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All Journal Medikora: Jurnal Ilmiah Kesehatan Olahraga JURNAL PROMOSI KESEHATAN INDONESIA Journal of Nutrition College Media Penelitian dan Pengembangan Kesehatan Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Interest : Jurnal Ilmu Kesehatan Jurnal Riset Kesehatan Jurnal Administrasi Kesehatan Indonesia Jurnal Media Gizi Indonesia (MGI) Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya The Indonesian Journal of Public Health Panrita Abdi - Jurnal Pengabdian pada Masyarakat Jurnal Penelitian Kesehatan Suara Forikes Jurnal Pemberdayaan Masyarakat Madani (JPMM) Jurnal Penelitian Pendidikan IPA (JPPIPA) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Jurnal Kesehatan Manarang Jurnal Kesehatan Prima Amerta Nutrition Jurnal Kreativitas PKM Jurnal Kesehatan Jurnal Ilmu dan Teknologi Kesehatan Media Karya Kesehatan Journal of Nursing and Public Health (JNPH) Indonesian Journal of Global Health research Journal SAGO Gizi dan Kesehatan Kontribusi: Jurnal Penelitian dan Pengabdian Kepada Masyarakat Ahmar Metakarya: Jurnal Pengabdian Masyarakat Jurnal Gizi Masyarakat Indonesia (The Journal of Indonesian Community Nutrition) Empowerment: Jurnal Pengabdian Masyarakat Quality : Jurnal Kesehatan Public Health and Preventive Medicine Archive Jurnal Ilmu Kesehatan Masyarakat JURNAL PENELITIAN TERAPAN KESEHATAN Jurnal Kesehatan Komunitas Indonesia Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK) Jurnal Svasta Harena Rafflesia ADM : Jurnal Abdi Dosen dan Mahasiswa Poltekita: Jurnal Ilmu Kesehatan Jurnal Pengabdian dan Pemberdayaan Kesehatan Media Penelitian dan Pengembangan Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Demsa Simbolon
Politeknik Kesehatan Kementerian Kesehatan Bengkulu
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Journal : Jurnal Kebijakan Kesehatan Indonesia

 1 
DETERMINAN KINERJA PELAYANAN KESEHATAN IBU DAN ANAK DI RUMAH SAKIT PEMERINTAH INDONESIA (ANALISIS DATA RIFASKES 2011) Ernawati, Demsa Simbolon Djazuli Chalidyanto
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 04 (2013)
Publisher : Jurnal Kebijakan Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.539 KB)

Abstract

Background: The hospital has quite an important role inreducing IMR and MMR because hospitals as providers ofplenary personal health services including maternal and childhealth (MCH). However, until now the IMR and MMR Indonesiais still high compared to other ASEAN countries. The maincauses of maternal mortality are obstetric complications ordisease as a complication that arises during pregnancy, childbirthand postpartum. This factor was experienced by approximately20% of all pregnant women, while complication cases thatwere treated well are less than 10%.Objective: The research aims to identify the effect of hospitalcharacteristics, management of MCH services, humanresources for MCH, MCH services, and MCH equipment on theperformance of MCH services in government hospitals inIndonesia.Methods:Research is using secondary data of Health FacilitiesResearch 2011 (RIFASKES) with a cross sectional study.Population and sample is the entire Indonesian governmenthospitals (685 hospitals). The research variables wereidentified from the available variables in the questionnaireRIFASKES. Performance measurement of the compositevariable proportion of maternal deaths due to hemorhage d”1%, d” 10% pre-eclampsia, sepsis d” 0.2%, d” 20% secariasection, the proportion of stillborn d” 4%, and the proportion ofLBW handling 100% based SPM hospital. Multivariate logisticregression was used to obtain a model determinants ofperformance MCH services.Results: The majority (66.3%) government hospitals inIndonesian has less than optimal performance. As thedeterminant is unaccredited status (OR = 2.99: 1.43 to 6.28),the hospital is not a vehicle of education (OR = 1.78; 1.11 to2.85), team PONEK is incomplete (OR = 1.89; 1.27 to 2.82),there is no PONEK-trained doctor in the ER (OR = 1.89; 1.27 to2.82), there is no team ready to perform the operation or taskthough on call (OR = 2.16; 1.32 to 3.53). The most dominantfactor is the unaccredited status.Conclusions: Suboptimal performances of MCH at Indonesiangovernment hospitals are influenced by the low hospital servicecharacteristics and incomplete of human resources. TheMinistry of Health needs to support improvement in all types ofservices to complete an accredited hospitals (16 types ofservices), not just 5 or 12 services. They also need to makethe government hospital as a vehicle of education, increasethe quantity and quality of human resources are trained inPONEK-skill, ensure availability of PONEK-trained doctor inemergency, provide the team that are ready to perform theoperation or task though on call, and increase organizationalcommitment to overall performance improvement.Keywords: Performance, Maternal and Child Health Services,Government Hospital
DETERMINAN KINERJA PELAYANAN KESEHATAN IBU DAN ANAK DI RUMAH SAKIT PEMERINTAH INDONESIA (ANALISIS DATA RIFASKES 2011) Demsa Simbolon Djazuli Chalidyanto Ernawati
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 4 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.539 KB) | DOI: 10.22146/jkki.v2i4.3204

