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All Journal Jurnal Penelitian Pendidikan IPA (JPPIPA) Oshada
Asni Hasanuddin
STIKES IST Buton, Sulawesi Tenggara
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Education Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Physics

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Health Disparity Reduction Policy through Community Health Centers in Remote Areas Andi Hardianti; Asni Hasanuddin; Kamesyworo Kamesyworo; La Ode Asrianto
Oshada Vol. 2 No. 2 (2025): Oshada Journal - April
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/3gh8jm87

Abstract

The gap in access and quality of health services in Indonesia, especially in remote areas, is a structural problem that continues to hamper the development of the health sector. The unequal distribution of health workers, limited infrastructure, and low investment in basic service facilities cause people in 3T (Disadvantaged, Frontier, and Outermost) areas to experience delays in medical treatment and high maternal and infant mortality rates. Community health centers as primary health care institutions play a strategic role in overcoming this problem. However, the effectiveness of the role of Community Health Centers is often hampered by the imbalance between central policy design and local conditions, as well as a lack of resources and infrastructure. This study uses a qualitative approach with a case study in one of the 3T areas to explore the challenges and strategies for reducing health disparities through Community Health Centers. The results show that the health policies implemented are often not contextual to local needs, such as limited medical personnel and infrastructure. Therefore, an approach based on local data and involving the community in policy formulation is needed to create more adaptive solutions. Decentralization of policies and the use of technology such as telemedicine are key to increasing the effectiveness of health services in remote areas.
Evaluation of the Pulmonary Tuberculosis Control Program Muh Khindri Alwi; Asni Hasanuddin; Rony Setianto; Fidrotin Azizah; Belinda Arbitya Dewi; Nilam Fitriani Dai; Ardiansah Hasin; Jurnal Syarif
Jurnal Penelitian Pendidikan IPA Vol 9 No 6 (2023): June
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i6.3791

Abstract

Pulmonary Tuberculosis is still a priority health problem in Indonesia, and around 1.5 M people experience TB resistance where the treatment rate is only 38% in 2019 and the global TB treatment rate is only 57% successful, resistant TB costs a lot, is difficult treated so that it becomes a priority for global TB control programs. The high burden of disease and treatment for patients, poor recovery, mortality, and high mortality lead to distress for patients, families, and caregivers. This study aims to determine the success of the program, program achievements include detection rates, conversion rates, cure rates and cross checks, as well as management of human resources and facilities in implementation, as well as obstacles to pulmonary TB disease control programs in Pangkep Regency, the research method used is descriptive to obtain an overview of the P2TB Pulmonary Program in Pangkep Regency. Based on the results of the evaluation of the P2TB program at the community health centers, when viewed from the input aspect, the process is still not in accordance with the applicable requirements and guidelines, the detection of positive smear patients does not reach the target, the cure rate is low below the national target, the error rate is unknown because no cross check is carried out, so it is necessary to have officer training and refreshing courses for laboratory staff, carry out cross checks and cross-program collaboration and PMO guidance, and there is a need for screening activities in areas where there are many sufferers.
Co-Authors Andi Hardianti Ardiansah Hasin Asrianto, La Ode Belinda Arbitya Dewi FIDROTIN AZIZAH Jurnal Syarif Kamesyworo Kamesyworo Muh Khindri Alwi Nilam Fitriani Dai Setianto, Rony