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Evaluation on the Implementation of Mobile Clinic Program in Maternal Health Service in Sorong City of West Papua Province Adriana Egam; Martha Irene Kartasurya; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Kementerian Kesehatan melaksanakan program Mobile Clinic, untuk lebih mendekatkan akses pelayanan kesehatan pada masyarakat di Tanah Papua. Target cakupan mobile clinic masih belum tercapai, walaupun biaya yang dikeluarkan sangat besar. Tujuan penelitian adalah melakukan evaluasi pelaksanaan program mobile clinic dalam pelayanan kesehatan ibu di Kota Sorong Propinsi Papua Barat. Jenis penelitian ini adalah deskriptif kualitatif, Informan utama adalah seluruh tim mobile clinic Kota Sorong. Informan triangulasi adalah kader mobile clinic dan pengelola program mobile clinic. Pengumpulan data dilakukan melalui indepth interview dan focus group discussion. Pengolahan data dilakukan dengan metode analsis isi (content analysis). Hasil penelitian menunjukkan bahwa perencanaan sudah dilakukan oleh semua tim mobile clinic. Ada kendala keterbatasan tenaga pada 2 puskesmas sehingga perlu penunjukan tenaga pelaksana dari unit kerja lain. Pengorganisasian dengan pemberdayaan kader sudah terlaksana dengan baik. Pada penggerakkan dan pelaksanaan terdapat dua kebijakan yang tidak sesuai Juknis yakni penambahan tenaga dan pergantian personil TMC (Tim Mobile Clinic). Penambahan tenaga meningkatkan pencapaian cakupan dan penambahan jenis pelayanan yaitu ANC terpadu. Pergantian personil TMC pada tenaga yang tidak dilatih berdampak tidak tercapainya target cakupan. Kerjasama tim, lintas program dan lintas sektoral terjalin baik.Pelaporan tidak lengkap dan supervise yang dilakukan tidak memberikan masukan. Sulitnya jangkauan dan besarnya biaya transportasi tidak menghambat pelayanan karena didukung alokasi dana yang memadai. Direkomendasikan agar program dilakukan kembali dengan perbaikan petunjuk teknis dan biaya yang disesuaikan dengan Perda Ministry of Health implemented mobile clinic program to bring health service access closer to the community in Papua land. Target coverage of mobile clinic program was not attained, although the cost spent was very high. Objective of the study was to evaluate the implementation of mobile clinic program in maternal health service in Sorong city of West Papua province. This was a descriptive-qualitative study. Main informants were all team of mobile clinic of Sorong city. Triangulation informants were mobile clinic cadres and mobile clinic managers. Content analysis was applied in the data management. Results of the study showed that planning had been done by all mobile clinic teams. There were limited staffs in two primary healthcarecenters(puskesmas), and this situation allowed choosing executor workers from other work units. Organizational activities with empowerment of cadres had been done properly. There were two policies that did not agree with technical guidelines in the actuating and implementing of the program namely addition of staffs and changing of mobile clinic team (TMC) personnel.Addition of the staffs increased coverage and added type of service. The added type of service was an integrated antenatal care (ANC). The change of TMC personnel with untrained personnel caused a fail to attain the target coverage. Collaboration among teams, cross programs and sectors had been performed well. Reporting was not good, and supervision done did not provide inputs. Difficulty in reaching location and expensive transportation costs did not hamper services due to sufficient funding allocation support. Reimplementation of the program with technical guidance improvement and budget aligned with Perda is recommended.

