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Patients’ Satisfaction in Public and Private Primary Health Care: A Study in Karawang Regency, West Java, Indonesia Meliannisa Afader; Putri Halleyana Adrikni Rahman; Deni Kurniadi Sunjaya
Althea Medical Journal Vol 8, No 4 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850//amj.v8n4.2340

Abstract

Background: Primary health care is the foundation of the Sustainable Development Goals (SDGs) to achieve Universal Health Coverage (UHC). Patient satisfaction with the health services acquired is one of the factors to achieve the UHC target. This study aimed to determine patients’ satisfaction in public and private primary health care centers.Methods: This quantitative analytic study with a cross-sectional method was conducted in five sub-districts of Karawang Regency based on community satisfaction surveys. The instrument used was a standard questionnaire with nine dimensions and filled with a survey approach by the respondents. Data was transformed from ordinal to numeric using Rach modelling. Then, numerical data were analysed with Chi Square Test in IBM SPSS Statistic 23 Version to determine differential between public and private groups. Results: In total, 193 respondents were included of whom 123 patients were from public health centers (Pusat Kesehatan Masyarakat, Puskesmas) and 70 from private primary care (clinic). Three dimensions had differences in satisfaction, including the requirements (p=0.001); systems, mechanisms, and procedures (p=0.001); and service time (p=0.001). The other six dimensions such as cost (p=0.534); product specification type of service (p=0.213); implementer competence (p=0.163); implementer behavior (p=0.000); handling of complaints, suggestions, and advances (p=0.448); and facilities infrastructure (p=0.063) were not proven to have differences in satisfaction. Overall, patients’ satisfaction level at Puskesmas (67.5%) was lower than at clinics (88.6%) (p=0.001).Conclusion: Patients’ satisfaction with the Puskesmas is lower than the clinic. Further study with a larger sample size and more complete dimension is needed.
Existence of Antibiotics in Stalls at Jatiroke Village, Jatinangor Sub District Elan Jaelani; Istriati Istriati; Deni Kurniadi Sunjaya
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.764 KB)

Abstract

Background: Improper use of antibiotics can lead to lack of drug efficacy against bacteria, and cause resistance to the antibiotics itself. Antibiotics are classified into prescription drugs that should not be available over the counter because of its dangerous effect. It is important to study the presence of antibiotics in traditional stalls. Objective of this study was to investigate existence of antibiotics in stalls, and to investigate reasons of stall- owners for selling antibiotics.Methods: This study used mixed method design, and sequential explanatory approach, and conducted direct observation, spatial mapping, and interview with stall-owners selling drugs in Jatiroke village, Jatinangor sub district from September to November 2013. Total sampling was conducted in this study.Results: Fifty percent from 24 surveyed stalls sold Antibiotics Amoxicillin. The map showed stalls selling antibiotics at roadside. Amoxicillin sold package with Dexamethasone and Non-Steroid Anti Inflammatory Drugs (NSAID) was soldby several stalls. Shopkeepers sold antibiotics due to lack of knowledge about thedrug, need for self-medication, demand, and availability of drugs supply.Conclusions: Antibiotics can be found in several stalls in Jatiroke village, and improper of use of this drug can lead to resistance and less efficacy for treating infections. Although the Act for prescription drugs still exists, low of monitoring and enforcement the regulation by the Badan Pengawas Obat dan Makanan (BPOM) may be one of many factors that influence the existence of antibiotics in the stalls. [AMJ.2016;3(2):239–43]DOI: 10.15850/amj.v3n2.779
Evaluasi kebijakan pembangunan puskesmas pembantu di Propinsi Kalimantan Tengah Kus Winarno; Mubasysyir Hasanbasri; Deni Kurniadi Sunjaya
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.185 KB) | DOI: 10.22146/jkki.v2i2.3219

