Eka Yunila Fatmasari
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ANALISIS IMPLEMENTASI PROGRAM POS PEMBINAAN TERPADU PENYAKIT TIDAK MENULAR (POSBINDU PTM) DI KECAMATAN BANGUNTAPAN KABUPATEN BANTUL Lutfy Laksita Pranandari; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.574 KB) | DOI: 10.14710/jkm.v5i4.18319

Abstract

Banguntapan is the highest number of program target of Posbindu PTM in Bantul, that is 82.728 people. The coverage of PTM Posbindu activities is 0.52% including the red category (less than 10%) and the proportion of measurement of abdominal circumference by 60% including the red category. The objective of this research was analyze implementation of Posbindu PTM program in Banguntapan District, Bantul Regency. The type of research is qualitative descriptive with in-depth interview and observation. The research informants were head of kader, target of Posbindu PTM, programmer staff of infectious diseases, head of primary healthcare center, and staff of controlling infectious diseases sub unit mental health in Semarang District Health Office. The result of the research show that the implementation of Posbindu PTM program in Banguntapan sub-district has not been optimal yet because it has not been routinely done yet, the partnership still had limited, the implementation of the service stage still has not optimum in interview stage, measurement, examination and identification of PTM risk factors and counseling. It was influenced by communication, resources, disposition, and  bureaucracy structure. In communication to the target and cross-sector was still lacking, the kader  were not understand the calculation of IMT. In resources, from the aspect of human resources the number of cadres has not been sufficient and the facilities of the provision of inspection strips were not sufficient. In disposition, response, commitment, and motivation of the implementer was good, but the commitment of primary healthcare center in assistance less. In the variable of bureaucracy structure, organizational structure has not been written yet, decree formation of Posbindu PTM had not been made, job division still has not optimum in service of PTM risk factor identification and counseling, and supervision have not done optimally. Suggestions from this research were socialization to the target, establishing partnership, refr8eshing kader about IMT, making decree, and monitoring of periodic evaluation.
ANALISIS MINAT MAHASISWA UNIVERSITAS DIPONEGORO TERHADAP PEMANFAATAN PELAYANAN KESEHATAN KLINIK PRATAMA UNDIP Sri Gama Apriani; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.604 KB) | DOI: 10.14710/jkm.v7i4.24311

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The availability of health services in educational institutions has important role in realizing the goals of educational institutions as fulfillment of student welfare in improving healthy living. Diponegoro University (Undip) is one of the educational institutions that provides health services, namely Klinik Pratama Undip. The study result showed results that during the six months of operation, the number of visits of Klinik Pratama Undip has increased every month, but not many students have utilized the service. The research has a purpose is knowing Diponegoro University college students intention in utilizing the health service Klinik Pratama Undip through perceptions of kind of health service, access to helath service, information on health service and prices of health service.This research uses a quantitative method with a cross sectional approach. Samples are taken from 100 people associate degree and undergraduate of Diponegoro University college students. The results showed 52% stated their intentions and 48% stated their disintentions. Bivariate analysis showed that there is correlation between perceptions of kind of health service (p value 0,047), perception of information on health service (p value 0,000) and perceptions of prices of health service (p value 0,009). While the variables that has no correlation is the perceptions of access to health service (p value 0,466). It is recommended to the Klinik Pratama Undip to optimize the promotion of services through collaboration with campus events and roadshows to each faculty at Diponegoro University.
ANALISIS HUBUNGAN PERSEPSI BAURAN PEMASARAN DENGAN MINAT PETANI DALAM KEPESERTAAN BPJS KESEHATAN MANDIRI DI KECAMATAN PRACIMANTORO KABUPATEN WONOGIRI Manja Mania; Sutopo Patria Jati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (122.179 KB) | DOI: 10.14710/jkm.v5i3.17161

