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Kemitraan Bidan dan Dukun dalam Mendukung Penurunan Angka Kematian lbu di Puskesmas Mranggen I Kabupaten Demak yono, Budi; Suparwati, Anneke; Budi Musthofa, Syamsulhuda; Nikita, Ardian
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 1 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Di wilayah kerja puskesmas Mranggen I, Kabupaten Demak masih banyak dukun (11 dukun) melakukan pertoloigan persalinan. Tujuan penilitian adalah menganalisis kebutuhan kernitraan dukun dan bidan diwilayah Keria Puskesmas Mranggen I, Kabupaten Demak. Jenis penelitian ini adalah observasional kualitatif dengan pendekatan cross sectional, dengan cara melakukan indepth interview terkait pendapat keberadaan dan peran dukun dan bidan, potensi dukungan responden terhadap kemitraan bidan dan dukun, termasuk dari para stakeholder. Hasil penelitian didapatkan semua dukun setuju dengan keberadaan bidan demikian halnya sebaliknya bidan, termasuk jika menjalin kerjasama. Bidan rela memberikan sebagian pendapatannya untuk dukun bayi dan bentuk dukungan yang bisa diberikan dukun adalah rnemberikan informasi tentang keberadaan bumil, termasuk kondisinya, selain juga keduanya rela mengeluarkan biaya untuk transportasi. Camat dan Kepala Puskesmas Mranggen I setuju adanya kerjasarna/kemitraan bidan dan dukun dengan memberikan peran lebih jelas antar keduanya selain juga memberikan perlindungan dalam bentuk regulasi. Dukungan Kepala Desa danTokoh masyarakat terhadap kemitraan ini adalah rela menjadi sosialisator dan mediaior pemerintah bersama petugas kesehatan dan didukung tokoh masyarakat memberikan secara intensif edukasi kepada masyaraknt tentang persalinan/keharnilan termasuk tidak meminta persalinan pada dukun. Kata kunci : kemitraan, dukun, bidan, AKB (Angka Kematian lbu) Â Needs Analysis of Midwives and Medicaster Partnership on Supports Reduction in Maternal Mortality in Mranggen I Clinic, Demak Regency; In the area of Primary HealthCare Mranggen I, Demak there are still many medicaster (11 medicaster) conducts aid delivery. The purpose of the research was to analyze the needs of tie medicaster's partnership in the area of Â Employment and the midwife Mranggen I Clinic, Demak Regency. The type of the research is qualitative observational with cross sectional approach, by conducting indepth interview related to the opinion of existence and role from medicaster and midwife, potential respondents support to partnership between midwives and medicaster; including the stokeholders. The research result obtained by all medicaster agreed with the presence of a rnidwife so instead midwives, including if partnering. Midwife willingly give some revenues to the medicasterâ€™s baby and forms of support that can be given of the shaman is provide information about the existence of pregnant woman, including the condition, as well as both are willing to spend for transportation. Head sub-district and head of primary health care Mranggen I agree there is coorperation /partnership with giving midwives and medicaster role more clearly between the two as well as provide some protection in thi form of regulation. Support from the head of the village and community leaders of this partnership is willing to be a mediator and sosialisator. Joint Goverment and health workers provide community leaders supported intensively about the childbirth education /pregnancy including childbirth was not asked on tke medicaster. Keywords : partnerships, medicaster, midwives, maternal mortality

Analisis Alur Pelayanan Dan Antrian Di Loket Pendaftaran Pasien Rawat Jalan Diana Fuanasari, Ayu; Suparwati, Anneke; Asmita Wigati, Putri
Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 1 (2014): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Instalasi Rawat Jalan merupakan unit fungsional yang menangani penerimaan pasien yang berobat rawat jalan di rumah sakit. RSUD Kota Semarang berpotensi menjadi rumah sakit rujukan utama bagi masyarakat Kota Semarang. Salah satu harapan pasien adalah tidak perlu menunggu lama untuk mendapatkan pelayanan, tetapi masih ada pernyataan pasien yang sedang menunggu pelayanan pendaftaran bahwa antriannya masih terlalu lama. Tujuan penelitian adalah menganalisis sistem antrian di loket pendaftaran pasien rawat jalan RSUD Kota Semarang. Jenis Penelitian yang dilakukan merupakan metode penelitian deskriptif dengan pendekatan studi pontong lintang. Data tingkat kedatangan dan waktu pelayanan setiap pasien diperoleh dari loket pendaftaran pasien rawat jalan selama satu minggu (Senin-Sabtu). Model antrian pendaftaran rawat jalan RSUD Kota semarang menggunakan sistem M/M/1, yaitu proses antrian dengan 1 petugas pelayanan di setiap jenis pembiayaan dan FIFO sebagai disiplin antrian. Angka kedatangan tertinggi di masing-masing jenis pembiayaan pada jam buka pengambilan nomor antrian yaitu jam 06.30-07.29. Rata-rata waktu pelayanan pendaftaran loket rawat jalan pada pasien askes 1,3 menit, pada pasien jamkesmas 0,98 menit dan pada pasien umum 1,6 menit. Rata-rata waktu tunggu pelayanan pendaftaran rawat jalan RSUD Kota Semarang pada pasien askes dan pasiem umum terlama terjadi pada jam pelayanan 07.30-08.29 dan tercepat pada jam pelayanan 11.30-12.00, sedangkan pada pasien jamkesmas waktu tunggu pelayanan terlama pada jam pelayanan 08.30-09.29 dan tercepat pada jam pelayanan 11.30-12.00. Untuk menghindari antrian panjang yang terjadi di semua jenis pembiayaan, perlu adanya penambahan loket sehingga dapat mengurangi panjang antrian, meskipun penambahan loket akan mempengaruhi penambahan tenaga dan peralatan yang ada, hal ini juga dapat dijadikan dasar untuk mengurangi lama waktu tunggu.

