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Kinerja Pelayanan Kesehatan Ibu dan Anak di Papua Tahun 2018: Apakah input tenaga bidan dan dokter berpengaruh? Ratna Dwi Wulandari; Agung Dwi Laksono; Ratu Matahari; Nikmatur Rohmah; Hana Krismawati
Buletin Penelitian Sistem Kesehatan Vol 24 No 4 (2021): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsr.v24i4.4913

Abstract

Maternal and child health is one of factors that indicate the community health status. The study analyzes the relationship between the input of midwives and doctors on the performance of maternal and child health services. This study uses an ecological analysis approach. The population is 42 districts/cities in Papua Island . In addition ,this study analyzes K4, childbirth in health care facilities, and KN1 as the dependent variable. The analysis uses a scatter plot with a linear fit line as a determinant. The study results a very high variation among districts/cities, both the input variable and maternal and child health performance. Spatially, the lowest input of midwives and doctors is more likely to the Central Mountain region. It showed the higher the input of midwives and doctors, the higher the K4 performance. The higher the input of midwives and doctors, the higher the delivery performance at health service facilities. In addition, The higher the input of midwives and doctors is the higher the performance of KN1. The midwife's input has a more significant effect than the doctor's input for all maternal and child health performance. The study concludes that the input range for midwives and doctors in Papua Island is very extensive. The input of midwives and doctors is positively related to the performance of maternal and child health services in Papua Island. K4 is the factor that is least carried out, both by midwives and doctors. Abstrak Kesehatan ibu dan anak merupakan salah satu faktor yang mengindikasikan status kesehatan masyarakat di suatu wilayah. Studi ditujukan untuk menganalisis hubungan antara input tenaga bidan dan dokter pada kinerja pelayanan kesehatan ibu dan anak di Pulau Papua. Studi dilakukan dengan pendekatan analisis ekologi. Populasi studi adalah seluruh kabupaten/kota di Pulau Papua (42 kabupaten/kota). Selain input tenaga bidan dan tenaga dokter sebagai variabel independen, studi ini menganalisis K4, persalinan di fasilitas pelayanan kesehatan, dan KN1, sebagai variabel dependen. Analisis memanfaatkan scatter plot dengan garis fit linier sebagai penentu. Hasil studi menunjukkan variasi yang sangat tinggi antar kabupaten/kota, baik pada variabel input tenaga maupun pada kinerja kesehatan ibu dan anak. Secara spasial input tenaga bidan dan dokter yang paling rendah cenderung di wilayah Pegunungan Tengah. Semakin tinggi input tenaga bidan maupun tenaga dokter, semakin tinggi pula kinerja K4 di kabupaten/kota tersebut. Semakin tinggi input tenaga bidan maupun tenaga dokter, maka semakin tinggi pula kinerja persalinan di fasilitas pelayanan kesehatan di wilayah tersebut. Semakin tinggi input tenaga bidan maupun tenaga dokter, maka semakin tinggi pula kinerja KN1 di area tersebut. Lebih lanjut, input tenaga bidan memiliki efek yang lebih bermakna dibanding input tenaga dokter untuk seluruh kinerja kesehatan ibu dan anak. Studi menyimpulkan bahwa rentang input tenaga bidan dan dokter di Pulau Papua sangat lebar. Input tenaga bidan dan tenaga dokter berhubungan secara positif dengan kinerja pelayanan kesehatan ibu dan anak di Pulau Papua. K4 merupakan faktor yang paling kurang dilakukan, baik oleh tenaga bidan maupun tenaga dokter.
THE ROLE OF “MY VILLAGE MY HOME” IN THE KNOWLEDGE AND ATTITUDES OF INTEGRATED HEALTH POST CADRES AND MOTHERS Anasiya Nurwitasari; Fariani Syahrul; Hario Megatsari; Ratna Dwi Wulandari; Arief Hargono; Djazuli Chalidyanto; Yashwant Vishnupant Pathak
Jurnal Berkala Epidemiologi Vol. 8 No. 1 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I12020.1-7