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Background: The objective of health development is improving community health status through increasing public access to health services. One of strategy is by supporting facilities forhealth service by developing auxiliary health center for all remote district at Central Kalimantan Province. Central Kalimantan Province with 1,9 million of population, consisted of 14 district, 1348 villages, 805 auxiliary health center. It means that only 59% village have facilities for health service such as auxiliary health center.Objectives: This research aimed to know how formulation process and implementation of policy of developing auxiliary health center by using provincial funds.Method: It was descriptive case study using mainly method qualitative designed by semi structured in-depth interview and document study. Research subject is stakeholder at levelprovince and chosen district. This research executed in Province Public Health Service of Central Kalimantan and one chosen district.Result: Development of secondary health center in Central Kalimantan Province is the realization of Central Kalimantan Province local decree number 12 and 13 year 2005 fulfilmenton RPJPD and RPJMD. Initially, the budgeting concept was planned by Tugas Pembantuan mechanism, but this mechanism was not agreed. This scheme was a top down program fromprovince government. Problems occurred in the implementation are 1). Bad monitoring, 2). Lack of reporting by developer, 3). Remote location of, 4). Varieties in cost of production, 5). Shortage health care workforce, 6). Equipments unmatched the need of health care provider. Evaluation is executed, but only concerning physical progress problem. In the meantime, there was increased allocation of DAK fund in each district.Conclusion: Development of auxiliary health center in Central Kalimantan Province which funded by province fund, is not required by district. There was no agenda surrounding development of auxiliary health center. The role of stakeholder in compilation of agenda setting for this policy was only a normative role.
KEBIJAKAN NASIONAL DALAM KONTEKS LOKAL: TANTANGAN IMPLEMENTASI KEBIJAKAN DESA SIAGA DAN RUJUKAN PELAYANAN KESEHATAN DI KABUPATEN KEPULAUAN YAPEN PAPUA Yosef Maing; Supriyati Supriyati; Deni Kurniadi Sunjaya
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 1 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (452.259 KB) | DOI: 10.22146/jkki.v2i1.3227

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Background:One of the policies in health to achieve IndonesiaSehat 2010 was the development of desa siaga that wasbased on Decree of Ministry of Health number 564/MENKES/SK/VIII/2006 regarding the guidance on the implementation ofDesa Siaga. Desa Siaga is a community based health effortthat involved community self funding agency such as PKK,religious organization, and private sector.Method:This was a qualitative descriptive research that usedexplanatory analysis with case study design. The researchinformant was district government, health office, communityleaders and public figure as well as health care provider. Thedata was collected with interview, observation anddocumentation. Data analysis was conducted with case studyanalysis.Result: This research showed that the implementation of DesaSiaga was with top–down method that used social mobilizationapproach. The district government and community was verymuch supporting the policy of Desa Siaga. Difficult geographiclocation, limited human resources in health and limited fundingwere the main obstacles in the implementation of Desa Siagapolicy and health service referral. The main problem of referralimplementation was transportation and funding. The readinessof community and village aparatur to assist the poor communitywas still very minimum.Conclusion: This research proven that Desa Siaga programwas very important for community in the district of Yapenarchipelago. Nevertheless, difficulties in geographiccondition,limited human resources in health as well as limited fundinghas resulted in difficulties in the implementation of Desa Siagapolicy and health service referral in the district of Yapenarchipelago. The regional and central government have notbeen able to respond to the needs of Desa Siaga.Keyword: Policy Implementation, Desa siaga, Papua.
Pemetaan Berita Online tentang Imunisasi Measles Rubella Tahun 2018 di Indonesia Febri Sri Lestari; Fedri Ruluwedrata Rinawan; Irvan Afriandi; Siti Karlinah; Insi Farisa Arya; Deni Kurniadi Sunjaya
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (768.156 KB) | DOI: 10.22435/mpk.v30i1.1944