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The membership aspect is an indicator of the success of BPJS Health. Farmers as one of the majority workers in Kecamatan Pracimantoro, thus contributing greatly in the membership BPJS Health. Preliminary study results show up to January 2017 household farmers who have been registered in the PBI amounted to 8,505 KK so that about 9,554 KK contribute in the independent participation. The purpose of this research is to know the description farmer interest and analyze factors related to farmer interest in participation of independent health BPJS through perception about marketing mix. This research uses quantitative method and cross sectional research type with sample of 100 farmers in Pracimantoro District, Wonogiri Regency. The results showed that the majority of farmers in Pracimantoro District are less interested in the participation of independent health BPJS (58%). The result of bivariate analysis shows that there is correlation between perception about product (Independent health BPJS) (p = 0,038), perception about premium price (p = 0,009), perception about promotion (p = 0,008) with farmer interest of independent health BPJS. While unrelated factors were perception about location (p = 0,360). It is recommended to health BPJS to increase promotion especially for farmers in rural areas that are difficult to reach. So farmers understand the concept of BPJS and willing to volunteer to register in the participation of independent health BPJS.
ANALISIS PERSEPSI PERAWAT TERHADAP BUDAYA KESELAMATAN PASIEN DENGAN PENDEKATAN INSTITUTE FOR HEALTHCARE IMPROVEMENT DI RSJD DR. AMINO GONDOHUTOMO KOTA SEMARANG Asri Pratiwi; Sudiro Sudiro; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.442 KB) | DOI: 10.14710/jkm.v5i1.14870

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The Lack of nurses perception on patient safety culture could be one of the causes of about 60 incidents in a year in RSJD Dr. Amino Gondohutomo. Nurses have an important role in communication, where communication becomes important in patient safety. The aim is to determine nurses perception on patient safety culture with Institute for Healthcare Improvement approach in RSJD Dr. Amino Gondohutomo Semarang. Method used was qualitative descriptive by using interview guidelines as instrument, The primary Informant are 5 nurses in UPIP. Result, the nurse perception that involved patient in safety initiation is deficient, because it is done when the patient, in to get information related to patient’s history.Relay patient safety report in shift changes is already done with procedurs. Conduct safety briefing is deficient because it is only done as the evaluation when the incident occurred, not as a precaution. Open culture, just culture, reporting culture, learning culture, and informed culture have been created although few things need to be done to improve the safety culture. Suggestions do family gathering regularly, conduct patient safety briefing, inform incident reporting procedues, and for nurses more open in discussion of patient safety.
ANALISIS PEMANFAATAN DANA KAPITASI OLEH PUSKESMAS DALAM PENYELENGGARAAN JAMINAN KESEHATAN NASIONAL DI KABUPATEN PURBALINGGA Risa Tri Anggraeni; Ayun Sriatmi; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.516 KB) | DOI: 10.14710/jkm.v4i4.13951

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National Health Insurance program is a part of National Social Insurance System that organized to provide protection assurance and social welfare for all the people of Indonesia based on act number 40 of 2004.The primary health care as means of basic health services receive BPJS funds in capitation fom based on the number of participants of National Health Insurance who registered in the working area of the primary health care. Purbalingga regency with the registered participants percentage of 68,98% from total population receive the primary health care capitation funds with total amounting of Rp37.141.230.500,00 and 90% utilization rate. This research aim is to analyze the utilization of capitation funds for health services, operational costs support, as well as promotive and preventive effort by primary health care in Purbalingga regency. This research is a qualitative research with indepth interviews and observations method on the Treasurer of National Health Insurance in primary health care. Results showed that the allocation of health care services and support of the operational costs in Purbalingga regency has the same allocation rules with Permenkes number 19 of 2014. However, not all public health centers allocates in the same way characterized by the allocation of services of 60% in only one public health center. Dissatisfaction on the sharing of service charge is caused by calculation of the points on the variable components of education, years of service, and attendance. Meanwhile, all primary health care in Purbalingga doesn’t allocate the same thing for the support of operational costs in accordance with the rules set. There are waiting time required by primary health care for procurement support of operational costs by using e-catalogs. On the utilization of preventive promotive there are 4 of 7 primary health care which not allocated capitation funds for promotive and preventive efforts.To overcome this, it takes the role of leader to improve the utilization of capitation funds in accordance with the needs of the primary health care.
ANALISIS PELAKSANAAN REVITALISASI POSYANDU DI WILAYAH KERJA PUSKESMAS GAYAM SARI KOTA SEMARANG (Studi Kasus di Kelurahan Sambirejo) Winda Asriyani; Chriswardani Suryawati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.783 KB) | DOI: 10.14710/jkm.v5i1.15004