Abstract

Background: The percentage infants with complete basic immunization is still below the minimum target of immunization coverage. The immunization coverage survey showed that complete basic immunization and valid dose immunization status in Surabaya City is still below the international averages. Purpose: The purpose of the study was to describe the knowledge and attitudes of cadres and mothers with under two years child (Baduta) towards My Village My Home (MVMH) in the City of Surabaya, Indonesia Methods:  Sampling was done by simple random sampling method. Samples were grouped into exposed groups and unexposed groups. The sample comparison was 1: 2. The respondents of the exposed group were 20 cadres and 20 mothers who had received MVMH training. The respondents of the unexposed group were 40 cadres and 40 mothers who did not receive training. Data collection was done using interviews. The study was conducted in 30 Health Centers. Results: Most cadres in the group who had received training or had not received training had good knowledge, but in the group that had not received training there were 5% of cadres who had poor knowledge. Both mothers in the group of cadres who had received training or had not, had good knowledge, but in the group of cadre that had not received training as much as 10% of mothers had poor knowledge. Both cadres and mothers had a good attitude. Conclusion: Both cadres and mothers in two groups had good knowledge and attitude. Cadres who have good knowledge and attitude towards MVMH have the potential to apply MVMH to the community.
Rekomendasi Peningkatan Pemanfaatan Posyandu Oleh Ibu Balita Berdasarkan Analisis Total Customer Sacrifices Nurul Hidayatul Mukaromah; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 1 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.749 KB) | DOI: 10.20473/jaki.v3i1.2015.50-59

Abstract

ABSTRACT                The coverage of under-five children weighed is an indicator of community participation in Posyandu. During 2012 until 2014, Puskesmas Kenjeran had not reached the target of this indicator. The objective of this study is to arrange recommendations for Posyandu utilization improvement based on total customer sacrifice analysis. This was a quantitative analytical study with observational approach and cross sectional design. The sampling was calculated by using multistage random sampling method. The interviews through instrument were conducted to 112 respondents to obtain information on Posyandu utilization and respondents sacrifice required to utilize Posyandu. The results showed that respondents thought time was the greatest sacrifice among monetary, energy, and psychological sacrifices. Spearman correlation test on any sacrifice required showed significant correlation (p<0.05), except for monetary sacrifice.This study concluded that even total customer sacrifices was very small, but the huge expense of time spent still made respondents to be less likely to utilize Posyandu. Therefore, efforts are needed to reduce the magnitude of the sacrifice required by community utilizing Posyandu in Puskesmas Kenjeran area. Keywords: Posyandu utilization, total customer sacrifices, under-five children                    weighed
Penilaian Puskesmas dan Rumah Sakit Tentang Efektivitas Sistem Rujukan Maternal di Kota Surabaya Stevie Yonara; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.287 KB) | DOI: 10.20473/jaki.v3i2.2015.151-160

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ABSTRACT More than 80.0% maternal deaths occured in hospital in Surabaya between 2012-2014. Most of them who died in hospital were referral patients from midwife, private clinics, and public health centers. This study assessed the effectiveness of maternal referral system based on perspective of public health centers and hospitals in Surabaya. This was a descriptive cross sectional study. Samples were 43 public health centers in Surabaya and two main referral destination hospitals. Data was collected by interviewing one representative midwife in each public health center and hospital. This study showed that a total of 81.4% health centers assess that maternal referral system in Surabaya District was quite effective. While, one of the hospital assessed quite effective, and the other assessed less effective. The reason was because public health centers difficulty to contacting hospitals about referral, hospitals often rejected referral case, pregnant women often do self-referral to hospital, and incompatibility referral reason by most of public health centers. So it was necessary to repair maternal referral system at Surabaya based on identification of each variables in effectiveness of maternal referral system.Keywords: effectiveness, hospitals, maternal refferal system, public health center
Penilaian Koordinasi Antarunit Kerja di Rumah Sakit Berdasarkan High Performance Work Practices Intan Permata Sari; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (69.023 KB) | DOI: 10.20473/jaki.v3i2.2015.170-178

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ABSTRACTThe survey about coordination in hospital showed that the coordinaton between units have low score including the lack of communication and problem solving between units. The objectives of this study is to describe coordination in hospital considered by high performance practices that consist of 5 items : selection for cross-functional teamwork, rewards for cross-functional teamwork, cross-functional teamwork conflict resolution, cross-functional meetings, and cross-functional boundary spanner. This research is descriptive study using cross sectional design. Samples or respondents are 16, selected using purposive sampling according to the units which their function and job still related with the medical service in the hospital. The result showed that there are a specific criteria to select their employee. The most responden said that education level is the most important criteria for the selection. There is a reward for the best employee those are trophy and some money given to the best employee and the best group of the months. There is conflict resolution through the meeting with the supervisor and director to discuss their problems. There is functional meeting that is weekly report, and there is boundary spanner to coordinated with the other unit if they have problems. This study conclude that coordination in hospital can complete four items of performance work practice, but aspect cross-functional meetings still not working properly. Therefore, it needs to be repaired because this meeting is important to discuss about development of the medical service in this hospital.Keywords :Coordination, high performance work practices, medical service
Pelaksanaan Supervisi Imunisasi Campak di Puskesmas Wilayah Surabaya Utara Dian Febrina Anggraini; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.341 KB) | DOI: 10.20473/jaki.v4i1.2016.1-8

