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PERSEPSI PASIEN RAWAT INAP KLAS III TERHADAP RESPONSIVENESS PELAYANAN DOKTER DAN PERAWAT DI RUMAH SAKIT UMUM DAERAH RAA SOEWONDO PATI Nydia Veramita; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 1 (2016): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Responsiveness is non-medical aspects of how a person is treated. This study was conducted to determine the perception of hospitalized patients class III to reactivity doctors and nurses service were seen on 3 domain ie friendliness agent responsiveness, clarity of information, and long periods of expectation. This research is opservasional. The population in this study were all hospitalized patients class III hospitals RAA Soewondo Pati. The sample of this research is 73 respondents. The sampling technique using simple random sampling formulas. Data collection methods using questionnaires and structured documentation. The data analysis of this research is the analysis of univariate. Univariate analysis was to describe all the variables of the study. The results of this study dilhat of two factors, namely higher education and vocational education is getting to know the quality of health services. For the perception of the responsiveness of service doctors and nurses patient were seen on 3 domain ie friendliness agent responsiveness, clarity of information, and the long period of waiting, the results of responsiveness care physician All patients responded to 100% friendly doctor, nurse showed all patients also answered 100% friendly and for the clarity of the information, there are still 19.2% of which are not agreed to answer questions relating to an easily understandable explanation of the patient's condition is considered, and the last for this long wait almost all patients respond in accordance with the highest value of 93.2% to a question Related responsiveness of nurses and doctors in emergency conditions. Doctors and nurses reactivity was good, both in normal and in emergency situations. Both have received a positive response from respondents. But doctors and nurses need to improve their communication skills, as there are still some respondents are not always able to understand their explanation.

ANALISIS MANAJEMEN PROSES PERSIAPAN PUSKESMAS MENUJU PUSKESMAS PELAYANAN OBSTETRI DAN NEONATAL EMERGENSI DASAR DI KABUPATEN PATI TAHUN 2014 Wiwik Wulandari; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The health service of obstetrics and Neonatal Emergency Basis is an inpatient Clinics that are able to conduct civil defence emergency obstetric and neonatal care or basic level of complication in 24 hours a day and 7 days a week. The results of the preliminary survey noted that the preparation of health equipment and drugs have been provided but all health care Facilities but will not match the manual can only approach the course. The purpose of describing all aspects of the preparatory process of the management of clinics to PONED. Type of this research is descriptive research with qualitative methods. The object in this research is the management process of preparation clinics to PONED, whereas the subject of research is the primary informant and the informant triangulation. Data collection methods in the research of in-depth interviews as well as observation and documentation, research results show that HR planning: none of the Clinics, lack of budget funds from the Government, it still happened the delay in reporting as well as for his reference to the grooves are still utilizing the hospital nearest the C type because the Starch has only one Hospital PONEK, less routine agenda to schedule the most scrutiny is only 1 x a year though. These three variables are grouped into factors Stength, overrun Weakness, Opportunity, and the result of factors of weakness Threath is greater than the strength of the conclusion that the preparation process management not ready a hundred percent because a trained human resources are still lacking, Health care facilities as well as the budget of the Fund. The recommendations of this study are: To Health Office made the planning of human resources, health care facilities as well as the operational funds, imposed strict sanctions related reporting, regularly scheduled agenda pengawasannya. Suggestions for public health: should make detailed planning needs of clinics, improve cross-sectoral partnership, more discipline in reporting activities

ANALISIS IMPLEMENTASI KEBIJAKAN PROGRAM SANTUN LANJUT USIA DI PUSKESMAS BANGETAYU KOTA SEMARANG TAHUN 2014 Familia Endah Triyani; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

One of the output indicators mannered elderly health centers program is health care for the elderly and pre-elderly in health centers. Semarang city already has 21 elderly health centers until 2014 mannered One such program is a pilot health centers health centers Bangetayu, but for the scope of services to the elderly and pre-elderly in 2013 is still below the target of DKK. Implementation of a program can be influenced by communication, resources, disposition and bureaucratic structures. This research was conducted in the area of Semarang Bangetayu. This type of research is exploratory research study with a qualitative approach. Data were collected by in-depth interviews using interview guides and observation using the observation checklist sheet for support facilities. Informants research that managers and program leaders mannered elderly health centers and Head of the Section of Maternal and Elderly DKK Semarang, implementing programs in Bangetayu mannered elderly, program coordinator, Head Bangetayu health centers, as well as cross-sectoral officers Bangetayu. The results showed that the delivery of information from DKK to the clinic Bangetayu already done when socializing in 2009 and in 2011 when training both through media exposure. But for clarity of information about health centers mannered elderly only understood in detail by the program coordinator mannered elderly only, this is because refreshing officer only once a year. Resource availability is limited so that the workload is still very high officials. Budget funds are available each year, although still relatively small. Facilities and infrastructure are available already quite complete. Attitude executor also demonstrate commitment and willingness to carrying out the program because it considers part of the task. SOP and the existing guide books. But coordination between DKK to health centers and cross-sectoral Bangetayu still lacking. It is recommended to Semarang City Health Office convey information not only with the clarity of the program coordinator at the health center, but to the rest of the program managers, program managers to the addition of personnel, service programs do not focus on curative services, but the service of preventive, promotive and rehabilitative as well as well as increased coordination to DKK, clinic staff and program delivery across sectors that can be delivered to all officers.