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Based on the quantity, the development of posyandu (Integrated Service Post) in Indonesia is good enough. On the other hand from the quality aspect, still found so many problems inside. From that statement, Indonesia Government published the letter No. 411.3 /1116/SJ on June 13, 2001 about the revitalization of Posyandu. But in the fact, Posyandu revitalization is not reach the target yet and it is not able to decrease AKI and AKB astaught before. The purpose of this study is to analyze the implementation of Posyandu revitalization. This research uses a quantitive method. While for collecting the data uses interview and analyze the documents. Ten informants are taken as the sample including cadres of Posyandu, head of PKK, Pokja IV, RW, Puskesmas, the elder of this area, village chief and the Posyandu management. The data present in narrative text. The result of the research shows that the active leader is only the elders in this area. socialization to the community is held only once a month. There is routine guidance from head of hamlet (head of RW) and Posyandu in the community. Public participation in Posyandu revitalization activities has been good, good for force participation, mind, goods, money and expertise.The training for the cadres posyandu is not ideal yet. The Posyandu services by five tables and visits to society houses also are not good enough. Posyandu in this area does not have its own place and good facilities. The society participation is increase and has a good cooperation with the sector side. There is PAUD for the added facilities. Some suggestions are needed to increase mentoring and coaching against the good of posyandu health workers, community leaders, and village officials.
GAMBARAN SEKTOR INFORMAL NELAYAN KELURAHAN CILINCING JAKARTA UTARA SEBAGAI CALON PESERTA BPJS KESEHATAN Dara Lutfiana; Chriswardani Suryawati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 1 (2016): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.005 KB) | DOI: 10.14710/jkm.v4i1.11575

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JKN implementation in Indonesia is targeting the coverage nationwide in 2019. Informal workers who predominate in Indonesia is a challenge for Health BPJS in achieving these targets. Of the 67.87 million informal workers 30% of whom are fishermen, it means that fishermen plays an important role in achieving the target JKN membership, then the condition of the fishermen need to be studied further to expand the coverage of informal participants in JKN. The purpose of this study was to describe the characteristics, knowledge, interests, socialization model, and the ability to pay fishermen to JKN. This research is descriptive through a quantitative of cross-sectional approach. The sample included 100 fisherman and 4 informants consisting of administrative staff, KUB chairman and coordinator of the fishermen. The results showed that respondents have characteristics that are 62% aged 20-40 years, 45% complete elementary school, 75% have a little amount of family burden (≤ 4 people), 55% have revenues below KHL standard, and 57% are fisherman user. 54% of respondents have enough knowledge about JKN, 92% have high interest in JKN, 69% respondent have family ATP ≤ contribution fare of JKN, 44% know JKN first time through friends, 98% have never get JKN socialization, 57% chose discussion as a form of socialization, 60% stated that socialization can be done both weekdays and weekends, 33% chose the afternoon as socialization time, and 82% are willing to attend socialization JKN. It is recommended that the government mapping informal sector fishermen, the fishermen need to be considered as PBI participants, socialization and the media JKN need to be implemented, as well as Health BPJS to pick up the ball in terms of enrollment JKN.
STRATEGI PEMASARAN PELAYANAN RAWAT JALAN EKSEKUTIF (POLIKLINIK NUSA INDAH) RSUD TUGUREJO SEMARANG Fila Mulia Citra Permata Abadi; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.267 KB) | DOI: 10.14710/jkm.v5i4.18315

Abstract

Tugurejo Regional General Hospital has an executive outpatient service called Poliklinik Nusa Indah. Where one mission RSUD Tugurejo is to develop excellent service. Based on the above, it is necessary to plan the marketing strategy to improve the utilization of outpatient services. The purpose of this research is to analyze marketing strategy of outpatient service of RSUD Tugurejo Semarang. The type of research used is Exploratory Research with qualitative approach. Data collection using indepth interview method and secondary data with main informant were 5 people and 2 triangulation informant. From research result based on IFE and EFE matrix it is known that Tugurejo Hospital outpatient service is in quadrant I is asgresive strategy, which is a very favorable situation for RSUD Tugurejo especially on executive outpatient service because it has opportunity and strength that can be utilized. The strategy to be used in this condition is to support an aggressive growth policy (growth-oriented strategy). The SWOT matrix alternative strategy is to conduct periodic promotions to private agencies or companies, manufacture and distribute executive outpatient leaflets, conduct marketing planning by looking at the marketing mix, optimizing physician on call systems, improving facilities and service quality, opening access to services for participants BPJS, and evaluate marketing activities. Based on the results of the QSPM Matrix the main marketing strategy that can be applied is to conduct regular promotions to private agencies or companies. Suggestions in this study are to increase cooperation with private agencies, make executive outpatient leaflets, optimize on-call doctor systems, and open access for BPJS participants.
ANALISIS WASTE PADA ALUR RUJUKAN PASIEN PELAYANAN PONED PUSKESMAS HALMAHERA KOTA SEMARANG DENGAN PENDEKATAN LEAN HEALTHCARE Nurlita Putri Apriliani; Sutopo Patria Jati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.548 KB) | DOI: 10.14710/jkm.v5i4.18322