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Measles is one of endemic diseases in East Java especially in north Surabaya, the home of specific ethnic which resist of immunization. Surabaya District Health Office targeted their Measles immunization is above 90%,but unfortunately this target are never been reached. The purpose of this study was to analyze the management process of immunization program, especially the supervision. The guidance of supervision is regulated in HealthMinister Regulation number 42, on 2013. Supervision is involved performance standard setting, monitoring and corrective action. This is a quantitative study with descriptive and cross sectional design. The sampling wascalculated by using simple random sampling. The interviews through open and close question were conducted to 38 Managers of Immunization program in Public Health Centre. The result showed that the implementation ofsupervision has implemented by guidance the supervision of immunization programme. The study showed that only 2.63% or just one of Public Health Centre has already supervised by District Health Office and 5.26% or twoPublic Health Centres has supervised three times and suit with guidance implementation of general supervision. From this study, it is important for District Health Office to add new person as Supervisor and Public HealthCentres and ensure that its supervision follow the supervision guidance.Keywords: Measles immunization, North Surabaya, supervision
Beban Kerja Subyektif dan Obyektif Tenaga Farmasi Rawat Jalan di Rumah Sakit Vreza Budi Setiawan; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.22 KB) | DOI: 10.20473/jaki.v4i1.2016.28-36

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In 2014 patient visits to pharmacy services increased 75% from the previous year. Man power in the pharmacy unit was not comparable with the number of pharmacy service.The availability of human resources isinadequate when being compared to the number of outpatient pharmacy visits, therefore it influenced the respon time up to 43,91% for non paten drugs which as not in accordance with the standart services minimum pharmacy services. This data indicate that there was overload capacity on man power in outpatient pharmacy unit. The purpose of this study was to show wordload category on man power in outpatient pharmacy unit, particularly to pharmacists and assistants pharmacists. This was quantitative descriptive study. There were 26 samples consisting of 1 pharmacist, 16 asisstants pharmacists in depo 1 and 9 asisstants pharmacists in depo 5 outpatient pharmacy unit. Data collected by observation for 2 week in working hours. Result of the study was pharmacicts and assitants pharmacists in depo 1 had subjective and objective workload in overload category while depo 5 inmoderate category.Keywords: subjective and objective workload, pharmacicts and assitants pharmacists, work sampling
Rencana Implementasi Kebijakan Promosi Kesehatan di Rumah Sakit Universitas Airlangga Bintang Gumilang; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.923 KB) | DOI: 10.20473/jaki.v4i1.2016.48-56

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Hospital is a health institution that provide comprehensive health service which is including aspects of promote, preventive, curative, and also rehabilitative. To achieve the goal, the government has been releasedRegulation of the Minister of Health Number 4 Year 2012 about Technical Instructions of Health Promotion in Hospital. In means by all hospitals must implement health promotion in their institution. Based on the earliersurvey, the implementation of the regulation of Health Promotion Hospital (PKRS) in the Universitas Airlangga Hospital was considered less than optimal. The purpose of this research was to analyze the planning factor ofHPH policy implementation. The number of respondents are seven which chosen by purposive sampling. This research was conducted by deep interview and observation method. The results showed that the planning ofPKRS unit has not been prepared as it should be as set out in the regulations. There is neither strategic planning nor operational planning. Unit PKRS not yet have a systematic and structured organization. Qualification ofhuman resources in general are already qualified, but need additional quantity. PKRS unit does not have special health worker health promotion.Keywords: health promotion hospital, implementation, planning, policy
Analisis Motivasi Terhadap Kinerja Kader Posyandu Berdasarkan Teori Victor Vroom Yeni Rahmah Husniyawati; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 2 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.519 KB) | DOI: 10.20473/jaki.v4i2.2016.126-135

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The coverage of under-five children weighed at Posyandu represent the level of participation mothers in Posyandu activities. During three-year period, the coverage of under-five children weighed at Posyandu Puskesmas Sidotopo Wetan Surabaya City has not reached the target. It is also the responsibility of cadres. The object of this study was to to analyze the effect of motivation on the performance of health cadres based on Victor Vroom expectancy theory motivation in Posyandu Puskesmas Sidotopo Wetan Kota Surabaya. This research was an analytic observational research with quantitative approach. Design was cross sectional. Sampling was done by using simple random sampling method. The results showed that the performance varied health cadres that was lacking, enough and good. Level of health cadres motivation was high. Health cadres had high score of expectancy, instrumentally, and valency.Ordinallogistic regression analys was showed the influence of motivation (p-value = 0.000) on the performance of cadres (p-value <α (0.05)). In conclusion, motivation influenced the performance of health cadres in Posyandu Puskesmas Sidotopo Wetan Surabaya City.Keywords:motivation, performance, health cadres, posyandu, victor vroom
Pengaruh Kepuasan Kerja Terhadap Komitmen Karyawan Rumah Sakit Mata Undaan Surabaya Intan Ayu Ningkiswari; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 5 No. 2 (2017)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.168 KB) | DOI: 10.20473/jaki.v5i2.2017.162-167

