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PERILAKU PETUGAS MEDIS DALAM MERUJUK PASIEN ANTENATAL CARE (ANC) KE RUMAH SAKIT Hardina, Siti; Idris, Haerawati
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 3
Publisher : UI Scholars Hub

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High referrals can increase hospital workloads and result in increased claims costs to BPJS Health. The purpose of this study was to determine the behavior of health center staff in referring antenatal care patients to hospitals. The research method uses a descriptive qualitative design with a health belief model approach. Informants were selected using a purposive technique. Data were collected using an in-depth interview guide, observation, and document review in one of the primary health care in Palembang City. Data validation is done using the triangulation of sources, methods, and data. This study uses content analysis as a data analysis technique. The results showed that medical staff referred to antenatal care patients when there were indications of illness and high-risk patients. The hospital is chosen based on the consideration of the distance between the patient's house and the hospital. High reference can cause a decrease in capitation. The obstacles in referring to antenatal care patients are more from external obstacles in the form of technical obstacles. Medical staff have confidence and know the limits in referring patients. Medical personnel conduct an examination and confirm the patient's condition before making a referral. The existence of a high referral is due to a request for a referral from a patient. BPJS Health is expected to coordinate with the health center to overcome the referral problem.
Perceptions of Health Workers regarding the COVID-19 Vaccine Report Application in Ogan Ilir Regency, South Sumatra Idris, Haerawati; Rosyada, Amrina; Budiastuti, Anggun; Ermi, Nurmalia
Journal of Indonesian Health Policy and Administration Vol. 8, No. 2
Publisher : UI Scholars Hub

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The Lapor Vaksin COVID-19 Application was developed to support a vaccination coverage surveillance database sourced from community self-report. This application provides data on vaccination coverage and allows users to view updates to educational content about vaccines and visualization of COVID-19 vaccine data in real-time. This study aims to analyze the perception among health worker about Lapor Vaksin COVID-19 application in the community. This study uses descriptive research with a case study design. This study was conducted in September 2021 through a virtual zoom meeting, in Ogan Ilir Regency, South Sumatra. The research sample was 42 health workers consisting of vaccine officers at the Health Office, RSUD and Puskesmas in Ogan Ilir Regency who were selected by purposive sampling. Data is presented descriptively. Based on the evaluation results of the application's use, more than half of the respondents were quite satisfied (52.4%) with the Lapor Vaksin COVID-19 application. This application can be used and developed as an alternative to the COVID-19 surveillance database.
Factors associated with utilization of posyandu lansia in Indonesia: an analysis of nationwide survey data Trisfayeti, Ica Hervita; Idris, Haerawati
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p09

Abstract

Background and purpose: The proportion of the older population in the world is increasing, including in Indonesia. The elderlies tend to be more susceptible to infectious diseases and chronic diseases due to decreased anatomical and physiological functions. A model of health services for the elderlies in Indonesia is called posyandu lansia (integrated health village posts for older adults). This study aims to analyse the determinants of the use of health village posts among older adults in Indonesia. Methods: This study is a secondary data analysis of the 2014 Indonesian Family Life Survey (IFLS-5) data . The study samples included 4,366 respondents at the age of 50 years and over. The dependent variable is utilization of posyandu lansia and the independent variables consist of age, gender, level of education, work status and activity of daily living. Data analysis was performed using univariate, bivariate and multivariate analysis. Results: The study results show that the utilization of posyandu lansia was 5.1%. Age ≥60 years, female gender, secondary education, unemployment, region, location, activity of daily living, nutritional status of fat and thin, acute morbidity, and a history of chronic disease have a significant relationship with the utilization of posyandu lansia in Indonesia (p<0.05). Females were 3.097 times more likely to utilize posyandu lansia (95%CI: 2.464-3.891) than males. Conclusion: Women are more likely to use the posyandu lansia than men. The government should increase the effort to expand coverage of posyandu lansia utilization especially among males.