Pengaruh Faktor Pengetahuan dan Aksesibilitas Dalam Pemanfaatan Kelambu Insektisida Mariana Isir; Alva Cherry Mustamu; Adriana Egam
Jurnal Ilmiah Kesehatan Sandi Husada Vol 10 No 1 (2021): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v10i1.608

Introduction; Malaria suffers quite a lot and is still a public health problem because of its high morbidity and mortality rates. This infectious disease can cause death, especially in high-risk groups, namely infants, toddlers, and pregnant women. One of the groups that are vulnerable to malaria in pregnant women. Aim; This study aims to determine the knowledge, accessibility, and use of insecticide bed nets during pregnancy. Method; This type of research is descriptive-analytical. With a cross-sectional approach with a sample of 78 pregnant women by means of accidental sampling. Data analysis was performed using a frequency test. Result; That 57.69% of respondents about insecticide bed nets from mass media such as the internet, newspapers, social media. as many as 65.38% of respondents had at least 1 insecticide bed net in their house obtained from the puskesmas (55.13%). as much as 34.62% of respondents said that insecticide-treated bed nets were given to them at the 3rd trimester of pregnancy. However, 35.9% have not used it properly. Respondents hoped that insecticide bed nets should be provided free of charge (43.59%). Conclusion; All pregnant women are ready to use insecticide bed nets if adequate information and bed nets are available at affordable prices or provided free of charge

Pelatihan Pijat Perineum Kombinasi Gel Extrak Daun Gedi untuk Mencegah Ruptur Perineum pada Ibu Bersalin bagi Bidan di Puskesmas Malanu Kota Sorong Sunaeni Sunaeni; Adriana Egam
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 6 (2022): Volume 5 No 6 Juni 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i6.5924

ABSTRAK Ruptur perineum terjadi pada hampir semua persalinan pertama dan tidak jarang juga pada persalinan berikutnya. Salah satu upaya yang bisa dilakukan untuk mencegah robekan pada perineum saat bersalin adalah dengan pijat perineum. Daun gedi merupakan salah satu tanaman khas papua yang memiliki sifat dingin, lembut dan berlendir. Disamping itu kandungan tanaman ini mengandung Flavonoid yang berpotensi anti-inflammatori, antibakteri, antiviral, antioksidan, dan mengeliminasi radikal bebas oksigen terhadap manusia terutama. Pengabdian masyarakat ini dilaksanakan selama 3 bulan dengan metode ceramah dan demonstrasi pada bidan di puskesmas malanu kota sorong. Evaluasi dilaksanakan selam 2 kali yaitu saat pelaksanaan kegiatan dan dua bulan pasca kegiatan. Hasil kegiatan ini menemukan bahwa peserta yang merupakan bidan puskesmas mampu melaksanakan pijat perineum dan menyatakan bahwa tidak terdapat infeksi setelah pijat perineum. Pijat perineum menggunakan gel ekstrak daun gedi ini dapat dilaksanakan oleh seluruh bidan karena memiliki kandungan yang kompleks yang mendukung elastisitas kulit dan otot perineum agar tidak terjadi rupture saat persalinan. Kata Kunci: Pijat Perineum, Daun Gedi, Ruptur perineum ABSTRACT Perineal rupture occurs in almost all first deliveries and is not uncommon in subsequent deliveries. One of the efforts that can be done to prevent tearing of the perineum during childbirth is perineal massage. Gedi leaves are one of the typical Papuan plants which are cold, soft and slimy. Besides, this plant's content contains flavonoids that have the potential to be anti-inflammatory, antibacterial, antiviral, antioxidant, and eliminate oxygen free radicals in humans significantly. This community service was carried out for three months with lecture and demonstration methods to midwives at the Malanu Public Health Center, Sorong City. The evaluation was carried out two times, namely during the implementation of the activity and two months after the activity. This activity found that participants who were Public Health Cente midwives were able to carry out perineal massage and stated that there was no infection after perineal massage. Perineal massage using gedi leaf extract gel can be carried out by all midwives because it has a complex content that supports the skin's elasticity and perineal muscles to prevent rupture during childbirth. Keywords: Perineal rupture; perineal massage; Gedi Leaf