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Central Java contributing the highest Maternal Mortality Rate in Indonesia,Semarang City is ranked the 2nd highest AKI in Central Java after BrebesRegency. Optimization of Basic Emergency Obstetric and Newborn Care (BEMONC) services is the government's effort to reduce MMR. HalmaheraHealth Center is the best PONED Puskesmas in Semarang city, but at servicecrotch is not optimal with 3 emergency referral case in dashboard entering red zone.Lean Healthcare is one of the concepts for quality management and cost efficiency to optimize value-oriented services. Qualitative includes 5 provinces  study with descriptive analytic approach was done at Halmahera Primary Health Care of Semarang. There was 9 informants in each PHC including Doctor, Midwife, Nurse and also patient's family. In depth interviews and observations was done to assesing waste in service process.Value Stream Mapping overview in the flow of patient referral services PuseksmasHalamheraBEMONC is ideal when viewed from the standard Response Time by Kepmenkes 856 in 2009. Results showed the ratio between the activities of the Value Added and Non-Value Added amounted to 36.36%; 63.64% which means the patient referral line of BEMONC service at Halmahera PHC is not yet in Lean condition. The types of waste found are unnecessary transportation, motion, waiting, defect, and underutilized abilities of people. The causes of problems that arise are the ethics and competence of the midwife, the layout of the room, supervision of leadership, clarity of division of labor, clarity of cooperation with vendors related sijariemas system, clarity of cooperation with CEMONC (Comprehensive Emergency Obstetric and Newborn Care) Hospital. Suggested changes to the layout of the room, clarity of cooperation with vendors and hospitals, increased supervision of the leadership, and the emergency drill routine to improve midwife competence.
ANALISIS FAKTOR-FAKTOR KEBIJAKAN DALAM IMPLEMENTASI PROGRAM KESELAMATAN DAN KESEHATAN KERJA RUMAH SAKIT (K3RS) DI INSTALASI GAWAT DARURAT RUMAH SAKIT UMUM DAERAH KOTA SEMARANG Ajeng Retno Yunita; Ayun Sriatmi; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 2 (2016): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (164.545 KB) | DOI: 10.14710/jkm.v4i2.11919

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Rumah Sakit merupakan salah satu tempat kerja, yang wajib melaksanakan Program Keselamatan dan Kesehatan Kerja Rumah Sakit (K3RS) yang bermanfaat baik bagi SDM Rumah Sakit, pasien, pengunjung/pengantar pasien, maupun bagi masyarakat di lingkungan sekitar Rumah Sakit. Di awal pelaksanaannya permasalahan yang dijumpai di IGD RSUD Kota Semarang diantaranya menunjukkan adanya kejadian yang beresiko penyakit akibat kerja dan kecelakaan akibat kerja seperti, masih ada perawat yang tidak memakai alat pelindung diri berupa sarung tangan dan masker saat melakukan tindakan perawatan di instalasi gawat darurat, pencahayaan yang kurang di ruang administrasi instalasi gawat darurat, ruang tunggu untuk pasien tidak nyaman,ruang triage yang tidak berfungsi dengan baik, dan tidak dibedakannya pintu masuk dengan pintu keluar Intalasi Gawat Darurat sehingga dapat menyebabkan terjadinya benturan antara pasien yang masuk dan keluar. Tujuan dari penelitian ini adalah untuk mendeskripsikan faktor-faktor kebijakan Implementasi  Program K3RS di IGD RSUD Kota Semarang. Penelitian ini merupakan penelitian kualitatif deskriptif. Pengumpulan data dengan wawancara mendalam dengan informan utama petugas kesehatan di IGD dan informan triangulasi Kepala Instalasi K3, Kepala Ruang IGD, dan Kepala Seksi Pelayanan Medik. Hasil penelitian menunjukkan faktor-faktor implementasi dari segi isi dan  tujuan program K3RS, komunikasi, dan komitmen masih kurang penerapannya dikarenakan sosialisasi dan pengawasan yang kurang. Sedangkan untuk sumber daya, lingkungan kerja, dan SOP sudah baik. Disarankan pihak rumah mengadakan sosialisasi secara rutin, dan perlu adanya sanksi atau teguran bagi petugas kesehatan yang tidak menerapkan program K3RS sesuai dengan SOP yang ada.