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Peran Kepemimpinan di Puskesmas terhadap Kinerja Organisasi dan Kualitas Pelayanan Kesehatan Andy Amir; Oka Lesmana; Dwi Noerjoedianto; Andi Subandi
Journal of Telenursing (JOTING) Vol 3 No 2 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i2.2208

Abstract

This study aims to see the role of leadership in improving performance and the role of services at the Puskesmas. The method used is qualitative and quantitative with a community-based participatory approach involving 20 Heads of Health Centers in Jambi City and 197 Puskesmas staff. The results showed that 58% of respondents strongly agreed that leadership at the Puskesmas has a vital role in improving performance and service quality and 42% consider it quite important. The role of the Puskesmas leadership is not optimal in enhancing organizational performance, including staff training, staff involvement in decision-making, and giving rewards and punishments. Meanwhile, the leadership role is good enough to improve Puskesmas services, including reliability, responsiveness, assurance, empathy, and direct evidence to the community. In conclusion, there are obstacles in enhancing the organizational performance of the Puskesmas, including the lack of training and work guidance to improve competence, the lack of involvement of health workers in decision making, and the application of rewards and punishments that are still not consistently implemented. Keywords: Leadership, Performance, Quality of Service, Puskesmas
Analisis Implementasi Kebijakan Jaminan Persalinan (Jampersal) Tingkat Puskesmas di Kabupaten Ogan Ilir Tahun 2012 Oka Lesmana S; Misnaniarti; Iwan Stia Budi
Jurnal Ilmu Kesehatan Masyarakat Vol. 5 No. 2 (2014): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.258 KB)

Abstract

Latar belakang : Kebijakan Jaminan Persalinan (Jampersal) merupakan kebijakan yang baru berjalan hampir dua tahun sejak Januari tahun 2011. Program Jampersal bertujuan untuk menurunkan AKI dan AKB sesuai dengan target MDGs. Namun pada kenyataannya belum ada perubahan yang signifikan terhadap penurunan AKI dan AKB tahun 2011. Oleh karena itu penelitian ini bertujuan mengetahui lebih jauh implementasi kebijakan Jaminan Persalinan di Kabupaten Ogan Ilir Tahun 2012 sesuai dengan Peraturan Menteri Kesehatan Republik Indonesia Nomor 2562/ MENKES/PER/XII/2011 Tentang Petunjuk Teknis Jaminan Persalinan.Metode : Penelitian ini adalah penelitian kualitatif. Data diperoleh melalui hasil wawancara mendalam, observasi kualitatif dan telaah dokumen. Data dianalisis menggunakan analisis isi. Unit penelitiannya adalah dua puskesmas di wilayah Kabupaten Ogan Ilir dengan jumlah informan sebanyak 7 orang.Hasil Penelitian : Seluruh informan sudah mengetahui tujuan Jampersal ini dan sebagian besar informan memiliki pengetahuan yang baik terkait dengan Jampersal. Dalam pelaksanaannya di Dinas Kesehatan dan Puskesmas sudah sesuai dengan Peraturan Menteri Kesehatan Republik Indonesia Nomor 2562/MENKES/PER/XII/2011 Tentang Petunjuk Teknis Jaminan Persalinan. Namun ada kendala guna pencapaian tujuan Jaminan Persalinan ini antara lain : ketersediaan SDM tidak sebanding dengan jumlah penduduk yang dilayani, pembayaran klaim selalu terlambat, dan belum beroperasinya RSUD Kabupaten Ogan Ilir menjadi kendala bagi pelayanan persalinan tingkat lanjutan.Kesimpulan : Maka dapat disimpulkan bahwa implementasi kebijakan Jaminan Persalinan di wilayah Kabupaten Ogan Ilir tahun 2012 masih ditemukan kendala pada input dan proses implementasi Jampersal. Saran untuk Tim Pengelola dan Puskesmas adalah agar dapat menyepakati waktu bersama untuk pembayaran klaim dana Jampersal dan segera mengoperasikan RSUD Kabupaten Ogan Ilir karena kurangnya efektifitas target dan efisiensi waktu jika pelayanan persalinan tingkat lanjutan harus dirujuk ke Rumah Sakit di luar Kabupaten Ogan Ilir.Kata Kunci : Analisis Implementasi Kebijakan, Jaminan Persalinan.
Factors Related to Community Waste Management in Kota Baru Sub District Jambi City in 2022 Willia Novita Eka Rini; Fajrina Hidayati; Marta Butar Butar; Oka Lesmana; Diani Lahanavia Rahayu
Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Vol 19, No 3 (2022): November 2022
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/presipitasi.v19i3.659-668

