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The Implementation of Credentialing for First-Level Health Facilities of Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Denpasar Ulandari, Luh Putu Sinthya; Indrayathi, Putu Ayu
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.4944

Abstract

The implementation of credentialing program in JKN is different from the previous era, particularly for new medical facilities and medical provider of PT. Jamsostek and ASABRI. Therefore, this study aims at finding out the description associated with the process of credentialing implementation of the first-level health facilities from the perspective of PPK 1 and BPJS Kesehatan, Denpasar Branch. This research was conducted in January 2014 using qualitative approach. Data was collected through in-depth interviews to 11 medical facilities, as well as 2 executive credentialing teams from BPJS Kesehatan, Denpasar Branch. The subjects were selected purposively and the data was analyzed using thematic analysis. There are still some obstacles in the implementation of such credentialing program: there are still existing providers, especially TNI/Polri, which have the value below standard but are still contracted to serve JKN participants because the number is still relatively small. The new medical facilities have difficulty in self-assessment because there are many indicators that must be met, but the budget is limited. The study concludes that credentialing program has not yet fully applied the concept of managed care, thus regular monitoring to improve medical quality is needed.
The Implementation of Credentialing for First-Level Health Facilities of Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Denpasar Ulandari, Luh Putu Sinthya; Indrayathi, Putu Ayu
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
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.v12i1.4944

Abstract

The implementation of credentialing program in JKN is different from the previous era, particularly for new medical facilities and medical provider of PT. Jamsostek and ASABRI. Therefore, this study aims at finding out the description associated with the process of credentialing implementation of the first-level health facilities from the perspective of PPK 1 and BPJS Kesehatan, Denpasar Branch. This research was conducted in January 2014 using qualitative approach. Data was collected through in-depth interviews to 11 medical facilities, as well as 2 executive credentialing teams from BPJS Kesehatan, Denpasar Branch. The subjects were selected purposively and the data was analyzed using thematic analysis. There are still some obstacles in the implementation of such credentialing program: there are still existing providers, especially TNI/Polri, which have the value below standard but are still contracted to serve JKN participants because the number is still relatively small. The new medical facilities have difficulty in self-assessment because there are many indicators that must be met, but the budget is limited. The study concludes that credentialing program has not yet fully applied the concept of managed care, thus regular monitoring to improve medical quality is needed.
GAMBARAN PELAKSANAAN PELAYANAN KESEHATAN ESENSIAL DI PUSKESMAS II DENPASAR BARAT PADA MASA PANDEMI COVID-19 Ni Made Putri Widiantari; Luh Putu Sinthya Ulandari
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 1 (2022): April 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i01.p04

Abstract

In the COVID-19 pandemic condition, the health center must be able to adapt and innovate in the provision of services so that they can be given to the maximum for the community. The purpose of this study was to describe the implementation of essential health services at the Puskesmas II Denpasar Barat during the COVID-19 pandemic. Qualitative descriptive research design with in-depth interview data collection techniques. There were 19 informants who were selected based on purposive sampling technique. Data analysis used is data reduction, data presentation, and verification. The results of this study describe based on a financial perspective, namely doing budget planning according to program achievement data, refocusing funds, and shifting the budget in the RKA. Based on a customer perspective is the addition and sterilization of infrastructure, use of PPE, service according to SOP, timely service, cross-sectoral coordination, training, and establish good communication with customers. Based on a internal business process perspective is innovation in the form of online services, providing additional assignments, establishing schedules, adding health workers, changing service mechanisms through screening and implementing health protocols, and handling customer complaints. Based on a growth and learning perspective is the provision of incentives, penalties and sanctions, opportunities to do new jobs related to handling COVID-19, speed of employee information systems, and periodic empowerment and alignment. Keywords: Essential Health Services, Primary Health Care, Balanced Scorecard
Influence of Social Media Exposure on Knowledge and Behaviour of COVID-19 Preventive Measure Putu Ayu Indrayathi; Putu Erma Pradnyani; Pande Putu Januraga; Luh Putu Sinthya Ulandari; Laszlo Robert Koloszvari; Benny Tjahjono; Desak Putu Yuli Kurniati; Monika Sri Yuliarti
International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i4.21926