Determinant Factors of Service Satisfaction In Integrated Service Posts Alva Cherry Mustamu; Adriana Egam
Science Midwifery Vol 9 No 2 (2021): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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In Indonesia, the Integrated Service Post is the front line owned by the Public Health Center (PHC) as a primary service. However, sometimes there is a decrease in visits so that the quality of service decreases. The purpose of this study was to determine the factors that affect the satisfaction of Pos Pelayanan Terpadu services. This research is a quantitative study with a cross-sectional approach to 86 Integrated Service Post visitors in the working area of Malanu Public Health Center, Sorong city, West Papua, which were taken using purposive sampling. The instrument used in this study was an instrument of satisfaction, staff attitudes, knowledge, and family support. The results showed that there was an effect of staff attitudes and knowledge on satisfaction in Integrated Service Post services, but family support had no effect in determining the satisfaction of Integrated Service Post services. Service attitude and knowledge are major dimensions of overall satisfaction. PHC policymakers must evaluate and manage service quality based on actual patient needs, taking into account demographic characteristics and patient health status. Efficient management methods for PHC and Integrated Service Post, modern technology, and staff training are needed to improve service quality and care efficiency.

Combination of Papeda (Metroxylon Sp) and Warm Androgynus Sauropus Compress to Toward Production of Breast Milk Adriana Egam; Harlinah Harlinah
Science Midwifery Vol 10 No 2 (2022): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Breasts in general will be enlarged, hard, and uncomfortable because of the increased blood supply to the breasts along with the production of milk. But sometimes breast enlargement can cause pain so that the mother's milk does not come out freely. This study aims to determine the combination of papeda and katuk leaves on the smooth production of breast milk. Quasi-experimental research In the experimental and control groups (n=20) selected using the Cluster Random Sampling technique with the criteria of postpartum mothers who were treated for at least 3 days, gave breast milk with a frequency of fewer than 12 times in 1 day and did not experience psychological disorders. The instrument used is an observation sheet. the provision of warm papeda (Metroxylon sp) compresses with the addition of Sauropus Androgynus was given 2 times, in the morning and evening for 7 days. Data analysis using the Mann Whitney test. The Mann-Whitney test showed a significant difference between the treatment group and the control group, with a P-value of 0.000 which was P <0.05. The conclusion of this study is that there is a significant effect of warm papeda compresses by mixing Sauropus Androgynus on the smooth production of breast milk.

Differences In Effectiveness Between Breast Massage And Combination Massage In Breast Milk Production In Postpartum Adriana Egam; Yustitio Nora Veronica
Jurnal Ilmiah Kesehatan Vol 16 No 02 (2023): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v16i02.3700

The lack of exclusive breastfeeding in Indonesia, which is relatively low, could happen because various factors, in particular, influence the lack of care for breasts with method massage. However, until now, a study has not yet been conducted about the eligibility and acceptance of massage with Massage combination relation in increasing the volume of breast milk in postpartum mothers in the district Sorong. Research design is a quasi-experiment with two groups post-test design approach. Subject research is postpartum mothers who have babies 0 months old method taking sample study using accidental sampling. Data analysis in a study this T-test was performed. Obtained value (Sig. (2-tailed)) = 0.00, where in group massage combination capable increase the volume of breast milk by an average score of 75.30 compared with massage breast with an average volume of breast milk of 33.65. it means there is a difference Between massage breasts with massage combination in increasing the volume of breast milk.

Exploring The Factors That Enhance Learning And Self-Efficacy Of Midwifery Students: A Sem-Pls Analysis adriana egam
Jurnal Ilmiah Kesehatan Vol 16 No 02 (2023): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v16i02.4171

This study aims to identify the influencing factors on midwifery students' learning and self-efficacy development in Indonesia. The study employed a descriptive and cross-sectional analysis using an online questionnaire that included demographic data and analysis factors such as environmental learning, lecturer quality, learning methods, self-motivation, social support skills, assessment and feedback, circumstances of learning enhancement, and perceived self-efficacy. The study population was students majoring in midwifery at the Ministry of Health Health Polytechnic Sorong, who are currently enrolled in diploma and undergraduate programs. A total of 40 respondents completed the survey. The results showed that learning methods have a significant influence on both learning improvement and self-efficacy. The study highlights the need to identify and evaluate the various factors that influence midwifery students' learning to develop more effective and efficient strategies and methods to increase the quality and effectiveness of midwifery education. The findings of the study could have implications for the future of education and health in Indonesia.

