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ANALISIS KESIAPAN AKREDITASI DASAR PUSKESMAS MANGKANG DI KOTA SEMARANG Nissa Farzana Koesoemahardja; Anneke Suparwati; Septo Pawelas Arso
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Health Minister of Indonesia Regulation No. 46 Year 2015 on Accreditation of Community Health Center is issued to guarantee the quality in primary health care level. Mangkang Community Health Center is one of the proposed health centers represent Semarang to do the basic accreditation. However, the health center has not succeeded due to lack the role of head of community health center and across sectors also lack of assistance by the escort team so it must make improvements for the next accreditation assessment. The purpose of this study is to determine the readiness of accreditation in Mangkang community health center. The approach of this research is a qualitative descriptive. Data of this research were collected by in-depth interviews and observations. The main informants numbered 6 are head and internal staff of Mangkang community health center with the triangulans numbered 7 are the escort team of accreditation for Mangkang community health center, internal staff of Mangkang community health center, and across sectors. From the results of this research, Mangkang community health center is not ready to be accredited. It is seen from the communication process that is not running optimally in terms of dissemination of information that has not been evenly distributed, lack of understanding of staff, and inconsistent information. Resources state seen from the lack of resources such as number and competence of staff and availability of clear information to support the preparation of the accreditation as well as the characteristic disposition of the implementor is also not entirely supportive. The bureaucratic structure has been running in a good way, it can be seen from the availability and utility of SOP with regular fragmentation. The research suggest to continuously raising commitments, increase the intensity of good communication in written or unwritten between staffs in community health center, across sectors and the accreditation team of community health center. It also needs to make adjustment in number and competence of Mangkang community health center staffs.

PENGEMBANGAN STRATEGI PEMASARAN LAYANAN LAPAROSCOPY DI RUMAH SAKIT ISLAM JAKARTA PONDOK KOPI Vannisa Fandyar Maulidhika; Sutopo Patria Jati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The development of health industry today continuously has a rapid growth, one of which is hospital. Jakarta Islamic Hospital Pondok Kopi is one of the private hospitals in Special Capital Region of Jakarta which has a new service that could be a solution for people who needs an efficient and fast health services, which is Laparoscopic surgery. However, today Laparoscopy utility services still tend to be low. The lack of utility services was the consequence of the marketing activities run by the hospital has not maximal yet. The purpose of this study is to determine the development of marketing strategy for Laparoscopy services in Jakarta Islamic Hospital Pondok Kopi. The type of study used in this study is the Exploratory Research with qualitative methods. The data are collected throughin-depth interview and secondary data. The key informants amounted is 4 people and triangulation informants amounted is 2 people. Based on the research, revealed that Jakarta Islamic Hospital Pondok Kopi is located in the first quadrant of the SWOT diagram, meaning the hospital is in a favorable position, they had an opportunity and power so that they could take advantage of the opportunities before the eyes. The strategies for these circumstances is to support aggressive growth policy (growth strategy). The strategies that can be applied is to increase the role and function of marketing , to maximize the activity of marketing conduct an evaluation of the marketing activities undertaken , increasing the types of surgical procedures that can be treated with laparoscopy , improve service quality , establish cooperation with commercial insurance and the company , and establish relationships with the community certain communities. The suggestions of this research are the hospital should improve the quality of services and maximize the marketing activities.