Abstract

A lot of misinformation about COVID-19 on social media possibly hinder the practice of healthy behaviors that are essential to protect individuals. This situation is exacerbated by the lack of health literacy in Indonesia. This study aimed to determine the influence of social media information exposure on the knowledge and behavior of Indonesians in compliance with COVID-19 protocols. An online survey of 909 people was conducted from July 2nd to August 10th, 2020. The data collected were knowledge and behavior of preventing COVID-19, while independent variables were socio-demographic characteristics and exposure to social media information. Inclusion criteria were defined as follows: minimum age of 18 years and domiciled in the country during the data collection period. The analysis used for the data collected were univariate and multivariate. The result showed that gender, age, marital status, and social media presence significantly affect a person's knowledge about COVID-19 with a p-value of 0.05. Enforcement behavior of health and healthy living protocols is significantly influenced by the respondent’s gender, marital status, education level, the island of residence, and exposure to online information. The frequency of exposure to information affects people's knowledge and behavior to implement health protocols and healthy living in the COVID-19 era, and it is further influenced by socio-demographic characteristics.
PEMBERDAYAAN KADER POSYANDU DALAM PENCEGAHAN STUNTING MELALUI PENERAPAN PRAKTEK PROMOSI MAKANAN PENDAMPING ASI (MPASI) OPTIMAL Kadek Tresna Adhi; Ni Putu Widarini; Ni Ketut Sutiari; Luh Putu Sinthya Ulandari; I.M.S. Adnyana
Buletin Udayana Mengabdi Vol 20 No 2 (2021): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.666 KB) | DOI: 10.24843/BUM.2021.v20.i02.p10

Abstract

Stunting disebabkan oleh ketidakseimbangan antara konsumsi dan kebutuhan tubuh yang berlangsung lama. Data prevalensi stunting balita oleh WHO menunjukkan Indonesia sebagai negara ketiga dengan prevalensi tertinggi di kawasan Asia Tenggara. Berdasarkan hal tersebut maka telah dikembangkan model MP-ASI rekomendasi yang menggunakan bahan pangan lokal, terjangkau, dan tersedia di Kecamatan Susut Kabupaten Bangli. Peran aktif kader posyandu diperlukan untuk menjaga kesinambungan program promosi MPASI optimal sehingga secara tidak langsung dapat mencegah terjadinya stunting pada anak. Lokasi kegiatan ini berada di Desa Abuan, Kecamatan Susut, Kabupaten Bangli. Jumlah kader yang hadir sebanyak 22 orang. Kegiatan yang dilakukan berupa pelatihan berupa edukasi terkait stunting, MP-ASI optimal, dan praktek pemberian makan pada bayi dan anak. Pelatihan ini dilakukan melalui kegiatan interaktif dengan menggunakan Emo-Demo. Hasil kegiatan menunjukkan peningkatan rata-rata pengetahuan sebelum dan sesudah pelatihan adalah 9,09. Nilai p-value juga menunjukkan 0,008 (<0,05), yang berarti terdapat perbedaan yang signifikan untuk hasil pre-test dan post-test. Diharapkan hasil kegiatan ini dapat membantu pencegahan stunting pada anak balita melalui peran kader posyandu.
PERCEIVED QUALITY OF CARE DURING COVID-19 AT SANJIWANI HOSPITAL GIANYAR, BALI Putu Ayu Indrayathi; Putu Erma Pradnyani; Ni Luh Saptiaryati; Luh Putu Sinthya Ulandari; Laszlo Robert Kolozsvari
Jurnal PPI Dunia Vol 5 No 2 (2022)
Publisher : OISAA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52162/jie.2022.005.02.4

Abstract

COVID-19 has caused a decrease in the number of visits to health care due to restrictions on public activities to reduce local transmission, but the quality of service is essential to be maintained. This study measured and examined factors related to public satisfaction with the inpatient services provided by Sanjiwani Hospital. This research is an observational study with a cross-sectional design. Of the 204 patients were taken using a consecutive sampling technique. Data collection was conducted from October-November 2020. Data collected of social demographic, 41 questions related to public satisfaction, and six aspects of the prevention of COVID-19. Data were analysed in univariate and bivariate analysis using the T-Test and Oneway Anova to determine factors related to the level of public satisfaction. The results showed general satisfaction score is a value of 4.10, meaning that it is in the satisfied category. There is a trend of increasing public satisfaction scores from 2018 to 2020. The factors related to public satisfaction are based on the type of National Health Insurance (JKN) membership the patient uses during treatment. Sanjiwani hospital should consider establishing digital service innovations to make it easier to access health care in the era of COVID-19.
GAMBARAN IMPLEMENTASI SISTEM INFORMASI KESEHATAN DAERAH GENERIK DI PUSKESMAS KEDIRI I KABUPATEN TABANAN Siluh Ayu Made Dwita Adriani; Luh Putu Sinthya Ulandari
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 2 (2022): Agustus 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i02.p03