FAKTOR â€“ FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN ULANG PUSKESMAS SANTUN LANSIA KARANGDORO KOTA SEMARANG TAHUN 2016 Setyarini, Reni; Arso, Septo Pawelas; Suparwati, Anneke
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 2 (2017): MARET
Publisher : Fakultas Kesehatan Masyarakat

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Mannered elderly program is a development program of the government for health care of elderly who was launched in 2003. One of the health centersÂ who does the program is Karangdoro mannered elderly center. Courtesy visit to the Karangdoro mannered elderly center is still bellow the target of DKK. In 2015, elderly visitors in Karangdoro mannered elderly center less than 50% from the total elderly registered in health center and still fluktuative. The aim of research to analyze the factors - factors related to interest reuse of Karangdoro mannered elderly centers. This type of research is explanatory research study with cross sectional study design. The population is the elderly who have been using services in health centers totaled 1,704 and sampling technique is accidental sampling obtained a sample of 100 respondents. The analysis of the data was employed univariate and bivariate analysis with Chi Square Test. The results showed that the variables associated with reuse in Karangdoro mannered elderly center is counter service (p value 0.001), inspection service (p value 0.001) and service facilities (p value 0.001). Variables that are not associated are knowledge (p value 0.093), the means of financing (p value 0.664), distance (p value 0.878), transportation costs (p value 0.622), and family support (p value 0.075). Suggestion for health centers that are committed to putting the elderly in the service counters, priority to services to the elderly except for emergency patients, and providing a means of friendly elderly.

Hubungan Antara Persepsi Ibu Hamil Tentang Mutu Pelayanan Antenatal Dengan Kepuasan Ibu Hamil Di Puskesmas Krobokan Kota Semarang Haposanita S., Riama; Patria Jati, Sutopo; Suparwati, Anneke
Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 2 (2014): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Maternal health issues and newly born babies in Indonesia is a public health problem that needs major attention, because it has a major impact on the quality of future generations. One of the maternal and child health services are Antenatal care is health care for all pregnant women with a relatively low cost. Antenatal care coverage is not optimal quantity is still below the target of Semarang City Health Office that is 95%, and Krobokan Health Center is one of the centers with the lowest ANC coverage. Based on the preliminary results of a survey conducted in pregnant women in health centers Krobokan through interviews that there is a link between the quality of health services in the form of reliability, responsiveness, tangibles, assurance, empathy with maternal satisfaction. This study aims to determine the relationship between maternal perception of the quality of antenatal care to the satisfaction of pregnant women in health centers Krobokan Semarang. Observational research using survey methods with cross sectional approach, a population of 413 pregnant women with a total sample of 85 respondents. Statistical analysis using chi square. The results showed that the quality of service that consists of responsiveness, tangibles, assurance, empathy, suggests that there is a connection with the satisfaction of pregnant women in health centers and reliability Krobokan has no association with maternal satisfaction. The proposed suggestions to improve the quality of PHC services Krobokan namely the improvement of existing SOPs, standards of antenatal care, and create a policy that officers can improve their skills in work, communication with patients, and also complete the facilities at PHC Krobokan