Implementasi “Aku Sayang Lingkungan” Anak-Anak Usia Dini pada kegiatan Sanitary Camp di PAUD Ummi Rodiah di Kampung Pangan Inovatif, Palembang Najmah, Najmah; Azizah, Shinta; Iqlima, Erni; Rachmawati, Aisyah; Putrisha, Shantya Adeline; Khoirunnisa, Salsabila; Hanifah, Arindi Dinda; Elwin, Ghani El Mughni Muhammad Hidayatullah; Utama, Feranita; Idris, Haerawati; Arinda, Ditia Fitri; Trisnaini, Inoy; Misnaniarti, Misnaniarti; Indahsari, Siti Rahmi; Suhendra, Ahmad Adi; Mufarika, Rully
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 4 No 2 (2023): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V4l2.129

Abstract

Humans and the environment have a mutually correlated and inseparable relationship, the behavior of pollution and environmental destruction by humans will cause the environment to become damaged and polluted and will ultimately have bad consequences for humans themselves. This shows that changing human behavior towards the environment is the only way to improve the environment. Concern and love for the environment should be instilled in children from an early age because children and children are autonomous subjects who have seeds of character from the very beginning of their lives. The purpose of this service is environmental education for children, so that children are aware and willing to be responsible for protecting the environment and form attitudes towards environmental preservation and the ability to solve environmental problems. The service method used in this activity is by delivering interactive learning material by holding meetings directly with the children at Ummi Rodiah's Early Childhood Education, Plaju. Respondents in this study were early childhood children from Ummi Rodiah's Paud, Plaju and elementary school children around Ummi Rodiah's Paud, totaling 52 people. The concept applied to this activity is learning while playing with educational efforts regarding Clean and Healthy Behavior (PHBS), filling my plate, how to maintain cleanliness and environmental health, sorting waste, to getting to know and planting Family Medicinal Plants (TOGA). The results of this service involve teachers, lecturers and students of the Faculty of Public Health, University of Sriwijaya as volunteers. children are able to recognize the environment and indirectly provide education to children about the importance of keeping the environment clean can make children act and behave in love for the environment by keeping the environment clean. With the holding of this community service activity, it is hoped that a serious response from all parties is needed to care about preventing more serious environmental damage for the survival of all mankind.
Strategi Implementasi Quality Governance di Puskesmas: Literature Review Wati, Yeni Arsika; Syakurah, Rizma Adlia; Idris, Haerawati
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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Sebanyak 5,7 sampai 8,4 juta kematian dikaitkan dengan perawatan berkualitas buruk setiap tahun di negara berpenghasilan rendah dan menengah. Untuk menjamin kualitas mutu pelayanan diperlukan suatu mekanisme akreditasi, agar implementasi tata kelola mutu puskesmas dapat optimal dan terjamin kesinambungannya maka diperlukan dukungan penyelenggaraan mulai dari input yang bermutu, proses yang bermutu dan akhirnya menghasilkan output berupa produk layanan kesehatan yang bermutu. Artikel ini bertujuan untuk memberikan gambaran implementasi tata kelola mutu di puskesmas. Penelitian ini menggunakan metode kepustakaan (library research) dengan mengkaji secara kritis didalam tubuh literatur berorientasi akademik. Sumber literatur ada 8 jurnal penelitian yang disesuaikan dengan permasalahan literatur review. Metode Analisa data menggunakan anotasi bibliografi (annotated bibliography) dimana setiap sumber akan ditarik simpulan terkait dengan yang tertulis. Hasil telaah krisis diketahui variabel input yaitu komitmen, kepemimpinan, pengorganisasian merupakan dukungan penyelenggaraan yang berpengaruh dan telah dilaksanakan untuk menghasilkan layanan yang berkualitas. Pada variabel proses, Puskesmas mengalami permasalahan dalam siklus PDSA dimana dokumen mutu yang komprehensif diketahui tidak lengkap, strategi implementasi Quality Assurance (QA) dengan pendekatan PDSA (Plan, Do, Study, Action) yang diterapkan lebih menekankan pada proses monitoring atau mempelajari hasil (studi) dari pelaksanaan kegiatan yang telah direncanakan, selanjutnya untuk variable output, fasilitas pelayanan kesehatan masyarakat untuk menerapkan sistem manajemen mutu yang berkelanjutan agar dapat terus meningkatkan dan mempertahankan mutu pelayanannya.
Analisis Pemanfaatan Pelayanan Kesehatan pada Peserta Jaminan Kesehatan Nasional: Studi Literatur Sari, Nia Novita; Idris, Haerawati; Syakurah, Rizma Adlia
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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Latar belakang: Mutu pelayanan kesehatan di Indonesia saat ini telah memperkecil kesenjangan sosial dengan adanya program Jaminan Kesehatatan Nasional. Jaminan Kesehatan Nasional merupakan jaminan perlindungan kesehatan yang mendanai fasilitas kesehatan masa depan untuk mampu mengubah sistem kesehatan di Indonesia, sehingga peserta memperoleh manfaat pelayanan kesehatan dan perlindungan atas kebutuhan dasar kesehatan. Dengan adanya JKN yang Efektif dan efisien dapat melindungi masyarakat dari tingginya biaya kesehatan. Jadi Penelitian ini bertujuan untuk menganalis faktor-faktor yang mempengaruhi pemanfaatan pelayanan BPJS Kesehatan di Indonesia. Metode: Penelitian ini menggunakan metode literatur Review dengan pendekatan Narative Literatur Review. Sejumlah 15 artikel penelitian yang didapatkan dari database yaitu Google Scholar, Pubmed, Sciencedirect dengan kata kunci Pemanfaatan, Pelayanan Kesehatan, Jaminan Kesehatan Nasional. Metode ini terdiri dari menentukan kata kunci, membuat pertanyaan, mengelompokan pertanyaan, menjawab pertanyaan, dan membuat paragraph. Hasil Penelitian: Dari sebelas artikel yang diambil didapatkan hasil bahwa terdapat hubungan antar usia, jenis kelamin, aksesbilitas terhadap pemanfaatan pelayanan kesehatan pada peserta JKN. Sedangkan untuk variabel status perkawinan, persepsi peserta JKN terhadap Tindakan petugas kesehatan tidak ada hubungan dengan pemanfaatan pelayanan kesehatan. Kesimpulan: Pemanfaatan pelayanan kesehatan pada peserta JKN dapat dipengaruhi oleh beberapa variabel yaitu Usia, Jenis Kelamin, dan Aksesbilitas.