ANALISIS KUALITAS PELAYANAN REHABILITASI SESUAI STANDAR PELAYANAN BAGI PENYALAH GUNA NAPZA DI RUMAH DAMAI, GUNUNGPATI, SEMARANG Risnawati Valentina; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 3 (2015): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The prevalence of drug misuse to in Indonesia has reached 2.18% or about 4.022.702 people of the total population (aged 10-59 years). Semarang is a city that has a large number of residents and out of existing datareferred to the year 2019 the prevalence of drug users predicted 2.09% of the population, and potentially workers and students. In accordance with the legislation of the Republic of Indonesia Number 35 in 2009 about Narcotics, the presence of massive rehabilitation movement of one hundred thousand to misusedrugs by 2015 will not be failed to find maximum results if done without a hardstruggle and high creativity. This research aims to analyze the quality of rehabilitation services according to the stipulations the Ministry of social and the National Narcotics Agency. This research uses qualitative descriptive method with the subject of the research taken by using purposive sampling. As for the researched is the standard human resources, institutional organizations (funding), infrastructure, and service of process. One of the drugs rehabilitation in Semarang is Yayasan Rumah Damai has been recognized by the Ministry of social and National Narcotics Agency. The main informant consists of Trustees, Chair, mentor, and the client of the Yayasan Rumah Damai. As for the informant triangulation is the staff of the National Narcotics Agency of the Rehabilitation Deputy of the Central Java province and field Staff with disabilitiessocial welfare Social Service issues, youth, and sports city of Semarang. As for the results of this research are human resources, infrastructure, service of process the rehabilitation has not been run on the standard compliance services.

ANALISIS PELAKSANAAN MANAJEMEN RISIKO DI RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG Rachmawati Yulianingtyas; Putri Asmita Wigati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Risk Management is a proactive approach to identify, assess and prioritize risks in order to eliminate or minimalize their impact. This program is conducted in hospital patient safety efforts in order to control risks and anticipating incidents inherent in any patient services. Sultan Agung Islamic Hospital (RSISA) is a private hospital in Semarang with type B that is belongs to Waqf Sultan Agung Agency Foundation (YBWSA) which is located in JL. Raya Kaligawe Km 4. The process of health care to patients in hospital is not separated to the potential errors that can lead to the incidents. This research done by looking at the implementation of the risk management from Mandate and Commitment, Planning, Implementation, Monitoring and Review, Improvement, and Coordination Process. This type of research is descriptive analytic withqualitative approaches. There are 5 (five) persons as subject’s research. Triangulation is done by using triangulation of sources and observations. The results showed that Mandate given by the KMKP to all units; the Commitment from KMKP and the units are still lacking; The Planning done by KMKP with the help from the units, planning goals and objectives is based on situations and contidions that decvelop in the hospital, the elections of the team who responsible for implementating risk management in each units was done in the early implementation, the method of risk management is FMEA, there is no SOP that can translate the real risk management activities, there are budgetting activities for funds and infrastucture to facilitate the risk management implementation; in the implementation, there are many obstacles from human resources, funds and the process; monitoring activities performed through the reporting process 3 monthly but there is still much delay and there no effort to risk assessment; continuously improvement with the principles of PDCA is done only for the unit which has the risks are prioritaized and not for the orther units.; in coodination process, risk management meeting has been vacuum since mid-2015, consultancy and communication process went well. In conclusion, the implementation of risk management in RSISA are still not well. Our suggestion, RSISA need to raise the commitment again and equalize the perception of the concept of risk management itself.

IMPLEMENTASI FUNGSI POKOK PELAYANAN PRIMER PUSKESMAS SEBAGAI GATEKEEPER DALAM PROGRAM JKN (STUDI DI PUSKESMAS JUWANA KABUPATEN PATI) Ainur Rahma; Septo Pawelas Arso; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 3 (2015): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The National Health Insurance (NHI) program which embracing the principles of Managed Care, focuses on the health care needs of first level Health Care Provider, where the first level Health Care Provider have an important role because as the main gate of patients who need health care utilization (Gatekeeper), so hoppefully most of health services finished at primary level. Primary Health Center (PHC) as first level health facilitation have strategic role and advantages for supporting the implementation of NHI compared to family doctors and private clinics because it has two functions, that are the function of organizing Primary Health Efforts and Individual Health Efforts. Where the principal function of Individual Health Efforts in NHI as gatekeeper are strengthening the function of first contact care, continuity care, comprehensive care, and coordination care. The purpose of this study was to analyze implementation of 4 primary care principal function of PHC as gatekeeper in NHI program in Juwana PHC, Pati, guidelines with “Manual Pelaksanaan JKN-BPJS Kesehatan” and performance indicators "Quality Indicators 9". This research was carried out to the stakeholders that related with the implementation of primary care principal functions in Juwana PHC, there are five main informants. Triangulation informant is the Head of Primary Health Care Management Unit from BPJS and Head of Basic Health Efforts and Referral Unit from Dinas Kesehatan Kabupaten Pati. The research used qualitative methods of collecting data through in-depth interviews. The results showed that the implementation of the primary care principal functions of Juwana PHC is 70% in accordance with the Guidelines for the ‘Manual Pelaksanaan JKN-BPJS Kesehatan’. While based on 3 indicators fromQI9assessmentin terms ofcommitmentof servicefor the determination ofperformance-basedcapitationnorm, PHCJuwanaonlyget acapitationRp. 4500.00on January-March 2015.

