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PELAYANAN HOME CARE BERBASIS RUMAH SAKIT STUDI KASUS PELAYANAN HOME CARE BERBASIS RUMAH SAKIT SARDJITO YOGYAKARTA TERHADAP LANJUT USIA DENGAN STROKE Titik Endarwati; I Dewa Putu Pramantara S.; Mubasysyir Hasanbasri
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

Background: Home care service that empowers family caregiversenhance the ability, making independent in the care ofpatients at home, reduce or prevent dependence on formalservices. In contrast, business-oriented without empower familycaregivers are part of the hospital health care industrialization.Objective: to describe the characteristics of family caregiver'sindependence caring for elderly in post-stroke at home andempower family caregivers in the services of hospital-basedhome care from the perspective of family caregivers. Methods: This study used a qualitative approach withexploratory case study design. The unit of analysis is theempowerment of family caregivers in the context before dischargefrom the hospital and after at home (home care context)based Sardjito's Hospital. Subjects in this study were 4 familycaregivers, the husband, wife, and children from 3 elderly poststrokepatients Sardjito Hospital. The sampling method used ispurposive sampling. Results: Characteristics of the independence of family caregiversthat have: 1) knowledge of the fulfillment of the needs ofthe elderly ADL; 2) confidence in meeting the needs of theelderly ADL; and 3) the ability to meet the needs of elderly ADL,fix the problem, seek the information needed, utilizing thenurses home visits, and provides tools and materials medical.Educating family caregivers, involving family caregivers inplanning and decision-making, and assured the role of familycaregivers is a strategy to empower family caregivers. Anempowerment strategy done continuously that started at thehospital and continued at home. Conclusions: Family caregiver empowerment strategy inhospital-based home care services increase the independenceof family caregivers in caring for the elderly post-stroke.

DETERMINAN KUNJUNGAN ANTENATAL CARE DI AREA PEDESAAN INDONESIA (Analisis Data Riskesdas 2013) Elsi Arisanti; M. Hakimi; Mubasysyir Hasanbasri
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

Background: AKI is an indicator to determine the health statusin a country. The maternal mortality ratio in Indonesia was228/100.000 live births in 2008 to 220/100.000 live births in2010 and there was an increase to 359/100.000 live births in2013, while the MDGs target for 2015 was 102 per 100.000 livebirths. In Indonesia, the main causes of maternal death arebleeding, hypertension and infection. Antenatal care has beenproven effective in early detection of conditions that causematernal death. social approaches also need to be consideredas indirect causes such as socio-demographic factors,unavailability of birth attendants, costs. In public healthsciences, the social approach is a social determinant of health.The use of Antenatal Care is not optimal due to the limitedsupport of the health system and the influence of socioeconomicconditions and the rural environment.Purpose: To identify determinants of antenatal care visits inrural areas in Indonesia based on data analysis of Riskesdas2013.Methods: This type of research is quantitative using data fromthe 2013 Basic Health Research. Respondents in this studywere mothers who had been pregnant and gave birth during theperiod of January 1st 2010 to 2013 aged 10-59 years and live inrural Indonesia Results: After a statistical test was carried out, the antenatalcare visits in rural Indonesia were 90.41%. The factors that mostinfluenced antenatal care visits in rural areas were informationon knowledge of the availability of midwives for practice (Pvalue= 0.001, OR = 2.01) and information on knowledge of theavailability of posyandu (P-value = 0.001, OR = 1.93). Conclusion: Antenatal care visits in rural Indonesia are stillquite high. There is a relationship between individual factors andhealth system factors on antenatal care visits in rural areas.Individual factors cannot stand alone without health systemfactors. Health system factors are more important thanindividual factors. There needs to be an increase in the qualityand quantity of information for health cadres and the communityabout the importance of antenatal care visits.

MENGAPA TENAGA PENGAJAR PRODI KEPERAWATAN DI YOGYAKARTA TIDAK MEMENUHI STANDAR AKREDITASI BAN PERGURUAN TINGGI? Nurul Isnaini F.; Hari Kusnanto; Mubasysyir Hasanbasri
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

Background: The main factor that determines the quality ofeducation in higher education is the quality of the lecturers in it.Quality nursing services need to be supported by nursingresources that are produced from quality educationalinstitutions according to established standards. In fact, thecurrent nursing education does not have a national standard sothat the quality of its graduates varies.Objective: This study aimed to describe and determine thecharacteristics of the lecturers that include educationalqualifications, functional, certification, and the ratio of faculty innursing studies program and see the extent to which facultycontribute to meet the accreditation status of private nursingstudies program in Yogyakarta.Methods: Analysis of a cross sectional quantitative data byunivariate analysis.Result: The status of accreditation in private nursing courses inYogyakarta (40%) accreditation of B and (60%) accreditedprograms C. length stand of Nursing program did'nt showevidence of accreditation better. Based on the educationalqualifications of teachers who are eligible according to thestandard Accreditation B (35%), which does not meet thestandards yet accredited B (5%), the variable functional and nolecturer certification courses that meet the standards of BAN PT.The ratio of lecturers in private nursing studies program is stillnot ideal proved to be only 10% of nursing study program thathas a good ratio. From observations and interviews obtainedevidence several nursing program still face many obstacles inimproving the quality of human resources and implementationof accreditation.Conclusion: The status of accreditation of private nursing inYogyakarta is still low, faculty of Nursing Prodi also still don'tmeet the qualifications in accordance with Law 14 of 2005. Ittakes a strong commitment from study program organizers andthe government to foster private nursing colleges in Yogyakarta.