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Preliminary survey result showed the number of employees knowledge about the event held by Undaan Eye Hospital in Surabaya reached 52,8%. It means more than 20% employees are not aware of activity outside the work which that number can affect to decreasing employee commitment to the organization. Job satisfaction factors divided into 5 there are pay satisfaction, promotion, coworker, supervisor and the job characteristic. The aim of this study is to analyze the influence job satisfaction to employee commitment. Observational analytic was used in this research with the cross sectional design. The data was obtained through questionnaire with simple random sampling involving 62 employees as the sample of this research. The data obtained were analyzed using logistic regression test univariate (α=0,05) to examine the influence of Job satisfaction to employee commitment. The test result indicates that job satisfaction significantly influenced employee commitment at significance value of 0,02. Job satisfaction factors that there are influences toward employee commitment are employee’s pay satisfaction (sig=0,001), promotion (sig=0,005), supervisor (sig=0,004) and job characteristic (sig=0,001). On the other hand, the employee’s coworker satisfaction does not influence the employee commitment.Keywords: employee commitment, job satisfaction, job satisfaction factors.
Co-Authors Abbani, Abubakar Yakubu Abu Khoiri Aghnes Khen Phuspo Anindyo Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Ainur Rofiq Alida Nella Fedelina Rassa Anak Agung Gede Sugianthara Anasiya Nurwitasari Andreas Nugroho Susanto Angin, Septa Ria Agina Perangin Arief Hargono Arizka, Ulfa Dwi Armunanto Armunanto Asrining Pangastuti Batangan, Dennis B. Bintang Gumilang Bunga Maharani Choirun Nisa' Dani Nasirul Haqi Diah Yunitawati Dian Febrina Anggraini Dimara, Fransiska Natalia Diyan Ermawan Effendi, Diyan Ermawan Djazuli Chalidyanto Djazuli Chalidyanto Dwi Rani Indra Swari Ernawaty Farah Yasmine Ainun Nisa Farah Yasmine Ainun Nisa Fariani Syahrul Fathiyah Rahmah Feni Choirun Nisa Hadi Ashar Hana Krismawati Hanifiya Samha Wardhani Hario Megatsari Hesty Mustika Dewi Ilham Akhsanu Ridho Ilham Akhsanu Ridlo Ina Kusrini Intan Ayu Ningkiswari Intan Permata Sari intan permata sari Kristiawan, Ayik Sudiat Kusumawardani, Hastin Dyah Lama’ah Azzahra Leny Latifah Leny Latifah M. Bagus Qomaruddin Maghfiroh, Sufi Aulia Maria Holly Herawati maya weka santi, maya weka Mitha Permata Dini Moh Yusuf Mona Safitri Fatiah Muhammad, Khansa Fatihah Muis, Early Wulandari Nadhif Alfia Charista Kusniar Nadia Rifqi Cahyani Natasya Salsabilla Nathasya, Jessie Angeline Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Noer Endah Pracoyo Novita Aulia Effendy Nur Anisah Rahmawati Nuraini Wulandiana Nurhasmadiar Nandini Nurhidayati, Restu Nurul Hidayatul Mukaromah Nurul Hidayatul Mukaromah, Nurul Hidayatul Nyoman Anita Damayanti Oskar Renagalih Amarta Paramitha Kusuma Wardhani Popy Puspitasari Popy Puspitasari Popy Puspitasari Putri, Rizqi Salsabila Rachma Noor Kafila Raisa Manika Purwaningtias Ratu Alit Szasha Faulata Ratu Matahari Ratu Matahari Ratu Matahari Ratu Matahari Restu Widyayu Reza Fajrinmuha Rika Aprilia Rohmah, Nikmatur S. Supriyanto Sahrir Sillehu Sarni Rante Allo Bela Satyawan, Dandy Candra Sesotiyaningsih Madiyaning Utami Stefanus Supriyanto Stefanus Supriyanto Stevie Yonara Stevie Yonara, Stevie Sukesti, Tatiek Margi Supangat, Ririn Widyowati Tamara, Tashya Angelie Tatin Wahyanto Taufiq Hidayat Tri Wahyuningsih Tumaji Tumaji Tusy Novita Dwi Wardani Wahdah Dhiyaul Akrimah Wahyu Pudji Nugraheni Wahyu Setyaningsih Wahyu Setyaningsih Wahyul Anis Wasis Budiarto Widodo J. Pudjirahardjo Wijaya, Andriana Putri Yane Tambing Yashwant Vishnupant Pathak Yeni Rahmah Husniyawati Yogi Adiputro Yuli Astuti Zainul Khaqiqi Nantabah Zuardin, Zuardin