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Abstract The mass media plays a significant role in delivering health-related information to the wider society, so that it can be involved in health programs, including the Measles Rubella (MR) Immunization Campaign. The purpose of this program is to reduce the incidence of measles and rubella which has increased in the last five years in Indonesia. MR immunization coverage target must reach at least 95% in order to form group immunity to break the chain of transmission. However, as of the end of September 2018, the coverage of granting MR immunization nationally only reach 52,71%. This was published by online media throughout different regions in Indonesia with negative, neutral, or positive tendencies. Problems occur when exposure to the media with a negative perspective on vaccine impacts immunization coverage. Based on this, the research aims to map the trend of reporting on MR Immunization based on regions in Indonesia. The method used is content analysis. The object of this study is 410 online news about MR Immunization that was published during the second phase of MR Immunization Campaign, from August 1st until September 30th 2018 in Indonesia. The results of this research show that news coverage is dominated by national news, which is more representative of positive messages. Meanwhile, a province with the most news sources is Nanggroe Aceh Darussalam (NAD), which negative tendencies. NAD has the majority of moslem communities who are very sensitive on the sharia law issue. Therefore, unclear certification of vaccine halal became a strong argument to refuse and postpone the MR immunization, and based on the research protocol, this categorized as negative news. Therefore, the health promoters can develop health communication strategies to work more effectively with the media, especially in the regions, in informing health policies and programs, so that news that is published does not upset the public. Abstrak Media massa berperan dalam menyampaikan informasi kesehatan kepada masyarakat luas sehingga dapat dilibatkan dalam program kesehatan, termasuk Kampanye Imunisasi Measles Rubella (MR). Tujuan program ini adalah untuk menurunkan kejadian penyakit campak dan rubela yang meningkat dalam lima tahun terakhir di Indonesia. Target cakupan Imunisasi MR harus mencapai minimal 95% agar terbentuk kekebalan kelompok untuk memutuskan mata rantai penularan. Namun, sampai dengan akhir September 2018, cakupan pemberian Imunisasi MR secara nasional baru mencapai 52,71%. Hal ini dipublikasikan oleh media online dengan kecenderungan negatif, netral, atau positif yang diberitakan dari berbagai wilayah di Indonesia. Permasalahan terjadi ketika paparan media dengan perspektif negatif pada vaksin berdampak pada cakupan imunisasi. Berdasarkan hal tersebut, penelitian ini bertujuan untuk memetakan kecenderungan pemberitaan tentang Imunisasi MR berdasarkan wilayah di Indonesia. Metode yang digunakan adalah analisis isi. Objek penelitian ini adalah 410 berita online tentang imunisasi MR yang dipublikasikan selama Kampanye Imunisasi MR fase II, 1 Agustus sampai dengan 30 September 2018 di Indonesia. Hasil penelitian menggambarkan bahwa pemberitaan lebih didominasi berita berskala nasional, yang lebih menggambarkan pesan yang bersifat positif. Sementara itu, wilayah provinsi yang menjadi sumber berita terbanyak adalah Nanggroe Aceh Darussalam (NAD) dengan pemberitaan berkecenderungan negatif. NAD memiliki mayoritas masyarakat muslim yang peka terhadap permasalahan syariah. Oleh karena itu, ketidakjelasan sertifikasi halal vaksin menjadi alasan untuk penolakan dan penundaan program Imunisasi MR, yang dalam protokol penelitian ini dikategorikan berita negatif. Dengan demikian, promotor kesehatan dapat menyusun strategi komunikasi kesehatan agar bekerja lebih efektif dengan media, terutama di daerah, dalam menginformasikan kebijakan dan program kesehatan sehingga berita yang dipublikasikan tidak membuat resah masyarakat.
Pengembangan Registri Psikotik Berbasis Rumah Sakit pada Rumah Sakit Jiwa Provinsi Jawa Barat Elsi Rahmini; Deni Kurniadi Sunjaya; Guswan Wiwaha
Jurnal Sistem Kesehatan Vol 4, No 1 (2018): Volume 4 Nomor 1 September 2018
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.809 KB) | DOI: 10.24198/jsk.v4i1.19181

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Registri psikotik dapat memberikan informasi tentang penyakit jiwa yang mudah diakses serta menjadi alat perencanaan perawatan dan penanganan pasien psikotik. Tujuan penelitian adalah mengidentifikasi potensi, menggali struktur registri dan membangun kerangka konsep registri psikotik di Rumah Sakit Jiwa Provinsi Jawa Barat.Penelitian menggunakan desain kualitatif dengan paradigma konstruktivisme dan pendekatan riset operasional. Metode pengumpulan data dengan wawancara mendalam, Focus Group Discussion dan observasi pada 17 responden. Analisis data melalui koding, kategorisasi, penyusunan tema dan interpretasi data.Potensi registri psikotik di Rumah Sakit Jiwa Provinsi Jawa Barat terdiri dari komponen input dan process yaitu: kualitas SDM, SOP, jaringan, pembiayaan, data klinik awal, sarana penunjang (input); perencanaan, pelaksanaan, dan evaluasi (process). Struktur registri berupa input yang terdiri dari kualitas SDM, SOP, software, jaringan, pembiayaan, serta data klinik awal. Kerangka konsep registri psikotik berupa perencanaan, pelaksanaan dan evaluasi. Ketiga proses tersebut memerlukan input berupa kualitas SDM, SOP, software, jaringan, pembiayaan, data klinik awal dan sarana penunjang, output berupa data demografi, data administrasi dan data klinik. Outcome registri psikotik berupa manajemen klinik dan riset data informasi.Kerangka konsep yang dibangun dapat menjadi dasar implementasi riset. Registri psikotik yang dibangun akan mendukung kebijakan pengelolaan gangguan jiwa di Provinsi Jawa Barat dan nasional.Kata kunci: Pengembangan, Psikotik, Registri
Analisis Kebijakan Dana Desa Untuk Pembangunan Kesehatan Di Kabupaten Malinau Dengan Pendekatan Segitiga Kebijakan Santi Suarsih; Deni Kurniadi Sunjaya; Elsa Pudji Setiawati; Guswan Wiwaha; Dewi Marhaeni Herawati; Fedri Rinawan
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.886 KB) | DOI: 10.24198/jsk.v2i4.12500