AKSESIBILITAS TERHADAP UTILISASI FASILITAS LAYANAN KESEHATAN DASAR DI PROVINSI PAPUA (RISKESDAS 2013) Efraim Mudumi; Mubasysyir Hasanbasri; Lutfan Lazuardi
Journal of Health Service Management Vol 19 No 2 (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

Background: Access to basic health services is a human rightin the health sector achieve social justice for all Indonesianpeople. Access to health care facilities in Papua remains a realchallenge for the government, especially if it is associated withthe goal to improve the health status, reduce morbidity andmortality. The difficulty of access to health facilities led todisparities in health status between regions in Indonesia.Objective: Analysis patterns utilization of health facilities andthe factors that access barriers to health centers in the provinceof Papua.Methods: Analysis of secondary data comes from a survey ofbasic health research in 2013 with the kind of cross-sectionalstudies.Results: Of the 4562 respondents as many as 3152 (69,09%)utilize health centers. Probability better utilization of healthcenters on the rich than the poor (OR = 4,17, 95% CI = 3,23-5,38). Participants private health insurance and social securityare more likely to utilize health centers (OR = 5,87, 95% CI =2,82-12,23). Living in the urban area increasing the utilization ofhealth centers compared with rural area (OR = 1,24, 95% CI =0,98-1,56). Probability health centers utilization in swamplandbetter than others (OR = 2,17, 95% CI = 1,36- 3,45). Time travelless than 30 minutes are more likely to utilize health centerscompared with a travel time more than 30 minutes (OR = 1,28,CI = 1,14-2,17). Motor vehicles are more likely to utilize healthcenters (OR = 3,00, CI = 2,36 to 3,81). Transportation costs ofmore than IDR100.000 is more likely to take advantage of healthcenter (OR = 2,59, 95% CI = 1,59-4,2). Conclusion: The availability of health facilities, travel time,transport costs and the availability of transportation still bebarriers of accessibility. Utilization patterns varied types of basichealth facilities, primary health centers are the types of facilitiesthat the most widely used. There is inequity between the poorand rich in the utilization of basic health services.

MENGAPA KOMPETENSI PEMERIKSAAN PRENATAL KONSELING TANDA BAHAYA OLEH BIDAN DI PUSKESMAS LEBIH BAIK DIBANDINGKAN PRAKTIK SWASTA DI INDONESIA? DATA INDONESIA FAMILY LIFE SURVEY (IFLS) 2007 Helen Try Juni Asti; Ova Emilia; Mubasysyir Hasanbasri
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

Background: Indonesia's maternal mortality rate increased in 2013 while antenatal care coverage K4 also increased. The element is important to know the health status of the pregnancy is highly dependent on the implementation of the prenatal examination by a midwife. Midwives have a good quality in the implementation of prenatal examinations can reduce morbidity and mortality of pregnant women.Objectives: To investigate implementation prenatal examination in Indonesia by midwives in the health center facilities (public) and private practice, working time, training participation, geographical location (urban-rural), and the regions lagging.Methods: This research is a quantitative research. We analyzed 1,433 midwives from 13 provinces in Indonesia which respondents IFLS 2007. The implementation details of prenatal care by midwives obtained from nine item prenatal procedures on questionnaires vignettes.Results: Statistical tests showed that the percentage of implementation of prenatal care is still low. Variable types of facilities most influence on the implementation of prenatal examinations and tests hemoglobin fe tablet. Public facilities tend to be carrying out the procedure with (OR 1,30; CI 1,04-1,61) and hemoglobin tests (OR 1,62; CI 1,30-2,02) compared to private practice. Variable training participation proved to be the most influential on the implementation of urine testing, counseling danger signs of pregnancy, and ask a history of high blood, midwife training are more likely to implementing procedures prenatal urine (OR 1,95; CI 1,21-3,14), counseling danger signs of pregnancy (OR 1,45; CI 0,98-2,15], and asking a history of high blood pressure (OR 1,61; CI 1,12-2,33) compared the midwife did not follow the training.still low. Strategies to increase implementation of antenatal care by improving the function of regulation, training and continuing education, and supervision.

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

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.

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