Kepatuhan Hand Hygiene Petugas Kesehatan Rumah Sakit di Negara Berpendapatan Rendah dan Menengah: A Systematic Review Astari, Dea Widya; Windusari, Yuanita; Idris, Haerawati; Sari, Novrika; Fajar, Nur Alam
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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Latar Belakang: Infeksi nosokomial (HAIs) merupakan ancaman serius dalam layanan kesehatan global, terutama di negara-negara berpenghasilan rendah dan menengah, disebabkan oleh kurangnya kepatuhan terhadap praktik hand hygiene di fasilitas kesehatan. Tujuan penelitian ini adalah untuk memahami tingkat kepatuhan petugas kesehatan di rumah sakit di negara-negara berpendapatan rendah dan menengah terhadap praktik hand hygiene. Metode: Penelitian ini menggunakan systematic review dengan pencarian literatur di PubMed dan Science Direct, mengikuti panduan PRISMA. Kata kunci mencakup "Compliance" OR "Adherence" AND "Hand hygiene" OR "Hand washing" AND "Healthcare worker" OR "Healthcare providers" AND "Hospital" AND "In Low-And Middle Income Countries" dalam artikel bahasa Inggris yang diterbitkan antara 2019-2023. Dua belas artikel sampel termasuk sepuluh studi cross-sectional dan dua studi kualitatif. Hasil Penelitian: Tingkat kepatuhan bervariasi dari 14,9% hingga 46,8%, dengan perawat menunjukkan tingkat kepatuhan yang lebih tinggi. Namun, tingkat kepatuhan secara keseluruhan masih rendah, menunjukkan perlunya upaya lebih besar untuk meningkatkan praktik hand hygiene di rumah sakit di negara-negara berpendapatan rendah dan menengah. Faktor-faktor yang memengaruhi kepatuhan termasuk profesi, pelatihan, sumber daya, pengetahuan, sikap, dan dukungan sosial. Hambatan melibatkan persediaan yang tidak mencukupi, reaksi kulit, beban kerja, kurangnya fasilitas, pengaruh sosial, keyakinan tentang konsekuensi, kurangnya pengetahuan, dan kondisi kerja yang buruk. Kesimpulan: Temuan ini memiliki implikasi signifikan untuk meningkatkan keselamatan pasien di rumah sakit di negara-negara berpendapatan rendah dan menengah serta menyoroti pentingnya kesadaran terhadap faktor-faktor yang memengaruhi praktik hand hygiene di berbagai konteks kesehatan global.
Implementasi Capaian Program Universal Health Coverage di Indonesia: Narrative Review Nirmalasari, Melisa Yuni; Idris, Haerawati; Flora, Rostika
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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National Health Insurance is one of the government's programs as an effort to achieve Universal Health Coverage (UHC) which has been declared in the Sustainable Development Goals (SDGs). There are several regions in Indonesia that have received the UHC designation with achievements of more than 95%. The aim of this research is to describe the implementation of UHC achievements in Indonesia. The method used in this research is a Literature Review with a Narrative Literature Review approach. The articles used are articles with a publication time span of 5 years from 2018-2023 from several databases such as Google Scholar and PubMed. The results of this research show that UHC achievements in Indonesia are still faced with challenges in covering informal sector participation and there are several strategies and policies issued by Regional governments in achieving UHC in their regions including the role and commitment of actors, cross-sector coordination, efforts to expand JKN membership coverage, providing sufficient budgets, improving the quality of health services and capacity of health human resources, creating innovative programs to achieve UHC. In addition, Indonesia applies indicators to measure UHC achievements by calculating the essential health service coverage index and financial protection against health costs. In conclusion, the implementation of the UHC program achievements in Indonesia is still experiencing various challenges so appropriate strategies and policies are needed.