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Desa-desa di Kabupaten Malinau, Provinsi Kalimantan Utara mempunyai sumber dana untuk pembangunan kesehatan bersumber APBD dan APBN, namun masalah kesehatan di Kabupaten Malinau masih tinggi. Pada tahun 2015, AKB yaitu 25 per 1000 kelahiran hidup dan AKI yaitu 229 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk menganalisis kebijakan dana desa untuk pembangunan kesehatan di Kabupaten Malinau dari aspek konten, konteks, proses dan aktor.  Desain penelitian kualitatif dengan pendekatan studi kasus di 4 desa. Penelitian dilakukan dengan wawancara mendalam terhadap 26 responden yang terlibat dalam kebijakan dana desa. Penelitian dilaksanakan pada bulan Oktober tahun 2016 sampai januari tahun 2017.Kondisi geografis, mata pencaharian, kekerabatan dan status desa memengaruhi perspektif masyarakat dalam melaksanakan pembangunan kesehatan. Tidak adanya regulasi dan petunjuk teknis mengenai pelaksanaan pembangunan kesehatan di desa menyebabkan ketimpangan pembangunan kesehatan di Kabupaten Malinau. Tenaga kesehatan harus mampu mengidentifikasi dan merumuskan masalah kesehatan di desa. Prinsip swakelola dalam pelaksanaan kebijakan dana desa meningkatkan ekonomi masyarakat dan mengurangi pengangguran. Kebijakan dana desa telah dilaksanakan di Kabupaten Malinau, tetapi pemanfaatan untuk pembangunan kesehatan belum optimal. Diperlukan advokasi kepada pemerintah pusat untuk membuat regulasi alokasi dana desa untuk kesehatan. Tenaga kesehatan harus pro aktif dalam proses penyusunan kebijakan untuk mengungkit pembangunan kesehatan di desa.Kata Kunci : dana desa, Kabupaten Malinau,  segitiga analisis kebijakan
Eel Cookies Supplement and Incidence of Diarrhea in Children Aged 12–24 Months Nur Eva Aristina; Dedi Rachmadi; Dewi Marhaeni Diah Herawati; Hadi Susiarno; Dida Akhmad Gurnida; Deni Kurniadi Sunjaya
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3674.221 KB) | DOI: 10.29313/gmhc.v8i1.3885

