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ANALISIS KEBIJAKAN JAMINAN KESEHATAN KOTA BENGKULU DALAM UPAYA EFISIENSI DAN EFEKTIFITAS PELAYANAN DI PUSKESMAS Desri Suryani, Yandrizal Betri Anita
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 03 (2013)
Publisher : Jurnal Kebijakan Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.039 KB)

Abstract

Background. Mayor of Bengkulu Regulation Number 13 Year2012 on The Implementation Guidelines for State HealthInsurance Assistance Costs (Jamkeskot) in Bengkulu city ismanaged by the Secretariate of the Government of CommunityWelfare Section in Bengkulu. The cost of referral health carein Provincial General Hospital could be made more efficient byoptimizing the role of community health centers as a curative,preventive and promotive health services. It is hoped to reducethe number of visits for treatment and referral to hospital. Thepurpose of this study is to analyze the City Health Insurancepolicies in an effort to improve the efficiency and effectivenessof primary health care and public health efforts to reduce thenumber of visits for treatment and referral to hospital.Method: The type of research is non-experimental research,or also called qualitative research. It is an exploratory researchto find a new role of the city government and AdministeringAgency to improve the efficiency and effectiveness of healthservices at the health center.Unit of Analysis: 1) Community Health Center Unit 20, 2)organizing: PT. Askes 2 person and Community Welfare section2 person, 3) the City: Head of the Community Welfare Section1 person, Bengkulu City Health Office 2 person. Data is collectedusing interview using questionnaire as the instrument, anddocuments review.Results: Bengkulu Jamkeskot policies have not applied theprinciple of insurance in which the organizers serves to controlthe quality and cost of health care provided in both basicservices/primary and referral services. Most of the healthcenters tend to refer patients (67%) that are still within theirauthorization to provide care. The reason being: the healthcenters have limited equipment and drugs, and some patientsdemanded to be referred due to perceived bad quality of serviceat the health centers. The Community Welfare section has notcoordinated with the City Health Office to conduct training forthe health center in an effort to increase the effectiveness ofservices.Recommendation: The City Government is to establish ateam to conduct technical guidance supervision to healthcenters to ensure that the health centers play the role ofgatekeeper and only refer patients that need complex care,providing medical equipment and drugs to the health centerswith proposed funding from Bengkulu City budget and provincialbudget. The Health Centers are to provide routine counselingon healthy behavior and IEC on nutrition and hygiene to everyposyandu. The City Health Office provides technical guidancein drafting POA for promotive and preventive activities to havemore focus in efforts to control the causes of disease. Improvepolicy management of Jamkeskot by submitting the managementto an administering body, so that the Jamkeskot can apply theinsurance principles where the strong help the weak, thehealthy help the sick, the rich help the poor; and also cancontrol the quality and cost of service.Keywords: Health Policy, Health Insurance, Gatekeeper
Determinants Failure of Exclusive Breast Feeding on Health in the City Bengkulu Suryani, Desri; Simbolon, Demsa; Elly, Nur; Pratiwi, Bintang Agustina; Yandrizal, Yandrizal
Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017): Jurnal KEMAS Vol.12 No.2 : January 2017
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.6890

Abstract

The  first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .
Determinants Failure of Exclusive Breast Feeding on Health in the City Bengkulu Suryani, Desri; Simbolon, Demsa; Elly, Nur; Pratiwi, Bintang Agustina; Yandrizal, Yandrizal
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (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.v12i2.6890

Abstract

The  first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .
The Effect of Counseling on Improving Knowledge, Attitude, and Behavior in Efforts to Prevent and Control Non-Communicable Diseases Suryani, Desri; Rizal, Ahmad; Eliana, Eliana; Darwis, Darwis; Angraini, Wulan; Pratiwi, Bintang Agustina; Yandrizal, Yandrizal
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
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.v14i3.10469

Abstract

Non-communicable diseases in Bengkulu Province has been increasing from 2007 to 2013. Integrated non-communicable disease development post (Posbindu PTM) is a platform for community participation in early detection and monitoring of risk factors in an integrated and periodic manner. Counseling on Posbindu PTM activities is one of the factor that could improve knowledge, attitude and behavior towards prevention and control of non-infectious diseases (NCDs). The study aimed to investigate the influence of counseling on the improvement of knowledge, attitude and behavior towards NCDs prevention and control. Through a quantitative research with quasi-experimental design, counseling at Posbindu PTM Damai and Padang Harapan Kota Bengkulu was conducted. The population and samples were all 32 members of Posbindu PTM. We found a difference in knowledge, attitude, and behavior before and after counseling from dependent and independent t-test analysis. The Community Health Centers (Puskesmas) need to train their cadres so that they are capable to counsel Posbindu PTM members to improve their knowledge, attitudes, and behavior towards prevention and control of NCDs.
Prediction Model and Scoring System in Prevention and Control of Stunting Problems in Under Five-Year-Olds in Indonesia Simbolon, Demsa; Suryani, Desri; Yorita, Epti
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2019)
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.v15i2.13415