Abstract

Background: The hospital has quite an important role inreducing IMR and MMR because hospitals as providers ofplenary personal health services including maternal and childhealth (MCH). However, until now the IMR and MMR Indonesiais still high compared to other ASEAN countries. The maincauses of maternal mortality are obstetric complications ordisease as a complication that arises during pregnancy, childbirthand postpartum. This factor was experienced by approximately20% of all pregnant women, while complication cases thatwere treated well are less than 10%.Objective: The research aims to identify the effect of hospitalcharacteristics, management of MCH services, humanresources for MCH, MCH services, and MCH equipment on theperformance of MCH services in government hospitals inIndonesia.Methods:Research is using secondary data of Health FacilitiesResearch 2011 (RIFASKES) with a cross sectional study.Population and sample is the entire Indonesian governmenthospitals (685 hospitals). The research variables wereidentified from the available variables in the questionnaireRIFASKES. Performance measurement of the compositevariable proportion of maternal deaths due to hemorhage d”1%, d” 10% pre-eclampsia, sepsis d” 0.2%, d” 20% secariasection, the proportion of stillborn d” 4%, and the proportion ofLBW handling 100% based SPM hospital. Multivariate logisticregression was used to obtain a model determinants ofperformance MCH services.Results: The majority (66.3%) government hospitals inIndonesian has less than optimal performance. As thedeterminant is unaccredited status (OR = 2.99: 1.43 to 6.28),the hospital is not a vehicle of education (OR = 1.78; 1.11 to2.85), team PONEK is incomplete (OR = 1.89; 1.27 to 2.82),there is no PONEK-trained doctor in the ER (OR = 1.89; 1.27 to2.82), there is no team ready to perform the operation or taskthough on call (OR = 2.16; 1.32 to 3.53). The most dominantfactor is the unaccredited status.Conclusions: Suboptimal performances of MCH at Indonesiangovernment hospitals are influenced by the low hospital servicecharacteristics and incomplete of human resources. TheMinistry of Health needs to support improvement in all types ofservices to complete an accredited hospitals (16 types ofservices), not just 5 or 12 services. They also need to makethe government hospital as a vehicle of education, increasethe quantity and quality of human resources are trained inPONEK-skill, ensure availability of PONEK-trained doctor inemergency, provide the team that are ready to perform theoperation or task though on call, and increase organizationalcommitment to overall performance improvement.Keywords: Performance, Maternal and Child Health Services,Government Hospital
Pengaruh Kepemilikan Jaminan Kesehatan Masyarakat Miskin terhadap Status Kelahiran dan Kejadian Stunting pada Baduta Indonesia (Analisis Data IFLS 1993 – 2007) Demsa Simbolon
Jurnal Kebijakan Kesehatan Indonesia Vol 3, No 2 (2014)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1031.02 KB) | DOI: 10.22146/jkki.36359