ANALISIS IMPLEMENTASI INTEGRASI JAMINAN KESEHATAN DAERAH(JAMKESDA) KE DALAM JAMINAN KESEHATAN NASIONAL (JKN) DI PROVINSI JAWA TENGAH Nuraini Maulidna; Putri Asmita Wigati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Act number 40 year 2004about SJSN is an attempt to build a Universal Health Coverage (UHC) in 2019. The implemention of medical insurance which is currently happen is not suitable with the policy so formed Jamkesda into JKN. But, since the beginning of January 2016, there are 12 district s/ towns not integrated yet into JKN from 35 districts/towns in Central Java Province. The purpose of this research is to analysis the implemention of the integration Jamkesda to JKN in Central Java. The research is qualitative study by descriptive approach. Data collection is carried out by Indepth Interview and secondary data collection that related. The first informant are representatives of Health provincial health office Central Java , Social Affairs representative Central Java Province , and Bappeda Central Java Province. The validity test of triangulation with the Klaten Health Office and the Semarang city's Health Office. The result of this researches known that the province of central java doesn’t have an indicator for the implementation of the integration Jamkesda to JKN. From the aspect of communication, there are those who do not care about coordination, strategy which is Juknis undelivered well, and the budget which is lacking the sufficient number of target participants. Bureaucratic structure has been good enough but the SOP of Jamkesda integration to JKN not yet available. The suggestion for this researches are consistency participants,carry out advocacy efforts, emphasizes an understanding of regulation, establish SOP integration, collect data more intens,and recommendation for research of policy impact.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KINERJA BIDAN DESA DALAM PELAKSANAAN PROGRAM ASI EKSKLUSIF DI KABUPATEN KEBUMEN Jafar Arifin; Putri Asmita Wigati; Anneke Suparwati; Septo Pawelas Arso
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 2 (2015): APRIL
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Angka kematian bayi dapat diturunkan dengan meningkatkan program ASI Eksklusif. Cakupan ASI Eksklusif Kabupaten Kebumen adalah 51,37%, 56,98%, dan 62,79% pada tahun 2011, 2012, dan 2013. Cakupan ASI Eksklusif tersebut masih rendah jika dibandingkan dengan Standar Nasional sebesar 80%. Hasil survei pendahuluan dengan 8 bidan desa menunjukkan bahwa semua bidan desa tidak pernah melakukan kunjungan ke rumah Ibu hamil dan tidak membentuk kelompok pendukung ASI (KP-ASI). Sebanyak 3 bidan desa tidak mensosialisasikan pengertian, manfaat dan kerugian susu formula. Penelitian bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kinerja bidan desa dalam pelaksanaan program program ASI Eksklusif di Kabupaten Kebumen. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Sampel adalah 82 bidan desa dari total 460 bidan desa. Analisis bivariat dilakukan dengan menggunakan uji chi square. Hasil analisis bivariat menunjukan bahwa ada hubungan antara persepsi kompensasi (p =0,028) dan motivasi (p=0,008) dengan kinerja bidan desa dalam pelaksanaan program ASI Eksklusif. Sedangkan faktor yang tidak berhubungan adalah pengetahuan (p =0,162), persepsi kepemimpinan (p= 0,829), sarana dan prasarana (p =0,279), dan persepsi supervisi (p = 0,079). Disarankan kepada Dinas Kesehatan untuk membuat SOP pelaksanaan program ASI Eksklusif untuk bidan desa dan bidan koordinator meningkatkan supervisi baik secara kuantitas maupun kualitas.

PENGARUH KOMUNIKASI, KEPERCAYAAN DAN KOMITMEN BIDAN PRAKTIK MANDIRI TERHADAP KEPUTUSAN KERJASAMA DENGAN BPJS KESEHATAN Bernadette Teni Febriana; Anneke Suparwati; Septo Pawelas Arso
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 3 (2015): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Since the enactment of National Health Insurance (NHS) on 1th January 2014, health facilities and health workers were suggested to collaborate with NHS. However not all private practitioner midwives decided to do cooperation. Preliminary survey to 3 cooperate midwives and 3 non-cooperate midwives stated the lack of information made them assumed if cooperation was complicated. However, midwives remained to believe and committed to a cooperation. The purpose of this research was to investigate the correlation and influence between communication, trust and commitment against the cooperation decision. This type of research was observational analytic with cross sectional design. The sample of this research were 95 midwives in Semarang. Sampling techniques using simple random sampling. The research findings showed that commitment was related and leveraged midwives cooperation decision with the NHS (p = 0.00, OR = 11.739; 95% CI 3,020 – 44.484), whereas communication (0.165, p = OR = 2,069; 95% CI 0.7 – 5.8) and trust (p = 0.583, OR = 1,333; 95% CI 0.4 – 2.3) were not related to a cooperation decision. Although the decision was not influenced by communication and trust, midwives are committed to provide affordable health services to the community including NHC participants. Through this cooperation, we expected NHC UHC vision can be achieved in 2019. Communication between midwives and NHC needs to be more intensive to minimize conflict that caused by delayed of information.