Abstract

Waste that is not managed properly can cause environmental pollution and health problems. This study is to find out what factors are related to waste management in the community to reduce the amount of waste generation in Kota Baru SubDistrict, Jambi City. This study used an analytical survey method with a cross-sectional. The population in this study was 80,062 families with a sample of 106 respondents with a sampling technique using stratified random sampling. The independent variables in this study were knowledge, attitudes, subjective norms and control over behavior, while the dependent variable was waste management. The measuring tools used are observation sheets and questionnaires. Data analysis was carried out univariate and bivariate (using chi-square = 0.05).  The results showed that there was no relationship between attitudes (p value = 0.132), subjective norms (p value= 0.138) with waste management and there is a relationship between behavioral control (p value = 0.00), knowledge (p value = 0.00) with waste management. From the results of this study, knowledge and control of behavior greatly affect waste management. It is suggested to increase public knowledge by providing information in the form of posters and so on as well as increasing waste management facilities.
Edukasi Pengelolaan Limbah Rumah Tangga Willia Novita Eka Rini; Marta Butar Butar; Oka Lesmana
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 4 No. 1 (2022): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v4i1.22998

Abstract

Plastic waste is one type of waste whose existence is increasing every day, almost all packaging often uses plastic. As a polymer material, plastic has several advantages such as practicality, airtightness, compactness and elasticity (stretchability). But on the other hand, plastic also has a drawback, namely the amount of waste that accumulates every day because it is difficult to decompose which takes a long time. To solve this problem, it is necessary to find a way to recycle plastic into an economically viable commodity. Alam Barajo sub-district is located in Jambi province which is not far from the center of the crowd because the villages are close to the causeway near the terminal. This area has the potential to develop creative industries. The strategic location and the promised business opportunities are the keys to developing the creative economy. The problem faced by the community, especially in the Alam Barajo District, is the amount of plastic waste, one of which is crackle plastic. Every time you buy food, goods, clothes, etc., they are always wrapped in plastic, which ends up just being thrown away. The targets are members of the Qur'an Friends in the Alam Barajo District training. The method used in the activity of processing crackle plastic waste into plastic flowers. From this activity there was an increase in knowledge of crackle plastic waste processing obtained from the pre-test and post-test with the results of 118 to 151 participants who already knew about the processing of crackle plastic waste and could practice it properly and correctly.
Determinants of CTS Complaints on Sorting Workers atTalang Gulo Landfill, Jambi City Maria Fransiska Choagolan; Hubaybah .; Budi Aswin; Oka Lesmana; Fitria Eka Putri
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 5 No. 2 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v5i2.1595

Abstract

Epidemiologically, Carpal Tunnel Syndrome (CTS) has symptoms such as pain, numbness or loss of sensation in the hands and tingling or feeling of needle puncture on the wrist. Sorting workers are workers who are at risk of developing complaints of Carpal Tunnel Syndrome (CTS). The purpose of this study is to determine the relationship between factors related to complaints of Carpal Tunnel Syndrome (CTS) in sorting workers at the Talang Gulo Landfill, Jambi City in 2022. This study used cross-sectional design quantifiable research. The population is all sorting workers in the sorting area of the Talang Gulo landfill in Jambi City totaling 34 people. The sample of this study was 29 respondents. . The analysis test used is the chi-square test.The results showed that respondents who experienced CTS complaints were 55.2%. The bivariate test results had a relationship between PR 7.89 age (95%CI 1.21-51.4), PR 3.05 repetitive movement relationship (95%CI 1.10-8.43), and there was a PR 2.43 working posture relationship (95%CI 1.02-5.77) with CTS complaints in sorting workers. There was no relationship in nutritional status of PR 0.74 (95%CI 0.35-1.56). The variable length of work cannot be carried out the analysis test because the results of the univariate analysis test are homogeneous.
Pengaruh Back Exercise Terhadap Keluhan Low Back Pain (LBP) pada Pekerja Area Sorting di TPA Talang Gulo Kota Jambi Afifah Kurnia Dewita; Rumita Ena Sari; Willia Novita Eka Rini; David Kusmawan; Oka Lesmana
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 2 No. 2 (2023): Mei 2023
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v2i2.1620