ANALISIS IMPLEMENTASI KEBIJAKAN PEMBERIAN AIR SUSU IBU EKSKLUSIF BAGI PEKERJA DI PT. APAC INTI CORPORA KABUPATEN SEMARANG Agnes Melissa; Sutopo Patria Jati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 2 (2015): APRIL
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The scope of exclusive breastfeeding survey by Department of Health in dicated that in 2012, the mothers who breasfeed their children in District of Semarang were only as many as 34.6% lower than National Target (80%). PT. APAC employees consist of 4,081 worker women, with a total of 5% of the bore and only 4 % were breastfeeding. Policies has been made such as Statutes, but there are still many companies has not implement those policies.The objectives of this research was to find out the implementation of exclusive breastfeeding policy for workers during working hours in PT. APAC, the District of Semarang. The factors that affecting implementation policy are communications, resources, dispositions and bureaucratic structures.This research used qualitative method, and in-depth interview and observation for data collecting method. Respondents, or the subject of the research are Section Head of Health, Safety, Environment in PT APAC as prior informant, Section Head of Health Promotion in Department of Health the District of Semarang, Section Head of Manpower and Transmigration Department and breastfeeding working mother as triangulation respondent.The result of the research showed that the implementation of exclusive breastfeeding in PT. APAC in District of Semarang did not work well. This is due to the lack of internal regulations made by the company, as well as a chance to breastfeeding various factors affecting including: 1) Communication, lack of socialization from the company to all employees; 2) Availability of fund for implementing exclusive breastfeeding policy, because the lack of specific official individuals for breastfeeding such as breastfeeding counselor in the company; 3) Attitude and commitment of executor towards breastfeeding policy in PT APAC in District of Semarang, and coordination within Unit Supervisors; 4) Unavailable Standard Operating Procedure (SOP) and Operating Coordination with Unit Supervisors related to exclusive breastfeeding policy in the company.

Analisis Implementasi Kebijakan ASI Eksklusif Di Tingkat Kabupaten Kebumen Tahun 2013 Ayunovita Dewi; Anneke Suparwati; Chriswardani Suryawati
Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 1 (2014): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Kabupaten Kebumen adalah salah satu Kabupaten di Jawa Tengah yang cakupan ASI Eksklusifnya masih 54,6 %. Kabupaten Kebumen juga belum mempunyai suatu regulasi daerah tentang ASI Eksklusif. Hal ini berakibat pelaksanaan ASI Eksklusif belum maksimal. Permasalahan dalam implemetasi kebijakan ASI Eksklusif di Kabupaten Kebumen terdapat pada aspek komunikasi, sumber daya, disposisi dan struktur birokrasi. Tujuan penelitian adalah menganalisis implementasi kebijakan ASI Eksklusif di tingkat Kabupaten Kebumen. Penelitian ini merupakan penelitian kualitatif dengan metode pendekatan observasional dan menggunakan wawancara mendalam dengan teknik pengumpulan data. Informan utama adalah Kepala DKK, Kabid Yankes, Kasie Gizi, Bagian Hukum Sekertariat Kabupaten Kebumen, Kepala Puskesmas Bonorowo dan Kuwarasan. Uji validitas dengan triangulasi sumber kepada Disnakertransos, Dikpora, TIM Penggerak PKK, BPPKB Kabupaten Kebumen dan PT. Sampoerna. Hasil penelitian menunjukkan bahwa pada aspek komunikasi sudah dilakukan dengan intensitas yang belum rutin. Pada aspek sumberdaya, ketersediaan dana Kabupaten masih kurang dan sarana prasarana berupa ruang menyusui harus difungsikan. Pada aspek disposisi masih kurangnya dukungan dari lintas sektor di Kabupaten Kebumen, masih adanya tenaga kesehatan yang bekerja sama dengan produsen susu formula dan penggunaan ruang menyusui yang belum maksimal. Pada aspek struktur birokrasi tidak terdapat petunjuk pelaksanaan yang khusus, yang dibuat oleh Dinas Kesehatan dan tidak ada Perda tentang ASI Eksklusis sedangkan Perda adalah peraturan tertinggi di tingkat daerah yang bisa mengikat semua kalangan masyarakat. Disarankan bagi Dinas Kesehatan segera membuat Perda dan menyelesaikan penyusunan Peraturan Bupati ASI eksklusif yang jelas dan rinci . Bagi Dinas Kesehatan dan kepala Puskesmas disarankan untuk melakukan supervisi dan monitoring ke tenaga kesehatan khususnya terkait dengan penggunaan ruang menyususi, dan sanksi terhadap bidan yang bekerja sama dengan produsen susu formula.

