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Journal : Media Gizi Kesmas

Evaluation Of Hand Hygiene Audit In Preventing Healthcare-Associated Infections At Haji Hospital Surabaya In 2020 Puspitasari, Novia Indah; Mudjianto, Dwiono; Yamani, Laura Navika
Media Gizi Kesmas Vol 11 No 1 (2022): MEDIA GIZI KESMAS (JUNE 2022)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v11i1.2022.79-87

Abstract

Latar Belakang: Hand hygiene (HH) merupakan salah satu cara yang digunakan untuk mencegah penyebaran infeksi terkait pelayanan kesehatan. Audit hand hygiene digunakan untuk menilai kepatuhan hand hygiene. Kepatuhan hand hygiene di Rumah Sakit Haji Surabaya pada tahun 2020 mengalami peningkatan yang signifikan sebesar 93,65% dibandingkan tahun sebelumnya. Hal ini tidak sesuai dengan angka kepatuhan pelaporan audit yang mengalami penurunan sebesar  77,5% dari tahun sebelumnya. Tujuan: Penelitian ini bertujuan untuk mengevaluasi pelaporan audit kepatuhan kebersihan tangan sebagai upaya pencegahan HAIs di RS Haji Surabaya. Metode: Penelitian ini merupakan penelitian deskriptif dalam bentuk studi evaluasi berdasarkan pendekatan sistem (input, proses, output) menggunakan data sekunder laporan audit kepatuhan hand hygiene Rumah Sakit Haji Surabaya tahun 2020. Pengumpulan data diperoleh dari wawancara mendalam dengan Komite Pencegahan dan Pengendalian Infeksi (PPI) dan IPCLN (Infection Prevention and Control Link Nurse) di RS Haji Surabaya. Data dianalisis dengan membandingkan dan mendeskripsikan target dan capaian laporan audit kepatuhan hand hygiene. Hasil: Hasil penelitian ini menunjukkan bahwa berdasarkan komponen input, fasilitas sudah tersedia dengan baik, sedangkan SPO terkait penggunaan aplikasi healthy plus dan jumlah IPCLN belum terpenuhi.  Berdasarkan komponen proses, pengumpulan data sudah sesuai dengan pedoman WHO tahun 2009, sedangkan pengolahan data, analisis data, pelaporan data belum belum sesuai. Berdasarkan kompenen output, angka kepatuhan hand hygiene berdasarkan waktu, tempat, dan orang telah dilaporkan sesuai dengan pedoman WHO tahun 2009 dan telah mencapai target yang ditentukan, sedangkan ketepatan pelaporan mengalami penurunan dan masih jauh dari  target yang diharapkan. Kesimpulan: Ketepatan pelaporan audit kepatuhan kebersihan tangan di rumah sakit haji Surabaya masih belum baik, sehingga disarankan untuk membuat SPO terkait dengan penggunaan aplikasi healthy plus, mengatur jam kerja IPCLN, dan memperbaiki sistem pada aplikasi healthy plus khususnya pada item penilaian hand hygiene yang tidak terinstal di dalam komputer setiap ruangan di rumah sakit. Kata kunci: audit, infeksi terkait pelayanan kesehatan, kebersihan tangan, pelaporan  
The Analysis of Factor that Associated the Antenatal Care (ANC) Visit in Pregnant Woman during the COVID-19 Pandemic at Blooto Health Center, Mojokerto Nurfitriyani, Bella Ayu; Puspitasari, Novia Indah
Media Gizi Kesmas Vol 11 No 1 (2022): MEDIA GIZI KESMAS (JUNE 2022)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v11i1.2022.34-45

Abstract

Background: The COVID-19 pandemic situation has harmed various sectors. Maternal and child health services are also affected in terms of access and quality. Based on the health profile of Mojokerto City in 2021, Blooto Health Center has the highest K1 (100.7%) and K4 (98.1%) coverage in 2020 compared to other health centers in Mojokerto City. In 2021 in the first quarter of K1 coverage decreased compared to 2020. In January 2020 and 2021, it was 10% and 8.63%, February 2020 and 2021 were 19% and 17.79%, and March 2020 and 2021 were 29, 4%, and 28.3%.   Objectives: This study aims to analyze what factors are associated with Antenatal Care (ANC) visits to pregnant women during the COVID-19 pandemic in the work area of the Blooto Health Center, Mojokerto City. Methods: This study used a cross-sectional research design. The research population was 182 pregnant women with a sample of 79 pregnant women. The sampling technique is simple random sampling. The independent variables of the study were education level, employment status, disease history, age, parity, knowledge, attitude, application of health protocols, distance from residence to health facilities, the role of medical personnel, and availability of health protocol facilities at health care facilities. The dependent variable of the study was antenatal visits. Primary data collection using online questionnaires and secondary data, namely the maternal cohort book. Data analysis used univariable and bivariable analysis by calculating the Prevalence Ratio (PR) value. Results: There is a relationship between education level, knowledge, attitude, application of health protocols, the distance of residence, role of medical personnel, and availability of health protocol facilities with ANC visits during the COVID-19 pandemic. Meanwhile, age, employment status, disease history, and parity were not related to ANC visits during the COVID-19 pandemic. Conclusions: Education level, knowledge, attitude, application of health protocols, the distance of residence, role of medical personnel, and availability of health protocol facilities related to ANC visits during the COVID-19 pandemic. Health workers and community leaders are expected to provide education to pregnant women on the importance of doing ANC checks and apply health protocols during the pandemic.