Winarni Sri Winarni Suci Ramadhani, Suci Sudiro Sudiro Sudiro Sudiro Sugeri, Rauf Azhar Sugiarto, Puput Sulicha Nurhayati Supratikta, Hadi Suteja, Mentari Nur Farida Sutiyono Sutiyono Sutopo Patria Jati Syamsulhuda BM Sylviana Girsang, Elizabeth Ternate, Elvicta Venteysa Theresia Christiarini Kuntalawati Titi Suherni Tjahjono Kuntjoro Tjondrorini Tjondrorini Tjondrorini, T Trifeni Damayanti Ruru U. Evi Nasla Ulin Nafiah Viera Juniver Thenu Vina Estetika Pakpahan Vitania Mutiara Sari Siregar Wawan Kurniawan Wicaksono, Firston Arfiansyah Wijaya, M. Indra Hadi Wirnani, Sri Wulandari, Nunung Yokbeth Kareth Yudhy Dharmawan Yudhy Dharmawan Zahra, Anandalia Athaya Zahroh Shahuliyah Zahroh Shaluhiyah Zainal Arifin Zulaeha A. Amdadi

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