ANALISIS KESIAPAN ASOSIASI PENGOBAT TRADISIONAL TERHADAP RENCANA IMPLEMENTASI PERATURAN PEMERINTAH NOMOR 103 TAHUN 2014 TENTANG PELAYANAN KESEHATAN TRADISIONAL DI KOTA SEMARANG Ratna Murpratiwi; Sutopo Patria Jati; Anneke Suparwati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 1 (2016): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The Government of the Republic of Indonesia considering to implement the provisions of Pasal 59 ayat (3) about traditional health care in Undang-Undang Nomor 36 Tahun 2009 about health, need to establish government regulation of Traditional health care, then demoted to Peraturan Pemerintah Nomor 103 Tahun 2014 about traditional health ministry to revise Keputusan Menteri Nomor 1076 tahun 2003 about traditional medicine and Peraturan Menteri Kesehatan Nomor 1109 tahun 2007 about implementation of complementary medicine Alternative , which has been issued before.After the set appeared the response from the Association of Traditional Therapist in Semarang region. This research aims to identify the readiness of the Association of Traditional Thearapist in Semarang about the implementation plan of PP Nomor 103 Tahun 2014. This research is descriptive qualitative research with in-depth interviews. The subjects of these studies amounted to 6 people as the main informant and 5 people as informant triangulation. The main informant was chosen based on the type of traditional medicine, they are herb and skills, while the informant triangulation is the Parties assessed involved in the world of traditional medicine and health care.Unreadiness of the informant described which represent the two Traditional Therapist Associations, namely in terms of understanding the different policies, the attitude tends to be refused, the characteristics of the organization that are not ready, the relationships between the organizations is quite good, as well as resources and support of social, political, economic, which is quite conducive. Both the Association of Traditional Therapist need to improve knowledge of the policy, to more open minded, improve quality, enhance the commitment of the Organization, and expanding communication with the others.

STUDI MANAJEMEN PERUBAHAN ORGANISASI POST-TRANSFORMASI PT ASKES (PERSERO) MENJADI BPJS KESEHATAN PADA KCU SEMARANG Riyan Aprilatama; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 2 (2015): APRIL
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Transformation of PT Askes (Persero) become BPJS Kesehatan in Indonesia was certainty of The Republic Indonesia Act Number 24 2011 about the Indonesia institution of social security (known on Bahasa as Badan Penyelenggara Jaminan Sosial). The transformation made up to branch office changes which were structure, strategy, human resource and system of information.The research aimed to describe and analyze the change management there at Semarang branch office of Indonesia BPJS Kesehatan. This research used qualitative method, and in-depth interview and observation for data collecting method. Respondents, or the subject of the research were the Head and Staffs of Primary Health Care Management Unit.The result of the research showed that the structure changes are the nomenclature of units and anew unit adding. Strategy changes are the promotion intensificating, outsourcing adding, and the orderly premium administration. The change of human resource is the number adding. While the changes of system of information icludes the change of software and the launch of P-Care application.The change management there done by three steps. First, the preparation step. Second the transition and the last continuing step. The change management has been succed enough because of coersif-power approach that the Government and the central office of BPJS Kesehatan mostly contributed by the rules needed.