Abstract

Prevalence of stunting in Indonesia is a cause for concern. We used IFLS 2007 as secondary data in the cross-sectional study to develop a problem-solving and prevention model of stunting. The study was conducted in 2016 to predict a model from the characteristics, parents, and health care of the child. We recruited 3589 children under-five years from IFLS 2007 data as samples. The inclusion criteria are 1-5 years old children from 15-49 years old pregnant women, living with biological parents, available data of birth weight and gestational age, and do not have chronic disease. We used multiple logistic regression for modeling, and Receiver Operation Characteristic (ROC) Curve as a diagnostic test. We found that 39.5% of children under-five have stunting. Stunting protective factors are: prevention of LBW (Low Birth Weight) in infant, limitation of number of children by three, improved parenting for the boys, prevention of young-age pregnancy and stunting in the female adolescent. Other factors are completing immunization, improving maternal education and the health services of under-five children in rural areas, and improving Fe consumption for pregnant mothers. The model was able to prevent and delay the stunting in toddler by 64%, with 61.9% sensitivity and 60.9% specificity, and AUROC 65.5%. It is necessary to counsel the pregnant women with a low height and young-age pregnancy as a high risk, as well as management of the infant with LBW to prevent stunting.
The Effect of Conventional Method on the Length of Treatment Days for Children Underwent Circumcision at Poniran Khitan Centre Bengkulu Ferasinta1 , Andri Kusuma Wijaya1 , Desri Suryani2
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13560

Abstract

Background: Circumcision is a minor surgical procedure that is most widely performed in the world,namely a method of cutting all or part of the prepuce of the penis for specific indications and purposes.Study Design:This study was used one-group pretest-posttest pre-experimental research design, with a totalsample 15 respondents.Results: Based on the results of the bivariate analysis using the Dependent T test, it was found that therewas an effect conventional method with a value (p value = 0, 000) on the on the length of days of care forcircumcision wounds in children undergoing circumcision at the Poniran Khitan Centre Bengkulu.Conclusion: The role of the Poniran Khitan Center will greatly assist in facilitating children in treatingwounds who undergo circumcision
Effectiveness of Playing Origami Intervention on Improvement of Fine Motor Development Pre School Children Harsismanto J1 , Larra Fredrika1, Novia Wati2 , Padila3 , Desri Suryani4 , Yandrizal5
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13565

Abstract

Background: One aspect of development in children is fine motor development. Delays in fine motorskills can make children have difficulty exploring the environment, barriers to learning, lazy writing, lackof creativity. This study aims to determine the effectiveness of playing Origami interventions to improvepreschool children’s fine motor skills in PAUD Aisiyah VI Bengkulu City.Study Design:This research is a Quasi-Experimental study with a research design of “one group pretestand post-test without control group design”, a sample of 26 preschool children using purposive sampling.The intervention was given for two weeks as many as six meetings with 30 minutes per session. Data onchildren’s fine motor development were collected using the DDST II screening format.Results: Analysis using the Wilcoxon test obtained ? value 0.000 (? 0.05). In conclusion, Origami playintervention is statistically effective in improving the fine motor skills of preschool children.Conclusion: Teachers and parents should pay more attention to and increase the stimulation of preschoolchildren’s fine motor skills by facilitating children to play folding, sticking, and paper cutting more often.
AKTIVITAS FISIK, PENGETAHUAN GIZI, ASUPAN ENERGI, ASUPAN SERAT DAN STATUS GIZI LEBIH PADA REMAJA Maharani, Maharani; Desri Suryani, Darwis,
JURNAL MEDIA KESEHATAN Vol 10 No 2 (2017): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 10 Nomor 2 Oktober Tah
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.756 KB) | DOI: 10.33088/jmk.v10i2.341

