Retna Siwi Padmawati
Kebijakan dan Manajemen Pelayanan Kesehatan, Fakultas Kedokteran UGM Yogyakarta

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PROGRAM JUMANTIK CILIK TANGGAP BOCAH DALAM PEMBERANTASAN SARANG NYAMUK DI PUSKESMAS SLEMAN, KABUPATEN SLEMAN Rusita Nurwidi Astuti; Hari Kusnanto; Retna Siwi Padmawati
Journal of Health Service Management Vol 19 No 1 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (505.951 KB) | DOI: 10.22146/jmpk.v19i1.1840

Abstract

Background: Dengue fever (DHF) is an endemic disease inSleman District. Number of dengue cases up to December 2014recorded 538 cases (IR 50,6/100,000 population) with the deathof 4 people (CFR 0,7%). One village in the region of SlemanPrimary Health Care (PHC) always have dengue casesannually are Caturharjo village. On that basis Sleman PHCforming and pioneering activities childrens larva observernamed Tanggap Bocah (TABO) consisting of primary schooland secondary school children with built hamlets first isGanjuran Hamlet, Village Caturharjo and became active in2012. TABO itself is expected to encourage communityparticipation in dengue mosquito nest eradication, reduce DHFmorbidity and improve ABJ in Village Caturharjo. Objective: The objective of this research is to get an overview ofmonitoring the implementation of the TABO in Sleman PHC.Methods: This study is a qualitative research with case studydesign. Results: Implementation of PJB by Jumantik TABO onPSN DBD as a form of community participation among childrenin the prevention of dengue disease with the primary goal ofplanting clean and healthy behavior (PHBS) early. Although nospecial training is given in addition to coaching and monitoring,Jumantik TABO willing and able as extension for friends,families and society as individuals. The increase in denguecases and decrease in ABJ indicate a change in behavior andcommunity participation in PSN as a result of activities JumantikTABO. Conclusions: Implementation TABO in the prevention ofdengue fever in the village Caturharjo running effectively andaccording to expectations with the declining number of DHFcases and increasing ABJ and behavioral changes in thecommunity in PSN DBD and PHBS.
IMPLEMENTASI KEBIJAKAN JKN OLEH PEMBERI PELAYANAN KESEHATAN DI KABUPATEN KEPULAUAN ANAMBAS Irawati Sagala; Laksono Trisnantoro; Retna Siwi Padmawati
Journal of Health Service Management Vol 19 No 3 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (469.682 KB) | DOI: 10.22146/jmpk.v19i3.1851

Abstract

Background: Anambas Islands Regency is a district that iscategorized as a DTPK area. In the health context, rural andremote areas are often associated with limited public transportation,poor road infrastructure, long distances to health carefacilities and difficulties in recruiting and retaining healthworkers. As a result there is a significant impact on the provisionof adequate health services. The availability of insufficient resourcesat every health facility in Anambas Islands Regency isalso an obstacle because in implementing JKN every healthfacility in Anambas Islands Regency must meet thecredentialing requirements set by BPJS Kesehatan.Objective: Analyzing the implementation of JKN policies byhealth service providers in Anambas Islands Regency. Methods: Descriptive research with qualitative methods usinga single case study design Results: Implementation of policy NHI by health care providersboth in health centers and hospitals are still many haveconstraints such as limited power specialist, especially inhospitals, general practitioners definitive still lacking in somehealth facilities, the limited infrastructure in health centers andhospitals that cause will not want the patient should be referred.This adds to the burden of transportation costs to society asocean freight rates are quite expensive though some things canbe addressed as a problem of information and improvement ofbureaucratic structures, but it can not prevent the public to bereferred.Conclusions: The implementation of the JKN policy is notsuitable for implementation in Anambas Islands Regency as aDTPK area because the benefits received by the communityfrom JKN are limited due to the many obstacles faced by healthservice providers.
RESPON SPESIFIK PUSKESMAS TERHADAP KEBUTUHAN SANITASI PENDUDUK PERMUKIMAN KUMUH DI BANTARAN SUNGAI CODE, KOTA YOGYAKARTA Relmbuss Biljers Fanda; Mubasysyir Hasanbasri; Retna Siwi Padmawati
Journal of Health Service Management Vol 19 No 4 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (497.084 KB) | DOI: 10.22146/jmpk.v19i4.2028

Abstract

Background: Gondomanan Primary Health Care (PHC) have the toughest slums in the Code River, which Prawirodirjan village, but has made a declaration STBM in 2013. Objetive: To understand specifific response of PHC to sanitation need of slum dweller in Code riverbank in Yogyakarta. Method: This research used a qualitative method. This study used the case study, and data collection techniques in depth interview. This research held in Prawirodirjan village. The participants of this research were included 16 people, that consist of employees of Gondomanan PHC and Ministry of Health (MOH), infrastructure, enviroment agency, The Head Prawirodirjan village, cadre of CLTS and slum communities. Results: CLTS that implemented in Gondomanan PHC has reached the stage of the declaration. Gondomanan performs the function of empowerment and coordination with other stakeholders in CLTS with open defecation free (ODF). However, the achievement of the declaration still leaves problems, namely the wrong faeces disposal, the diffiffifficulty of access to communal wastewater treatment plant (WWTP), and the source of water around the river polluted. Conclusion: Gondomanan PHC responded to the slums dwellers needs of with implementing CLTS. Gondomanan PHC performed the functions of public health leadership through the main functions of assessment, policy development and assurance. Although there were still weaknesses in the leadership of public health, but cooperation could be improved.