Abstract

Low back pain is the most common musculoskeletal disorder experienced by workers, one of which is sorting workers. Back exercise is useful for strengthening the abdominal and back muscles so that the body is physiologically upright. This study aimed to determine the effect of back exercise on complaints of low back pain in TPA Talang Gulo sorting workers, in Jambi City. This type of research was a quantitative study with a quasi-experimental method. The research population was the Talang Gulo landfill sorting workers with a sample of 34 people. Data collection used questionnaires and visual analogue scale (VAS) pain scale sheets. The results of data analysis used the chi-square test to show that there was no relationship between age (p=0.363>0.05), gender (p=0.202>0.05), years of service (p=0.1000>0.05), and BMI (p=0.1000>0.05). Then, there is a relationship between exercise habits (p= 0.004<0.05), workload (p= 0.021<0.05), repetition (p =0.029<0.05), and work attitude (p = 0.010<0.05). On complaints of low back pain in sorting workers at TPA Talang Gulo. The paired sample t-test data analysis shows an effect of back exercise on complaints of low back pain (p=0.000 <0.021).There is a relationship between exercise habits, workload, repetition, and work attitude with complaints of lower back pain, and back exercise exercises affect complaints of low back pain in Talang Gulo TPA Sorting workers.Sorting workers exercise at least 3 times a week to reduce complaints of low back pain, apply good work attitudes such as not slouching and stretching while working on their hands and waist.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KUSTA DI WILAYAH KERJA PUSKESMAS MUARA SABAK TIMUR KABUPATEN TANJUNG JABUNG TIMUR Willia Novita; Oka Lesmana; Pitoyo
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 1 (2023): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i1.16939

Abstract

Background: Tanjung Jabung Timur Regency is ranked first in leprosy cases in 2019 with a total of 36 cases. In 2020 East Tanjung Jabung Regency recorded 14 new cases of leprosy. The Muara Sabak Timur Health Center is one of the health centers with the highest leprosy with a total of 25 cases until 2020. Objective: The purpose of this study was to determine the factors associated with the incidence of leprosy in the working area of the Muara Sabak Timur Health Center. Method: The design of this study uses a case control approach. The sample in the study used  a 21 case group samples and 21 control group samples. Results: From the statistical test results contact history variable p-value 0.147 (OR 1.105), humidity variable p-value 0.334 (OR 1.875), ventilation area variable p-value 0.001 (OR 10.625), occupancy density variable p-value 0.000 (OR 15.438), clean water availability variable p-value 0.204 (OR 2.273), toilet ownership variable p-value 0.040 (OR 4.500), house floor variable p-value 0.707 (OR 1.328), and personal hygiene variable p-value 0.013 (OR 5,200). Conclusion: leprosy is highly contagious, especially in conditions of poor personal hygiene, crowded housing, and latrines and ventilation that do not meet health requirements. Keywords: Leprosy, personal hygiene, ventilation, humidity, residential density
Efektivitas Komposting Limbah Padat Serai Wangi Dengan Menggunakan EM4 dan Mikro Organisme Lokal (Nasi Basi dan Serai Wangi) Salsabila Nur Ramadhan; Rd Halim; Fitria Eka Putri; Oka Lesmana; Fajrina Hidayati
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 4 No. 2 (2023): Juli - Desember 2023
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.4.2.83-90.2023

Abstract

Unused citronella solid waste can disturb the view and has the potential to pollute the environment, a solution that can be done is to process citronella solid waste into compost. The purpose of this study was to determine the effectiveness of composting citronella solid waste using EM4 and local micro-organisms (stale rice and citronella). This type of experimental research and research design is a one- shot case study. By using EM4, moles of stale rice, moles of citronella and carried out 3 repetitions and obtained 9 samples. Collecting data by observing, measuring and laboratory tests. Data analysis was performed using the Kruskal Wallis test. As for the results of data analysis, namely the p value on NPK is > 0.05, then the NPK in citronella solid waste compost using EM4, MOL of stale rice and MOL of citronella there is no significant difference. Laboratory results on citronella solid waste compost with EM4, MOL of stale rice and MOL of citronella produce Nitrogen and C/N values that do not meet the requirements of SNI 19-7030-2004. Composting citronella solid waste using EM4 and Local Micro-Organisms (stale rice and citronella) is not effective because at the end of composting it produces a low Nitrogen value and a high C/N rasio
Penerapan Project Base Learning Dalam Meningkatkan Keterampilan Berpikir Kreatif dan Hasil Belajar Untuk Mata Kuliah Pengendalian Vektor dan Binatang Penganggu: (Implementation of Project Base Learning In Improving Creative Thinking Skills and Learning Outcomes for Vector Control Courses And Animal Trouble) Fitria Eka Putri; Fajrina Hidayati; Oka Lesmana S; Hubaybah Hubaybah; Adelina Fitri
BIODIK Vol. 8 No. 2 (2022): June 2022
Publisher : Program Studi Pendidikan Biologi FKIP Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/bio.v8i2.17224