Abstract

Nutrition problems in adolescents are found in many nutrients. More nutrition (overweight) is one of the epidemic problems worldwide. Objective of the study to determine the relationship of physical activity, nutritional knowledge and fiber intake with more nutritional status in adolescents in MTSN 2 Kota Bengkulu.Penelitian this is with observational research using cross sectional design. Population taken in this research is all students of class VII and VIII in MTSN 2 City of Bengkulu Year 2017. Sampling by purposive sampling technique. The results of research on average light physical activity, adequate nutritional knowledge, energy intake more than AKG and fiber intake less than AKG. There is a relationship between physical activity, knowledge, energy intake, fiber intake with more nutritional status in adolescent (p <0,05). The most dominant variables associated with more nutritional status are nutritional knowledge (p = 0,000). The importance of adding nutritional knowledge about obesity in adolescents in order to increase physical activity and fiber intake and reduce energy intake so as to achieve good nutritional status.
ANALISIS POLA MAKAN DAN ANEMIA GIZI BESI PADA REMAJA PUTRI KOTA BENGKULU Desri Suryani; Riska Hafiani; Rinsesti Junita
Jurnal Kesehatan Masyarakat Andalas Vol 10, No 1 (2015): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v10i1.157

Abstract

Anemia merupakan masalah gizi  yang paling utama di Indonesia. Anemia dapat disebabkan oleh penyakit infeksi, asupan zat gizi yang kurang, kehilangan darah (menstruasi) dan pengetahuan yang dimiliki. Remaja putri merupakan salah satu kelompok yang rawan menderita anemia. Tujuan penelitian ini untuk mengetahui pola makan dan  kejadian anemia gizi besi pada remaja putri di Kota Bengkulu. Metode penelitian kuantitatif dengan desain cross cectional. Populasi seluruh remaja putri SMP dan SMA di Kota Bengkulu, dengan sampel sebanyak 1200 remaja putri. Pengumpulan data dengan kuesioner dan pemeriksaan kadar Hemoglobin dengan  menggunakan metode cyanmethemoglobin. Analisis data menggunakan uji chi-square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan prevalensi anemia pada remaja di Kota Bengkulu tahun 2013 sebesar 43% dan  pola makan  remaja tidak baik 79,2%,  Tidak terdapat hubungan antara pengetahuan tentang anemia dengan kejadian anemia dan tidak terdapat hubungan antara pola makan dengan kejadian anemia (p value > 0,05).  Diharapkan kepada  sekolah bersama puskesmas untuk memberikan pendidikan gizi/penyuluhan tentang gizi seimbang  pada remaja, kese hatan reproduksi, suplementasi gizi dan asam folat serta pengadaan kantin sekolah dalam pengembangan program pencegahan dan penanggulangan anemia sehingga remaja terhindar dari anemia.Kata Kunci: Pengetahuan Tentang Anemia, Pola Makan, Anemia remaja Putri
Analisis Peran Pemerintah Daerah terhadap Ketersediaan Fasilitas Kesehatan pada Pelaksanaan Jaminan Kesehatan Nasional di Provinsi Bengkulu Yandrizal Yandrizal; Desri Suryani
Jurnal Kesehatan Andalas Vol 4, No 1 (2015)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v4i1.208