Analisis Pengembangan Karir Jabatan Fungisional Peneliti Di Balai Litbang Gangguan Akibat Kekurangan Iodium (GAKI) Magelang Tahun 2013 - Zainuddin; Chriswardani Suryawati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 3 (2014): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Pengembangan karir merupakan bentuk pengembangan SDM. Peneliti sebagai ujung tombak Balai Litbang GAKI mengalami beberapa hambatan dalam pengembangan karir yaitu kesempatan melaksanakan penelitian yang masih kurang, penelitian dengan penunjukan, pelatihan belum sesuai kebutuhan, dan sulitnya publikasi jurnal terakreditasi. Tujuan penelitian adalah mendeskripsikan jabatan fungsional peneliti dan aspek pengembangan karir meliputi keadilan karir, dukungan pimpinan, kesadaran tentang kesempatan, minat pegawai, dan kepuasan karir. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif. Pengumpulan data dengan indepth interview. Informan utama adalah staf fungsional peneliti di Balai Litbang GAKI Magelang yang berstatus calon peneliti sebanyak 4 orang dan peneliti sebanyak 8 orang. Uji validitas dengan triangulasi sumber kepada Kepala Balai Litbang GAKI Magelang dan Ketua tim TP2U. Pelaksanaan tugas pokok sudah sesuai dengan pedoman LIPI, kompetensi minimal sudah tercapai, TP2U belum memantau angka kredit secara rutin, belum ada kebijakan dan prosedur yang mengatur kesempatan penelitian, penelitian dengan penunjukan belum memenuhi harapan peneliti, kendala bahasa dalam publikasi jurnal internasional, kurangnya sarana buku literatur dan dana. Disarankan TP2U memantau perolehan angka kredit peneliti secara berkala, perlu adanya prosedur dalam pengembangan kesempatan penelitian, perlu kompetisi untuk pengembangan diri, perlu pembinaan khusus publikasi ilmiah pada jurnal internasional, organisasi meningkatkan sarana dan dana untuk mendukung pengembangan karir peneliti

ANALISIS SISTEM MANAJEMEN PROGRAM P2 ISPA DI PUSKESMAS PEGANDAN KOTA Rizki Tri Putriarti; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Pneumonia becomes the biggest concern in public health among any other respiratory diasease (ISPA) because pneumonia can cause death especially in children under five. Evaluation of P2 ISPA program at Puskesmas is measured by calculating the coverage of pneumonia case finding in children under five. Puskesmas that has the lowest coverage in Semarang is Puskesmas Pegandan (1.07%), while DKK’s target is 39%. Problem faced by Puskesmas Pegandan are there’s no specific fund allocated for the program, and there’re no KIE tools for the program. The purpose of this research is to analyze the management system of P2 ISPA program at Puskesmas Pegandan.The method used is qualitative method, with 2 main and 4 triangulation informants. The result showed that commitment of the implementer and DKK in this program are lacking. This can be seen that there’s no training for Puskesmas due to the limited fund for this program in DKK, there’re no specific fund allocated for the program because there’s no detailed program’s planning. There’re no KIE tools for the program, but Puskesmas not trying asked for that to DKK, and the manual of the program hasn’t been fully understood by Puskesmas. The program’s planning not made in detail because P2 ISPA isn’t a priority program, and this program rarely discussed in both supervision or mini lokakarya. No specific teams for the program. This program’s output is very low because Puskesmas never diseminate information to the public so they can’‘t really understand about this diasease. There has been no follow-up given by Puskesmas head and DKK. It’s necessary to do intervention to the implementers and stakeholders to be more committed for this program, so that this program can run optimally.