ANALISIS FAKTOR YANG MEMPENGARUHI KINERJA BIDAN DALAM PELAYANAN ANTENATAL CARE DI PUSKESMAS KAGOK KOTA SEMARANG Rahma Kusuma Putri Widyani; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Antenatal care is health care that given to mother in their pregnancy according the set standard. In 2013 and 2014, K1 and K4 indicators in Kagok Health Primary Care hasn’t reach the minimal healthcare standard yet. The aim of this research is to analyze the performance of the midwife in Kagok Primary Health Care, Semarang, looked by the variables of : leadership of head of the Primary Health Care, resources, motivation, supervision, and structure and job design. This research was observational research with analytical approach. The data collected by in-deepth interview to the main informant, is the midwife and to do validity test, triangulation was done on the head of primary health care and Health Departement of Semarang City’s workers. The result of this research is the leadership of the primary health care are still lack, resources are limited, motivation and supervisition are still lack, structure and job design are still not according to the standard. Recommended to Kagok Primary Health Care Semarang to give motivation like coaching, guidance, additional incentives and held an forum about complaint felt by the midwife during work. To Health Departement of Semarang is expected to do the monitoring, guidance, oversight and supervision to the head of the health centers and midwife regularly and scheduled

HUBUNGAN PERSEPSI IBU TENTANG MUTU PELAYANAN DENGAN MINAT PEMANFAATAN ANTENATAL CARE DI PUSKESMAS PADANGSARI Vivin Fitria Anggraeni; Anneke Suparwati; Ayun Sriatmi
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

ANC service at Primary Health Center of Padangsari Semarang city is still far from expectations due to the persistence of disinterest pregnant women to the examination of the ANC that felt takes a long time, the officer is less thorough when doing the inspection, and giving an explanation of the action the inspection did not detail. ANC quality standards are seen from 5 quality dimension such as reliability, responsiveness, assurance, empathy, and tangible. Goal achievement of ANC is measured by how much interest to visit ANC in health center. The aim of this research is to measure the perception about ANC quality with interest to use ANC service in Health Center of Padangsari. The method of this research was using Explanatory Research with Cross Sectional approach. The population in this research was 82 peoples with 50 peoples as sample research. The analysis of the data was using univariate and bivariate analysis with Chi Square Test. The results show that the perception of reliability has relationship with the interest in ANC utilization (p-value = 0.005). Perception of responsiveness has relationship with the interest in ANC utilization (p-value = 0.000). Perception of insurance has relationship with the interest in ANC utilization (p-value = 0.000). Perception of empathy has a relationship with the interest in ANC utilization (p-value = 0.000). Perception of tangible has relationship with the interest in ANC utilization (p-value = 0.000). Based on these results, it is necessary to improve the quality inspection 10T, ANC service speed, ANC clear examination result, and encouragement for regular inspection.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN MINAT MASYARAKAT DALAM KEIKUTSERTAAN BPJS MANDIRI DI KECAMATAN BENER KABUPATEN PURWOREJO Melinda Melinda; Anneke Suparwati; Antono Suryoputro
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Bener District located in Purworejo. The problem that exists is the number of participants health BPJS is small in scope, with details of the number of participants health BPJS consisted of 8.153 households PBI participants and 695 households NON PBI participants. Other data showed 8.151 household qualify as poor family and 10.581 household qualify as Non Gakin, there’s 6,5% Non PBI health BPJS participants of the total Non Gakin population. We need to know why 93,5% well off households in Bener District has not followed BPJS. The purpose of this study was to determine the factors associated with the public interest in participation of health BPJS independently in Bener Regency. This is an analytical explanatory research. The method used was survey through questionnaire and interviews with a cross-sectional design. Samples were well off family who have not joined health BPJS living in Bener District. The sampling using probability sampling with proportional random sampling. Determination of sample size use of Lemeshow is 65 households. Respondents mostly middle age category (41-60 years) as many as 55 households (67.9%). Respondents had an average age of 47.51 years old, the majority of respondents finished primary school as many as 37 households (45.7%), livelihood as a self-employed as many as 32 households (39.5%), and are not interested in participation of health BPJS as many as 67 households (82.7%) althought the variables were showed good result. It’s may caused by the influenced of other variables which is out of investigated variables. The results of the study showed that the factors relating to the public interest in the participation of independent health BPJS is attitudes, perceptions, and the support of those closest to the respondent. But the knowledges, economic situations, and behavior control are not related.

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