Pengaruh Faktor Pengetahuan dan Aksesibilitas Dalam Pemanfaatan Kelambu Insektisida Mariana Isir; Alva Cherry Mustamu; Adriana Egam
Jurnal Ilmiah Kesehatan Sandi Husada Vol 10 No 1 (2021): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v10i1.608

Introduction; Malaria suffers quite a lot and is still a public health problem because of its high morbidity and mortality rates. This infectious disease can cause death, especially in high-risk groups, namely infants, toddlers, and pregnant women. One of the groups that are vulnerable to malaria in pregnant women. Aim; This study aims to determine the knowledge, accessibility, and use of insecticide bed nets during pregnancy. Method; This type of research is descriptive-analytical. With a cross-sectional approach with a sample of 78 pregnant women by means of accidental sampling. Data analysis was performed using a frequency test. Result; That 57.69% of respondents about insecticide bed nets from mass media such as the internet, newspapers, social media. as many as 65.38% of respondents had at least 1 insecticide bed net in their house obtained from the puskesmas (55.13%). as much as 34.62% of respondents said that insecticide-treated bed nets were given to them at the 3rd trimester of pregnancy. However, 35.9% have not used it properly. Respondents hoped that insecticide bed nets should be provided free of charge (43.59%). Conclusion; All pregnant women are ready to use insecticide bed nets if adequate information and bed nets are available at affordable prices or provided free of charge

Pengenalan Dini Kanker Serviks dan Kanker Payudara Sebagai Upaya Pencegahan Primer Bagi Perempuan Usia Subur di Kelurahan Matamalagi Egam, Adriana; Sinaga, Rany Anggina Putri; Isir, Mariana; Amrin, Dian Andriyani
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 9 (2025): November
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i9.3378

Pendahuluan: Kanker serviks dan kanker payudara merupakan dua jenis kanker dengan angka kejadian dan kematian tertinggi pada perempuan di Indonesia. Rendahnya pengetahuan, masih kuatnya mitos dan stigma, serta keterbatasan akses terhadap layanan kesehatan menyebabkan rendahnya kesadaran perempuan usia subur untuk melakukan deteksi dini. Kondisi serupa juga ditemukan di Kelurahan Matalamagi, Kota Sorong, Papua Barat Daya, sehingga diperlukan upaya edukasi kesehatan yang komprehensif. Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan, kesadaran, dan keterampilan perempuan usia subur dalam melakukan upaya pencegahan dan deteksi dini kanker serviks serta kanker payudara. Metode Penelitian: Metode yang digunakan adalah edukasi kesehatan melalui penyuluhan interaktif dengan media PowerPoint dan leaflet, disertai sesi diskusi dan tanya jawab. Evaluasi dilakukan dengan desain pretest–posttest untuk mengukur perubahan tingkat pengetahuan. Kegiatan dilaksanakan di Gereja GKI Efata Matalamagi dan diikuti oleh 40 perempuan usia subur.Hasil: Hasil menunjukkan peningkatan pengetahuan yang signifikan setelah edukasi. Sebelum kegiatan, seluruh peserta memiliki tingkat pengetahuan kategori cukup (60%) dan kurang (40%), tanpa ada yang berkategori baik (0%). Setelah edukasi, seluruh peserta (100%) mencapai tingkat pengetahuan kategori baik. Peserta juga menunjukkan antusiasme dan perubahan sikap positif terhadap pentingnya pemeriksaan payudara sendiri dan deteksi dini kanker serviks. Kesimpulan: Kegiatan edukasi kesehatan “Pengenalan Dini Kanker Serviks dan Kanker Payudara” terbukti efektif dalam meningkatkan pengetahuan dan kesadaran perempuan usia subur. Program ini berkontribusi dalam mendorong perilaku preventif terhadap kanker dan dapat dijadikan model pemberdayaan masyarakat di wilayah lain dengan karakteristik serupa.

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