Abstract

ABSTRAK Sistem Informasi Kesehatan Daerah (SIKDA) Generik merupakan sebuah aplikasi sistem informasi kesehatan daerah yang dibuat dengan tujuan untuk memudahkan petugas puskesmas saat melakukan pelaporan ke berbagai program di lingkungan Kementerian Kesehatan. Tujuan Penelitian ini yaitu untuk mengetahui gambaran SIKDA Generik di Puskesmas Kediri I. Penelitian ini menggunakan metode kualitatif. Informan dari penelitian ini berasal dari Dinas Kesehatan Kabupaten Tabanan dan Puskesmas Kediri I dengan total informan sebanyak 11 orang yang dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan menggunakan pedoman wawancara mendalam dan lembar observasi. Analisis data dilakukan dengan pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan atau verifikasi. Hasil penelitian menunjukkan bahwa belum tersedianya SOP khusus terkait SIKDA Generik dan petugas SIKDA belum mengetahui adanya pedoman dan kebijakan SIKDA Generik. Dalam pelaksanaan implementasi SIKDA Generik sudah dapat dilakukan dengan baik dan setiap petugas mampu menginput data secara real time. Data-data yang diinput belum dapat merekam seluruh kegiatan puskesmas, sehingga data dan laporan yang dihasilkan pun masih terbatas. Terdapat beberapa kendala pada sarana prasarana dan juga SDM dalam implementasi SIKDA Generik Kata kunci : Implementasi, SIKDA Generik, Puskesmas ABSTRACT The Generic Regional Health Information System (SIKDA) is a regional health information application system that was created with the aim of making it easier for puskesmas officers to report various programs to the Ministry of Health. The purpose of this study was to find out the description of Generic SIKDA at Puskesmas Kediri I. This study used a qualitative method. Informants from this study came from the Tabanan District Health Office and Kediri I Health Center with a total of 11 informants selected through purposive sampling technique. Data collection was carried out using in-depth interview guidelines and observation sheets. Data analysis was carried out by collecting data, reducing data, presenting data and drawing conclusions or verification. The results showed that there were no specific SOPs related to Generic SIKDA and SIKDA officers were not aware of the existence of Generic SIKDA guidelines and policies. In the implementation of Generic SIKDA, it can be done well and every officer is able to input data in real time. The inputted data has not been able to record all puskesmas activities, so the data and reports produced are still limited. There are several obstacles to infrastructure and human resources in the implementation of Generic SIKDA. Keywords: Implementation, Generic SIKDA, Public Health Center
ANALISIS PERBEDAAN KARAKTERISTIK, PENGETAHUAN, DAN SIKAP IBU DAN KELUARGA PADA KELUARGA SEHAT DAN TIDAK SEHAT PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA DI DESA TUSAN KABUPATEN KLUNGKUNG Ni Wayan Rina Andriani; Luh Putu Sinthya Ulandari
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 2 (2022): Agustus 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i02.p08