Abstract

Background. One of the policies to address health and nutrition issues is Health Insurance Program for the Poor (ASKESKIN) imposed by the Decree of the Minister of Health of the Republic of Indonesia number 1241/MENKES/SK/XI/2004 as mandated by National Social Security System. However, coverage is still low, which is expected to have an impact on the birth status and nutritional status of children under-two years old. Objective. To prove that membership of a health insurance for the poor (ASKESKIN) has effect on birth status and the incidence of stunting of children under-two years old in Indonesia. Method. The research is using the positivist paradigm, the data is analysed using cross- sectional study based on Indonesian Family Life Survey (IFLS) in 1993-2007. The samples were all children under two years who were randomly netted in IFLS1 (1993) until IFLS4 (2007), with inclusion criteria biological children, living with parents, single live birth and birth, the data available on birth weight, gestational age, anthropometry. Univariate, bivariate and logistic regression mutivariat using 3 sets of data to identify the effect of health insurance ownership to birth weight (n = 3956), gestational age (n = 4998) and the incidence of stunting (n = 4504). Results. Ownership of health insurance affects LBW, preterm and stunting. Children under two years old from family that have health insurance other than ASKESKIN are protected from LBW (OR, 95 % CI = 0.61; 0.43 to 0.88). However, there was no difference risk of LBW among children under two years old from families with ASKESKIN and those without any health insurance. (OR, 95 % CI = 0.92; 0.52 to 1.61) (model 1). Children from ASKESKIN family has a risk factor for the prevalence of preterm (OR, 95 % CI: 1.74; 1.14 to 2.66) (model 2). Children from families that have health insurance other than ASKESKIN are protected from stunting (OR, 95 % CI = 0.78, 0.62 to 0.98), but there is no difference in risk of stunting among children from families with ASKESKIN compared to children from famililies that do not have health insurance (OR, 95 % CI = 1.01; 0.69 to 1.47) (model 3). Conclusion. Policy makers need to evaluate the Community Health Insurance Program (ASEKSKIN). The Maternal Children Health and Nutrition intervention was done with less emphasis on promotive and preventive efforts. People utilize curative measures only when problems occur in relation to the health and nutrition of mothers and children. Latar belakang. Salah satu kebijakan untuk mengatasi masalah kesehatan dan gizi adalah Program Jaminan Pemeliharaan Kesehatan bagi Masyarakat Miskin (PJKMM) yang diberlakukan dengan Surat Keputusan Menteri Kesehatan Republik Indonesia (SK Menkes RI) No. 1241/Menkes/SK/XI/ 2004 sebagai amanat UU No. 40/2004 tentang Sistem Jaminan Sosial Nasional (SJSN). Namun cakupannya masih rendah, yang diperkirakan berdampak pada masih tingginya masalah riwayat kelahiran dan status gizi baduta. Tujuan. Membuktikan pengaruh kepemilikan jaminan kesehatan masyarakat miskin terhadap status kelahiran dan kejadian stunting baduta Indonesia. Metode. Penelitian menggunakan paradigma positivist dengan pendekatan crossectional study berdasarkan data Indonesia Family Life Survey (IFLS) tahun 1993-2007. Sampel adalah seluruh bayi dan baduta yang secara random terjaring dalam IFLS1 (1993) sampai IFLS4 (2007), dengan kriteria inklusi anak kandung, tinggal dengan orang tua, lahir hidup dan lahir tunggal, tersedia data berat lahir, umur kehamilan, antropometri. Analisis univariat, bivariat dan regresi logistik mutivariat menggunakan 3 set data untuk mengidentifikasi pengaruh kepemilikan Jaminan kesehatan terhadap berat lahir (n=3956), umur kehamilan (n=4998) dan kejadian stunting (n=4504). Hasil. Kepemilikan jaminan kesehatan berpengaruh terhadap BBLR, prematur dan stunting. Bayi dari keluarga peserta jaminan kesehatan Non-ASKESKIN terproteksi dari BBLR (OR;95% CI= 0,61; 0,43-0,88). Namun tidak ada perbedaan risiko BBLR antara bayi dari keluarga peserta Askeskin dan yang tidak memiliki jaminan kesehatan (OR;95% CI =0,92; 0,52-1,61) (model 