Abstract

AbstrakProgram Jaminan Kesehatan Nasional bertujuan mempermudah masyarakat untuk mengakses pelayanan kesehatan yang bermutu. Bagaimana ketersediaan fasilitas kesehatan, maka perlu dilakukan analisis peran pemerintah daerah terhadap ketersediaan fasilitas kesehatan. Metode penelitian ini adalah analisis formatif yaitu bertujuan menilai peran pemerintah daerah terhadap kebijakan yang sedang dilaksanakan, dan bagaimana pemikiran memodifikasi untuk pengembangan sehingga membawa perbaikan. Hasil yang didapat ialah pada pertengahan tahun 2014 Fasilitas Kesehatan Tingkat Pertama (FKTP) yang bekerja sama dengan Badan Penyelenggara Jaminan Sosial (BPJS) kesehatan sebanyak 229 unit, masih kurang sebanyak 361 unit untuk mencapai kebutuhan tahun 2019. Akses ke pelayanan kesehatan sebagaian masyarakat masih menjadi kendala geografis, waktu paling lama dari menuju puskesmas 90 sd 120 menit, biaya Rp. 200.000,- menggunakan ojek. Rasio fasilitas pelayaan rujukan tertinggi di Kota Bengkulu 1,88 per 100.000 penduduk dan terendah Kabupaten Rejang Lebong 0,40 per 100.000. Ratio dokter spesialis tertinggi 3.61 per 100.000 penduduk dengan rerata biaya rawat inap Rp. 3.595.000,- per pasien, terendah 0,55 per 100.000 pendudukan dengan rerata biaya rawat inap Rp.1.000.000,-. Pemenuhan tenaga terutama dokter umum, dokter gigi di puskesmas sulit terwujud mengingat formasi CPNS sangat kecil. Apabila dilakukan kontrak, Pemerintah Kabupaten/kota tidak mampu.Kata Kunci: kebijakan pemerintah daerah, fasilitas kesehatan, kebijakan jaminan kesehatan nasional.AbstractThe National Health Insurance Scheme aims to facilitate the public's access to quality health services. How does the availability of health facilities, it is necessary to analyze the role of local governments on the availability of health facilities. Methods: formative analysis, assessing the role of local governments on the policies that are being implemented, and how to modify the thinking for development so as to bring improvement. Results: Mid-2014 FKTP in collaboration with the Social Security Agency (BPJS) health as much as 229 units, 361 units are still lacking to achieve the requirements in 2019. Access to health care is still a society in part to geographical constraints, the longest time of the leading health centers 90 up to 120 minutes, costs IDR. 200.000, - use a motorcycle taxi. The ratio of the highest referral ministry facility in the city of Bengkulu 1.88 per 100,000 population, and the lowest Rejang Lebong 0.40 per 100,000. The highest ratio of specialists per 100,000 population is 3.61 with an average cost of hospitalization IDR. 3.595.000,- per patient, the lowest of 0.55 per 100,000 of the occupation with an average hospitalization cost IDR 1.000.000,-. Fulfillment power especially general practitioners, dentists at health centers employess difficult to achieve given the very small formations, if the contract is done district/city can not afford.Keywords: role of local government, availability of health facilities, the national health insurance policy
Co-Authors Adelia Ajelika Adelia Aperiliana Bella Afifah Putri Azzahra Afriyana Siregar Agus Supardi Ahmad Rizal ahmad rizal Ahmad, Che An Ali Khomsan Anang Wahyudi Anang Wahyudi Anang Wahyudi Anggryani Margaretha Angraini, Wulan Aprita Dwi Putri Elliza Arie Nugroho Baruara, Guntur Betri Anita Betri Anita Anita Betty Yosephin Simanjuntak Bintang Agustina Pratiwi Che An Ahmad Cicilia Fransiska Darmawati Santoso darwis darwis, darwis Dayanti, Lestari Rahmah Demsa Simbolon Deswita Maharani Br Mataniari Dinda Puspita Gita Dinda, Inge dita kodrati alaina Dwi Permata Sari Eliana Eliana Elly Wahyuni Elsha Cristin Sipahutar Emy Yuliantini Erva Aulia Janna Eva Anggi Puspita Evi Fitriani EVI FITRIANI Febriyanto, Tedy Fitria Ogina Frensi Riastuti Halimatussa Diah Halimatussa'diah, Halimatussa'diah Hawani, Ikat Tri Heldi Saputra Hendarin Hendarin Henni Febriawati, Henni Husin, Hasan Izzatul Ilmi Juita Sari Jumiyati Jumiyati Jumiyati Jumiyati Jumiyati Karunia, Mekti Ketut Murni Krisnasary, Arie kusdalinah Kusdalinah Kusdalinah Kusdalinah Kusdalinah Lela Hartini Lesmi, Anisa Lestari, Sinta Wahyu Lista Maharani Maharani, Maharani Maigoda, Tonny Cortis Mawar Maysara Dwi Alfiana Melinda Putri, Sinthya Melita Sari Meriwati Meriwati Mahyudin Meriwati, Meriwati Meta Irwanda Miratul Haya Miratul Haya miratul haya Miratul Haya, Miratul Mita Apriani Muhammad Revil Syaputra Nadilla Putri Sp Natan, Okdi Nevike Amanda P Nugraheni, Diah Eka Nur Elly Okfriani, Yenni Peny Dwi Oktavia Putra, Boy Zedra Ananda Pratama Qotima, Shania Rama Beka Sariy Rinsesti Junita Risda Yulianti Risda Yulianti Riska Hafiani Riski Amalia RS, Sunita Serly Lestari Shafiyyah Ummu K Sinta Agustina Sinta Wahyu Lestari Sunita R S Susilo Damarini Tadzkia Maghfira Tamala, Ramtina Tetes Wahyu Tetes Wahyu W Tetes Wahyu W Tetes Wahyu Witradharma Tonny C Maigoda Tonny Cortis Maigoda Ummi Hasanah Wahnil Dia Handayani Wahyu Elia Ramadani Wulan Angraini wulandari, Gite Putri Wulandari, Melsa Putri Yandrizal Yandrizal Yanuarti, Riska Yorita, Epti Yulia Afriza YUNITA Yunita Yunita Yunita Yunita Yunita Yunita Yunita Yunita Yunita Yunita Zahra, Intan Sefti