Analisis Kesiapan Implementasi Badan Layanan Umum Daerah Puskesmas Kota Semarang (Studi Kasus pada Puskesmas Ngesrep dan Bandarharjo) Edlin Shufi Adam; Anneke Suparwati; Septo Pawelas Arso
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Community Health Center as a public service agencies on health are requied to provide excellent service to community. However, still not met society’s expectations due to complexity of flow budgeting. Implementation of the Local Public Service Agency (BLUD) is proposed solution for the problems with these flexibility to improve the service quality. All of Community Health Center in Semarang will Implement BLUD. The purpose of this study is to determine the readiness of the health center in BLUD Implementation case study in health centers community Ngesrep and Bandarharjo. The approach of this research is a qualitative descriptive. Data of this research were collected by in-depth interviews. The main informants numbered 4 are head of the community health center and head of administration with the triangulans numbered 5, are the treasurer and technical staff at both community health center and escort team of BLUD from Semarang Health Departement. the result of this research, Ngesrep and Bandarharjo Community Health Center is not ready to implement BLUD. It seen from lack of educational competences and lack number of staff because have no administrative personnel to implement BLUD and lack of infrastructure. The documents and requirement available as well, targets to be BLUD are good enough. Lack of communication and coordination. Executor Characteristics has support enough. Environment of social, economics, and politics is good, but there has no governing policy to regulate BLUD in municipal level. Executor Disposition is good it seen from Community Health Center Commitment and positive staffs attitude towards BLUD, but understanding and involvement of staff towards BLUD is still lack. The research suggest is to improve the understanding and qualification of staff and addition of administrative personnel for implementation of BLUD. Increase the intensity information of BLUD, making BLUD technical regulations on municipal level and improve the communication and coordination between community health center and Semarang health department.

ANALISIS PELAKSANAAN SISTEM PELAYANAN OBSTETRI DAN NEONATAL EMERGENSI DASAR (PONED) DI PUSKESMAS SITANGGAL KABUPATEN BREBES Valentina Ayumy Fortunita Mia; Anneke Suparwati; Antono Suryoputro
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

PONED is a health service to cope with cases of emergency obstetric and neonatal at the primary healthcare center level. Brebes that has the highest maternal mortality rate in recent years set 22 the primary healthcare center become PONED in 2015, one of which is Sitanggal. This purpose of this study is to describe and analyze the system implementation of PONED in the primary healthcare center Sitanggal from the aspects of input, process, output, feedback and environment. The type of observational study is a qualitative research with indepht interview. The study population were 4 key informants consisted of one team PONED (1 doctor and 2 nurses) with the heads of primary healthcare centers and 6 informants triangulation consisted of the kabid kesga DKK Brebes, 3 officers PONED (midwife) and 2 targets of PONED. The result shows that in the system implementation of PONED, from the aspect of input, there was no the assertiveness rules and an installed SOP as reference in PONED, there was a shortage of staff, there was only doctor in the morning shift, there was no specialized administrative staff, the condition of facilities and infrastructure were not supported the implementation of PONED yet. From the aspect of the process, there was no written document about organizing of PONED, some staffs did not obey the rules and another non-health staff still doubles as an staff in the primary healthcare center, the staff commitment was still difficult, there was no complete reporting document about the implementation of PONED in DKK. The aspect of output, the service by PONED in the primary healthcare center Sitanggal was low. From the aspect of feedback, there was no special evaluation that perfomed routinely by PONED. From the aspect of the environment, the support from the related parties was not maximed: The recommended suggestion are: to further reinforce the existing rules, the need for training and apprentice, procurement of equipment and better medicine, fostering the commitment to all related parties, reschedule the picket schedule, the need for coaching and routine evaluation in the implementation of PONED.

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