Literatur Review : Analisis Faktor Kepemilikan Jaminan Kesehatan Nasional Menuju Universal Health Coverage Maryanto, Hendri; Misnaniarti, Misnaniarti; Idris, Haerawati; Fajar, Nur Alam
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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Introduction: A country's National Health Insurance Program aims to achieve  Universal Health Coverage and guarantee that every citizen has access to healthcare. Objective: To evaluate aspects related to involvement in National Health Insurance, challenges faced, and efforts made to maintain and increase engagement. Method: Researchers use simple data analysis techniques (simplified approach). Researchers have selected 12 national and 8 international articles for research. Results: This study shows that three main factors influence involvement in the Health Social Security Administration Agency: predisposing factors, supporting factors, and need factors. Predisposing factors include age, gender, education, occupation, and number of families. Conclusion: Age, gender, education, occupation, and number of family members are predisposing factors. Possible factors are knowledge, income, and family support, while need factors are family perceptions and desires. The study not only found components but also found barriers that affect participation in National Health Insurance and efforts that can increase participation elements.
Determinan yang Mempengaruhi Pemanfaatan Pelayanan pada Penderita Hipertensi: Studi Literatur Agustine, Farina Eka; Idris, Haerawati; Misnaniarti, Misnaniarti
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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Background: Hypertension is a disease that is the number one cause of death in the world every year. Hypertension can cause complications from various diseases, such as heart attacks, strokes or kidney disease. Therefore, hypertension is a disease that must always be controlled routinely in health facilities. So this study aims to analyze the determinants that influence the use of services for hypertension sufferers. Methods: This research uses the Literature Review method. The approach used is Narrative Literature Review. There are 10 research articles obtained from a database, namely Google Scholar, Pubmed and ScienceDirect. The keywords used are Service Utilization and Hypertension. This method consists of collecting journals and drawing several conclusions and then reviewing them in depth. Research Results: From the 10 articles taken, the results showed that there was a relationship between age, gender, type of membership and region on the use of health services in hypertension sufferers. Conclusion: Utilization of services for hypertension sufferers can be influenced by several variables, namely age, gender, type of membership and region.
Co-Authors Achmad Fickry Faisya, Achmad Fickry Agustine, Farina Eka Amrina Rosyada Andarini, Desheilla Anggreini, Rini Anggun Budiastuti Anita Rahmiwati Apriliani, Ferenadia Ardhan, Jery Asmaripa Ainy Astari, Dea Widya Azizah, Shinta Cynthia Cynthia Desheila Andarini, Desheila Dian Safriantini, Dian Dini Nabila Aryani Dinta, Nadya Ariba Ekananda, Detya Sella Elwin, Ghani El Mughni Muhammad Hidayatullah Fajar , Nur Alam Fajarini, Dessy Fatya Rizki Fadillah Febriyanti, Henny Feranita Utama Fitri Fitri Fitriani, Novi Hamzah Hasyim Hanifah, Arindi Dinda Hardina, Siti Hartati Inaku Hayati, Thursina Vera Hidayatullah, Muhammad Dwi Indah Purnama Sari Indahsari, Siti Rahmi Inoy Trisnaini Iqlima, Erni Jangga, Jangga Juliyanda, Nugraha Khaeriyah, Muthia Khairunnisa, Nyayu Maharani Khoirunnisa, Salsabila Kurnia Sari, Wulan Lestari, Peggy Ayu Maretha, Rika Maryanto, Hendri Misnaniarti Misnaniarti Monika, Salsabila Mufarika, Rully Najmah, Najmah Netarisa Nia Novita Sari Ningsih, Nining Ade Nirmalasari, Melisa Yuni Novrikasari Novrikasari, Novrikasari Nur Alam Fajar Nurmalia Ermi Permana Putra, Dicky Permatasari, Rahmalia Pradisa, Dea Purnamasari, Septi Putrisha, Shantya Adeline Rachmawati, Aisyah Restu Wulandari, Anggun Rifka, Niswatul Rini Anggraeni Rini Anggraini, Rini Rizma Adlia Syakurah Rosdiana Rosdiana Rostika Flora Rusdiana Rusdiana Safithri, Vani Saparuddin Latu Sari, Merry Afriliana Sari, Novrika Silvi Ariyanti Silvi Aulia Rahmah Sri Agustini Suhendra, Ahmad Adi SYADZA, EGA RAVA Tembo, Tannia Trisfayeti, Ica Hervita Utama Ningsih, R.E Solfitri Wati, Yeni Arsika Yuanita Windusari Yuliantari, Devy Zaleha, Siti