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Diarrhea is one of the main causes of death in infants and toddlers in Indonesia. The Indonesian eel is a source of animal protein that contains high nutrients, including vitamin A and zinc, so it can be used to boost immunity. The objective of this study was to analyze the effect of eel cookies on the incidence of diarrhea in children. This was a double-blind randomized control trial (RCT) post-test study on 44 children aged 12–24 months at Garuda Public Health Center, Bandung city, who were selected using the simple random sampling method. The study was conducted for 2 months from January to February 2017. Data were analyzed using the Wilcoxon test. Results showed that there was an effect of eel cookies in reducing diarrhea incidence in toddlers (p<0.001), with no diarrhea condition seen among the toddlers among 18 children who had a history of diarrhea in the past and among 20 other children with no history of past diarrhea. In conclusion, eel cookies can reduce the incidence of diarrhea in children aged 12–24 months. Hence, it can be used as a functional food to improve child immunity as one of the efforts to prevent infectious diseases, especially diarrhea. SUPLEMENTASI COOKIES IKAN SIDAT TERHADAP KEJADIAN DIARE PADA BALITA USIA 12–24 BULANPenyakit diare merupakan salah satu penyebab kematian utama pada bayi dan balita di Indonesia. Ikan sidat merupakan salah satu sumber protein hewani yang banyak mengandung vitamin A dan seng sehingga dapat meningkatkan kekebalan tubuh. Tujuan penelitian ini adalah menganalisis pengaruh pemberian cookies ikan sidat terhadap kejadian diare pada balita. Desain penelitian dengan randomized controll trial (RCT) posttest group design dengan double blind. Subjek penelitian adalah balita usia 12–24 bulan di Puskesmas Garuda Kota Bandung sebanyak 44 responden. Penelitian dilakukan selama 2 bulan mulai Januari–Februari 2017. Pengambilan sampel dilakukan secara acak sederhana. Analisis data menggunakan Uji Wilcoxon. Hasil penelitian menunjukkan pengaruh pemberian cookies ikan sidat terhadap penurunan kejadian diare pada balita (p<0,001), yaitu tidak ada perubahan kondisi balita dari tidak diare menjadi diare, dan terdapat 18 balita yang pernah memiliki riwayat penyakit diare mengalami perubahan setelah diberikan perlakuan sehingga tidak mengalami diare, sedangkan 20 orang di antara yang tidak memiliki riwayat penyakit diare setelah mendapatkan perlakuan tetap tidak mengalami diare. Simpulan, terdapat pengaruh pemberian cookies ikan sidat terhadap penurunan kejadian diare pada balita usia 12–24 bulan. Oleh karena itu, cookies ikan sidat dapat digunakan sebagai makanan fungsional untuk meningkatkan imunitas anak sebagai upaya pencegahan terhadap penyakit infeksi terutama diare.
Pengembangan Instrumen Pengukur Kualitas Pelayanan Kesehatan berdasar atas Harapan Peserta Jaminan Kesehatan Nasional di Rumah Sakit Ida Hadiyati; Nanan Sekarwana; Deni Kurniadi Sunjaya; Elsa Pudji Setiawati
Global Medical & Health Communication (GMHC) Vol 5, No 2 (2017)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.483 KB) | DOI: 10.29313/gmhc.v5i2.2403

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Perbaikan kualitas pelayanan kesehatan di rumah sakit perlu dilakukan secara berkesinambungan. Pengukuran kualitas pelayanan kesehatan dapat dilakukan melalui beberapa pendekatan, di antaranya berdasar atas harapan pasien. Dengan menggali harapan pasien, aspek pelayanan kesehatan yang dianggap penting bagi pasien dapat dipahami oleh penyedia layanan. Pada era Jaminan Kesehatan Nasional (JKN), di Indonesia belum terdapat instrumen pengukur kualitas pelayanan berdasar atas harapan pasien sehingga peneliti bermaksud menyusun instrumen untuk mengukur kualitas pelayanan kesehatan berdasar atas harapan pasien. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional yang dilakukan terhadap 39 peserta JKN di Instalasi Rawat Jalan, RSUD Al-Ihsan, Kabupaten Bandung pada November 2016–Januari 2017. Pasien peserta JKN yang berobat rawat jalan lebih dari satu kali, dapat berkomunikasi dengan bahasa Indonesia, dan berpendidikan minimal SMA atau sederajat dilibatkan menjadi responden dalam penelitian ini. Data diperoleh melalui wawancara menggunakan instrumen yang disusun dari penelitian kualitatif mengenai kualitas pelayanan berdasar atas harapan pasien. Data yang diperoleh merupakan data ordinal yang merupakan tingkatan harapan pasien. Metode analisis yang digunakan untuk uji validitas dan reliabilitas adalah analisis pemodelan Rasch. Diperoleh instrumen pengukur kualitas pelayanan kesehatan berdasar atas harapan pasien yang terdiri atas 11 aspek, yakni sarana prasarana, karyawan, pelayanan medik, pelayanan administrasi, keamanan, kepercayaan, akses, transparansi informasi, kesetaraan, iur biaya, dan kualitas antarbagian. Nilai reliabilitas instrumen 0,92 dan alfa Cronbach 0,94. Terdapat 43 butir pertanyaan yang memiliki nilai outfit mean square di antara +2,0 dan +0,5; nilai outfit z-standard di antara +2,0 dan −2,0; serta nilai point measure correlation yang positif. Simpulan, diperoleh instrumen pengukur kualitas pelayanan kesehatan berdasar atas harapan pasien JKN yang valid dan reliabel, terdiri atas 11 aspek dan 43 butir pertanyaan.DEVELOPMENT OF A HEALTH CARE QUALITY INSTRUMENT BASED ON NATIONAL HEALTH INSURANCE PATICIPANT'S EXPECTATION AT HOSPITALImproving healthcare quality at the hospital should be done continually. Quality of healthcare can be evaluated using some methods, one of them is measuring patient’s expectation. Exploring patient’s expectation describes important aspects of healthcare that should be understood by healthcare provider. In this era of the National Health Insurance, in Indonesia there’s still no health care quality instrument available yet, especially based on patients’ expectation. The author aimed to develop an instrument measuring quality of health care based on patient’s expectation at hospital. A qualitative study designed by cross-sectional was conducted to 39 participants of National Health Insurance at Outpatient Installation of Al-Ihsan Bandung District Hospital in November 2016–January 2017. National Health Insurance participants who had treatment more than once, could speak Indonesian fluently, and graduated from senior high school was involved in this study. The data was obtained by an interview using an instrument which was developed from a qualitative study. The data was an ordial scale measurement describing level of patient expectation. The method to analyze validity and reliability of the instrument was the Rasch model. Instrument measuring health care quality based on patient expectation consists of 11 aspects, those are facility and infrastructure, hospital staff, medical service, administrative service, safety, trustworthiness, access, transparacy of information, equality, cost sharing, and interdepartment quality. The reliability index of the instrument was 0.92 and Cronbach’s alpha index was 0.94. There were 45 items which have outfit mean square index between +2.0 and +0.5, outfit z-standard index between +2.0 and -2.0, and positive point measure correlation index. In conclusion, the instrument measuring quality of health care based on patient’s expectation is valid and reliable, contains 11 dimensions and 43 items.
The Peer Counseling Model in Adolescents Reproductive Health for Senior High School Students Indah Nurfazriah; Deni Kurniadi Sunjaya; Susi Susanah
Global Medical & Health Communication (GMHC) Vol 6, No 3 (2018)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.081 KB) | DOI: 10.29313/gmhc.v6i3.3108