1). Kepemilikan ASKESKIN sebagai faktor risiko kejadian prematur (OR, 95% CI: 1,74; 1,14-2,66) (model 2). Anak dari keluarga peserta jaminan kesehatan Non-ASKESKIN terproteksi dari kejadian stunting (OR;95% CI =0,78; 0,62-0,98), namun tidak ada perbedaan risiko stunting antara anak dari keluarga peserta ASKESKIN dengan anak dari keluarga yang tidak memiliki jaminan kesehatan (OR;95% CI =1,01; 0,69-1,47) (model 3). Kesimpulan. Penentu kebijakan perlu melakukan evaluasi pada program Jaminan Kesehatan Masyarakat (keluarga miskin), karena intervensi KIA dan Gizi yang dilakuan kurang menekankan pada upaya promotif dan prefentif, sehingga utilisasi masyarakat lebih pada upaya kuratif bila terjadi masalah Kesehatan dan Gizi pada ibu dan anak.
Co-Authors Adelia Bella Saputri Adinda Fitria Pasmah Afriyana Siregar Agnes Sihsinarmiyati AGUSTINA SETIA Agustira, Vina Ahmad Rizal ahmad rizal Ajeng Ajeng, Ajeng Alfatah Reza Purqon Amelia Febrina Anang Wahyudi Andra Regi Dinata Anelda, Anelda Anggraini, Hera Anisa Ezza Febria ANITA CHRISTINA SEMBIRING Annikmatul Fadhilah Annisaa Deshilva Putri Asmawati Asmawati Atikah Atikah Ayu Erlian Ayu Pravita Sari Ayu Zahara Ayuningtyas Ayuningtyas Batbual, Bringiwatty Bathari, Rosalia Rina Beatrix Soi Beatrix Soi Belarminus, Petrus Bembi Jonatan Berta Perovencia FS Betta Aprisia Bintang Agustina Pratiwi Boa, Grasiana Florida Bringwatty Batbual Bringwatty Batbual Cahyati, Tasya Ingrit Champaca Putri Chintya Wardini Clara Aqilah Suwindra Dahrizal Dahrizal Deni Sri Utami Desi Fitria Anggriani Desri Suryani Dhammayanti, Dita Dhea Adevianti Dhea Riski Putri Indana Diah Zhafiratika Dina Aulia Dinda Apilia Dino Sumaryono Dwi Nesa Edwin Mardiansyah Efrida, Solha Eliana Eliana Eliana Emy Yuliantini Endah Dwika Syari Ervina, Lissa Eza Yuni Syafitri Fazera Carolina Febri Andri Awan Febriandini Adha FRANSISKUS SALESIUS ONGGANG Frensi Riastuti Hana Ayu Puspaningrum Hapsari, Tri Harja Junialdi Hasasn, Tobianus Heidy Dayanti Helen Albaina Herlia Amia Herlina, Revi Iin Nilawati Ikat Tri Hawani Ina Debora Ratu Ludji INA DEBORA RATU LUDJI Inayah Amira Zahrah Intan Fitriza Intan Puspita Sari Irma Ayu Pola Pakpahan Ismiati Ismiati Istianingsih Jessica Jumiyati Jumiyati Jumiyati Jumiyati Jumiyati, Jumiyati Kamsiah Kamsiah Kamsiah Karisma Cindy Roza Kedang, Sabinus Bungaama Kiki Gadistya Ari Safitri Krisnasary, Arie kusdalinah Kusdalinah Kusdalinah Kusdanilah Lende, Julianus Linda Linda Lisma Ningsih Liunokas, Oklan B. T. Ludji, Ina Deborah Lula Rulia Agustin Luluk Setianingsih Lusi Afriani Lusi Andriani, Lusi Maigoda, Tonny Cortis Mareta Bakale Bakoil Mariana Ngundju Awang Mariati Mariati Meidiana, Risma Melinda Sari Melisa Tri Maharani Melita Sari Meriwati Mahyudin Meriwati, Meriwati Meysin Cicilia Mia Meisara Mia Oktiara Mirabella Hasmanita, Maharani Mizawati, Afrina MMSI Irfan ,S. Kom Monik, Monik Muhammad Ferdian Akri Pratama Mutiara Ba’es Mutiara Shaum Nova Anjelina Nur Ainun Nur Choliza Azri Nur Choliza Azri Nur Elly Nur Elly Nur Mahdiyah Merly Yanti Nurfitra, Rani Nurlita Putri Nurlita Putri Nurlita Putri, Nurlita Oktavia Wahyu Lestari Patroni, Rini Permatasari, Ragil Putri Putri Ayu Lestari Putri Dwi Aiyzah Putri KatrimaNingsih Putri Salsabilla Putri Yuniarti Putri, Nabila Putriseptiani, Nabila Rahmadi, Antun Rahyani, Yuni Rani Shiva Aulia Repki Trinda Putri Revi Indahsari Riastuti, Frensi Ririn Widyastuti, Ririn Riska Oktavia Rista Elmika Ruzita ABD Talib Ruzita ABD Talib Saghu, Maria Mencyana Pati Saparini, Suci Sari, Ayu Prapita Selfi, Bela Febriana Septiana Maharani Sine, Juni Gressilda L Siregar, Afriyana Sitompul, Linda Sitorus, Cindy Veronica SOI, BEATRIX Solly Aryza Sri Sumarni Sumiarti, Wenti Tafrieani, Windy Talib, Ruzita ABD Tamaulina Br Sembiring Tiara Dika Marseli Triani Maulana Sihite Uly Agustine, Uly Wahyu Dwi Astuti Wahyu Dwi Astuti Wanti Wanti Wanti Wariyaka, Melinda Rosita Wati, Kelvin Setia Widia Lestari Widiastuti, Heny Winda Agnesta Yandrizal Yandrizal Yendea Dwi Agustin Yenni Okfrianti Yorita, Epti Yulia Anjelita Yunandhia Rainissa YUNITA Yunita Yunita Yunita Yunita Yunita Yunita yusmidiarti, yusmidiarti Yusran Fauzi Zahara, Ayu