Abstract

One of the problems found during the learning process is the use of learning methods that do not vary can cause students to feel bored and bored, so that the learning process is less effective and learning objectives are not achieved as expected. Based on this fact, it is also necessary to select appropriate and effective learning models to be able to develop students' creative thinking skills. One of the learning models that can help students obtain information, ideas, skills, ways of thinking, and express their own ideas is by using the Project Based Learning (PjBL) model. This type of research is a qualitative classroom action research (classroom action research). This research was conducted on the fifth semester students of environmental health who took the subject of vector and nuisance control, totaling 36 people. The results showed that students' thinking skills were in the creative category on each indicator of fluency 71.86%, flexibility 68.1%, detailing 76.34% and authenticity 77.78% and student learning outcomes increased on individual and group project assignments to 78.5 % of these learning outcomes have exceeded the target of 75%. Key words: PjBL, Improving Creative Thinking Skills And Learning Outcomes Abstrak Salah satu permasalahan yang ditemukan pada saat proses pembelajaran adalah Penggunaan metode pembelajaran yang tidak bervariasi  dapat mengakibatkan mahasiswa merasa jenuh dan bosan, sehingga proses pembelajaran kurang efektif dan tujuan pembelajaran tidak tercapai seperti yang diharapkan. Berdasarkan kenyataan tersebut diperlukan juga pemilihan model pembelajaran yang tepat dan efektif untuk dapat mengembangkan keterampilan berpikir kreatif mahasiswa. Salah satu model pembelajaran yang dapat membantu mahasiswa memperoleh informasi, ide, keterampilan, cara berpikir, dan mengeekspresikan ide diri sendiri  dengan menggunakan model Projcet Based Learning (PjBL). Jenis Penelitian menggunakan penelitian tindakan kelas (classroom action research). Penelitian ini dilakukan pada mahasiswa semester V peminatan kesehatan lingkungan yang mengambil matakuliah pengendalian vector dan binatang penganggu yang berjumlah 36 orang. Hasil penelitian didapatkan keterampilan berpikir mahasiswa dalam kategori kreatif pada setiap indikator kelancaran 71,86%, keluwesan 68,1%, merinci 76,34% dan keaslian 77,78% dan hasil belajar mahasiswa meningkat pada tugas proyek individu dan  kelompok  menjadi  78,5% hasil belajar ini sudah melebihi target yaitu 75%. Kata kunci: PjBL, Keterampilan berpikir kreatif, hasil belajar
Elementary School Students' Waste Management Behavior Determinant in Kerinci Regency in 2021 Hubaybah Hubaybah; Fuji Arinda Fitri; Oka Lesmana; Fajrina Hidayati; Puspita Sari
International Journal Of Health Science Vol. 2 No. 2 (2022): July: International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1104.619 KB) | DOI: 10.55606/ijhs.v2i2.208

Abstract

The existence of waste at this time was still a problem that hit almost all regions in Indonesia. Keliling Danau Districts in 2019 has produces 33,311 m3 of waste per year with a population of 22,207 people. The purpose of this study was to determine the determinants behavior of waste management in elementary school students at Kerinci Regency, 2021. This study aims to determine the relationship between knowledge, attitudes, and Availability of Facilities with Waste Management in State Elementary School 52 of Koto Dian students, Kerinci Regency. This research is quantitative with a cross sectional research design. Sampling using random sampling technique with a total sample of 44 students consisted of class III, IV, V to class VI. Data was collected by distributed of questionnaires. Analysis used chi-square test. The results of this study indicate that 18 of 44 (40.9%) respondents with poor behavior of waste management and 26 (59.1%) respondents with good behavior waste management. From the results of the bivariate test, it was found that Knowledge has a PR value = 3.33 CI = 1.73-6.39 and a p-value of 0.001 indicates that there is a relationship between knowledge and behavior of waste management. Attitude has a value of PR = 3.75 CI = 1.62-8.68 and a p-value of 0.001 indicates that there was a relationship between attitude and behavior of waste management and there was not relationship between availability of facilities and behavior of waste management with a p-value of 0.222. The conclusion of this study is that there is a relationship between knowledge and attitudes with behavior waste management. And the availability of facilities has no relationship between behavior of waste management in elementary school students.