Abstract

ABSTRAK Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) merupakan upaya mewujudkan keluarga sehat berdasarkan 12 indikator keluarga sehat. Keberhasilan PIS-PK diukur dengan Indeks Keluarga Sehat mencerminkan status kesehatan suatu keluarga. Penelitian ini bertujuan untuk mengetahui perbedaan karakteristik, pengetahuan, dan sikap ibu dan keluarga pada keluarga sehat dan tidak sehat di Desa Tusan Kabupaten Klungkung. Penelitian ini merupakan penelitian observasional analitik dengan rancangan cross sectional study. Sampel penelitian ini adalah ibu dari keluarga sehat dan tidak sehat sebanyak 80 sampel yang dipilih secara systematic random sampling. Penelitian dilakukan pada bulan April Tahun 2021. Data dikumpulkan menggunakan kuesioner melalui google form. Hasil penelitian menunjukkan terdapat perbedaan signifikan antara keluarga sehat dan tidak sehat di Desa Tusan Kabupaten Klungkung, yaitu variabel umur ibu, pendidikan ibu, pengetahuan ibu, dan sikap ibu (p < 0,05). Sedangkan variabel penghasilan keluarga dan jumlah anggota keluarga tidak terdapat perbedaan yang signifikan antara keluarga sehat dan tidak sehat (p > 0,05). Pihak Puskesmas diharapkan lebih meningkatkan pengetahuan dan sikap keluarga tentang 12 indikator keluarga sehat melalui kegiatan sosialisasi dengan memberdayakan kader kesehatan dan melibatkan tokoh masyarakat. Kata Kunci: PIS-PK, Keluarga, Karakteristik, Pengetahuan, Sikap ABSTRACT Healthy Indonesia Program with Family Approach is an effort to create a healthy family based on 12 indicators of healthy families. The success of PIS-PK is measured by the Healthy Family Index which reflects the health status of family. This research aims to determine the differences in characteristics, knowledge, and attitudes of mothers and families in healthy and unhealthy families in Tusan Village Klungkung Regency. This research was an analytic observational with a cross sectional study. The sample of this research were mothers from healthy and unhealthy families which were 80 sample that selected by systematic random sampling. It was conducted in April 2021. Data were collected using a questionnaire via google form. The results showed that there were significant differences between healthy and unhealthy families in Tusan Village Klungkung Regency, namely the variables of mother's age, mother's education, mother's knowledge, and mother's attitude (p < 0.05). While family income and number of family members variables did not have a significant difference between healthy and unhealthy families (p > 0.05). The primary health care is more increase family’s knowledge and attitudes about 12 indicators of healthy families through socialization activities by empowering health cadres and involving community leaders. Keywords: PIS-PK, Family, Characteristics, Knowledge, Attitudes
DETERMINANT FACTORS COUPLES TO AVOID HAVING MORE CHILDREN IN BALI PROVINCE Putu Ayu Indrayathi; Istiana Marfianti; Putu Erma Pradnyani; Luh Putu Sinthya Ulandari; Anastasia Septya Titisari; Luh Kadek Ratih Swandewi
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 11 No. 02 (2022): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v11i02.2022.184-193

Abstract

The number of married women and men who no longer want children in Bali Province is consistent with a relatively high contraceptive prevalence rate (CPR) of 67%, higher than the national average of 64%. The large proportion of couples of reproductive age (CRA) who no longer want children either at the national or provincial level in Bali is an interesting thing to be analyzed further to see the factors that influence it. This study investigated secondary data of the 2017 Indonesia Demography and Health Survey (IDHS) in Bali Province. The variables studied included socio-demographics and desire to have children. The sample size was 271 married women (15-49 years). We found that the age of women of reproductive age (WRA), occupation of WRA, number of children alive, and ideal number of children are the four significant factors that influence the desire to have no more children in married couples. Based on these findings, a better family planning program can hopefully be made in the Bali province.
DETERMINANT FACTORS FOR UNINTENDED PREGNANCY IN BALI PROVINCE Putu Ayu Indrayathi; Putu Erma Pradnyani; Ngakan Putu Anom Harjana; Luh Putu Sinthya Ulandari; Anastasia Septya Titisari; Luh Kadek Ratih Swandewi
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 11 No. 1 (2022): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v11i1.2022.36-44

Abstract

Bali Province has the lowest unmet need achievement, namely 8.1%, meaning that it has a low-value gap between the availability of contraceptive services and the needs of the community. This study analyzed the factors that influence the incidence of unintended pregnancy among childbearing-age women in Bali. This research is a secondary data analysis from the Program Performance and Accountability Survey (PPAS) of the National Population and Family Planning Board in 2019. The variables studied were selected from the PPAS’s Women data, with 1,214 samples of married fertile women aged 15-59 years in Bali. Multivariate analysis in the form of a logistic regression test is carried out to estimate factors that affect unintended pregnancy incidence in childbearing-age women in Bali. Factors influencing unintended pregnancy are age and having heard of family planning, understanding birth control, understanding population issues, and having listened to adolescent reproductive health. The multivariate analysis shown that age and having heard of family planning are two factors that significantly influence unintended pregnancy. Two factors that influence unintended pregnancy in Bali are age and having heard about family planning. Therefore, cross-sector engagement is required to provide a family planning program to the targeted fertile women's age found in this research to improve women's exposure to the program.