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Premarital sexual behavior in adolescents is at risk of sexual intercourse. One of the teenagers' factors in premarital sexual intercourse is a lack of knowledge about adolescent reproductive health. One method that can be given to increase knowledge about reproductive health is peer counseling. Peer counseling service improvement can be supported by the availability of modules or teaching materials to be used as a guide for peer counselors. The purpose of this study was to analyze the substance of the peer counseling module, analyze the perspective of the prospective module user on the development of peer counseling modules, and develop a model of the peer counseling module. The design of this study was the concurrent mixed method was divided into two stages, namely in-depth interviews with the experts and interviews and surveying with module users. The data was collected from the senior high school students in Cimahi and Bandung, West Java from March to July 2017. The result of this study showed that the substances developed in this module were the adolescents’ reproductive health, adolescents’ preparation in family planning, and adolescents’ ethics. Based on results of the analysis using the Rasch model, in the module user’s perspective, there is a need for the development of peer counseling modules. Evaluation of the module’s model from participants showed that they mostly agreed with the module’s model and the substances that were developed. MODEL MODUL KONSELING SEBAYA DALAM KESEHATAN REPRODUKSI REMAJA PADA SISWA SEKOLAH MENENGAH ATASPerilaku seksual pranikah pada remaja berisiko melakukan hubungan seksual. Salah satu faktor remaja melakukan hubungan seksual pranikah adalah pengetahuan tentang kesehatan reproduksi remaja yang kurang. Salah satu metode yang dapat diberikan untuk meningkatkan pengetahuan tentang kesehatan reproduksi adalah konseling sebaya. Peningkatan pelayanan konseling sebaya dapat ditunjang oleh ketersediaan modul atau bahan ajar sebagai panduan bagi konselor sebaya. Tujuan penelitian ini adalah menganalisis substansi modul konseling sebaya, menganalisis perspektif pengguna modul tentang pengembangan modul konseling sebaya, dan mengembangkan model modul konseling sebaya. Desain penelitian yang digunakan concurrent mixed methods  yang dibagi menjadi dua tahap, yaitu wawancara mendalam dengan para pakar serta wawancara dan survei dengan pengguna modul. Data dikumpulkan dari siswa SMA di Cimahi dan Bandung, Jawa Barat mulai Maret hingga Juli 2017. Hasil penelitian menunjukkan bahwa substansi yang perlu dikembangkan dalam modul konseling sebaya adalah kesehatan reproduksi remaja, persiapan remaja dalam perencanaan keluarga, dan etika remaja. Berdasar atas hasil analisis menggunakan model Rasch, perspektif dari para pengguna modul adalah perlu pengembangan modul konseling sebaya. Evaluasi model modul dari partisipan menunjukkan bahwa kebanyakan mereka setuju dengan model modul dan substansi modul yang dikembangkan.