ANALISIS IMPLEMENTASI PROSEDUR PELAYANAN KOORDINASI MANFAAT DI RS ROEMANI MUHAMMADIYAH Anggiyara Dayu Rizal; Putri Asmita Wigati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Roemani Muhammadiyah Hospital is an advanced level referrasl health facility in Semarang that has been joined BPJS Kesehatan. The procedures of Coordination Of Benefit (COB) that implemented in Roemani Muhammadiyah Hospital were not optimal. It was because of some obstacles in communication, resource, disposition, and bureaucracy structure. This study was aimed to analyze the implementation of Coordination Of Benefit service procedures in Roemani Muhammadiyah Hospital. This study was a qualitative research that using indepth interview and observational method. Main informants are the policy implementor, those are head of insurance service sub-division, head of finance sub-division, finance division staff, and admission staff. The validity test used source triangulation to the head of Hospital’s JKN team and head of finance and accounting division. The findings of this study showed that the communication was not integrated, BPJS Kesehatan did not do socialization, less of written guidelines, and the policies were lack of consistance. The quality of human resource was not optimal. The staff disposition has been good by showing their each commitment. Bureaucracy structure was not good, because SOP of Coordination Of Benefit was not available, overlapping job, and the role of Hospital’s JKN team was not optimal. The suggestions were internal policy and SOP making, build integrated communication system, training for the staffs, optimalizing role of Hospital’s JKN team.

GAMBARAN POTENSI MASYARAKAT PENGGUNA PELAYANAN KESEHATAN TRADISIONAL DI WILAYAH KELURAHAN ROWOSARI KECAMATAN TEMBALANG KOTA SEMARANG Mulikhatun Umamah; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 3 (2015): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Every human will automatically seek the efforts of healing in various ways when being illness, such as self treatment, treatment in convensional health services, or in traditional health services. Currently the traditional health services begin to exist again, with the support of the PP 103 of 2014 about the traditional health services. The result of survey in the Rowosari of Tembalang District in Semarang City which is located on the edge of the city where border on the Regency of Demak and Semarang district are still many users of traditional health services, as well as traditional health service providers in it. The purpose of this research to knows how the potential society in Rowosari as user of traditional health services. This research uses descriptive quantitative method with cross sectional approach. Samples were 93 households out of a total of 3,802 households. Univariate analysis indicate that traditional health service users in the region of Rowosari are 74.2%. the greatest number are 32.4% of users were have the range 36-45 years of age, 57% of users are women, 23.7% of users had elementary education, 39.8% of users have income under the Regional Minimum Wage. The intended use of traditional health services more as promotive-preventive. The most provider of traditional health service in Rowosari is “penyehat tradisional” where the types are jamu and massage sequence that include in empirical traditional health services type. The traditional health service providers most widely used types of empirical traditional health services, that are jamu and massage sequence. Suggested the government sosialiszation he contents and purpose of PP. No. 103 of 2014 to society immediately with the result that PP 103 of 2014 can be implemented properly.

ANALISIS KESIAPAN DOKTER KELUARGA SEBAGAI GATE-KEEPER PELAYANAN PESERTA BPJS DI WILAYAH KECAMATAN BANYUMANIK KOTA SEMARANG TAHUN 2014 Akha Pratila Sari; Chriswardani Suryawati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 2 (2015): APRIL
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

In the implementation of the National Health Insurance embracing the principles of Managed care, family doctors will be Gate-keeper. Acceleration Development Policy service of family doctors mention that problems that constrain the development of family doctors in Indonesia include hierarchical arrangements of health services and health financing system is not well organized. Family doctor in accordance Gate-keeper concept should be able to do the first level of screening referral to the second level and perform the quality control and cost control in accordance with the standards of physician competence. To prepare all forms of readiness as a family doctors Gate-keeper BPJS participants, it is necessary readiness to do. The purpose of this study was to Analysis of Family Doctor Readiness as Gate-Keeper BPJS Participant Services in Banyumanik District Semarang in 2014review of aspects of family doctor competence aspects, legal aspects, aspects of infrastructure, financing aspects and implementation aspects of the patient's health service. The research carried out to the family doctor on district Banyumanik on 8 people as the main informans head of primary service management BPJS as triangulation informant with the number 1 people BPJS participants as triangulation with 8 people. The Research used qualitative methods of collecting data through in depth interviews.The results showed that all key informants had competence in accordance with the Decree number 11 Perkonsil Medicine in 2012. For training Advance Trauma Life Support, Advanced Cardiac Life Support, endocrine and health,but there are still some key informants who have not followed the traing completely. Legal documents are complete. Disbursement of funds capitation always right is a maximum at the beginning of the 15th of the current month. Facilities and infrastructure have not completed, there are still some informants who do not provide TV, dispensers, refrigerators, fire extinguishers and sink. The service of chronis diseace management program have not done by all informant, it is due to the absence of such cases. Capitation financing of BPJS managed by family physicians, adequate for the health care participants

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