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Pemanfaatan Pelayanan Persalinan di Wilayah Kerja Puskesmas Sidotopo Ariska, Rinda Minanti; Dhamanti, Inge
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 16 No 2 (2024): JIKM Vol. 16, Edisi 2, Mei 2024
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v16i2.654

Abstract

AbstrakLatar Belakang: Penurunan Angka Kematian Ibu (AKI) diupayakan dengan menjamin setiap ibu mampu mengakses pelayanan persalinan oleh tenaga kesehatan terlatih di fasilitas pelayanan kesehatan. Akses tersebut nyatanya belum tercapai dengan sempurna. Salah satunya di Puskesmas Sidotopo dengan persentase cakupan terendah di Kota Surabaya sebesar 80,34%, berdasarkan data dari Dinas Kesehatan Kota Surabaya Tahun 2021. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan pemanfaatan pelayanan persalinan di wilayah kerja Puskesmas SidotopoMetode: Jenis penelitian ini ialah observasional analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan melalui kuesioner dengan instrumen penelitian berskala nominal dan ordinal.Teknik systematic random sampling digunakan untuk pemilihan sampel sehingga menghasilkan 99 responden, yaitu ibu bersalin di wilayah kerja Puskesmas Sidotopo. Data dianalisis menggunakan uji korelasi chi-square dan fisher untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan pelayanan persalinan.Hasil: Uji statistik menunjukkan ada hubungan antara pendidikan (p=0,005), pendekatan (p=0,000), penerimaan (p=0,000), kemampuan untuk memahami (p=0,000), kemampuan untuk mencari (p=0,004), dan kemampuan untuk menjangkau (p=0,000) dengan pemanfaatan pelayanan persalinan.Kesimpulan: Variabel yang menunjukkan hubungan dengan pemanfaatan pelayanan persalinan adalah usia, pendidikan, pendekatan, penerimaan, kemampuan untuk memahami, kemampuan untuk mencari, dan kemampuan untuk menjangkau. Variabel yang tidak berhubungan adalah variabel umur, pekerjaan, dan kemampuan untuk terlibat. Puskesmas disarankan dapat meningkatkan pengetahuan terkait pentingnya persalinan ditolong oleh tenaga kesehatan di fasilitas kesehatan dengan melakukan kerjasama dengan masyarakat di sekitar ibu.Kata kunci: Angka Kematian Ibu, Persalinan, Puskesmas AbstractBackground: Reducing the maternal mortality rate (MMR) is pursued by ensuring that every mother is able to access childbirth services by trained health personnel in health care facilities. In fact, this access has not been achieved perfectly. One of them is Sidotopo Health Center with the lowest coverage percentage in Surabaya City at 80.34%, based on data from the Surabaya City Health Office in 2021. The purpose of this study was to analyze the factors associated with the utilization of childbirth services in the Sidotopo Health Center working area.Methods: This type of research is analytic observational with a cross sectional approach. Data were collected through questionnaires with nominal and ordinal scale research instruments. Systematic random sampling technique was used for sample selection resulting in 99 respondents, which are mothers giving birth in the working area of Sidotopo Health Center. Data were analyzed using chi-square and fisher correlation tests to determine factors associated with utilization of childbirth services.Results: Statistical tests showed a relationship between education (p=0.005), approachability (p=0.000), acceptability (p=0.000), ability to perceive (p=0.000), ability to seek (p=0.004), and ability to reach (p=0.000) with utilization of childbirth services.Conclusion: The variables that showed a relationship with delivery service utilization were age, education, approachability, acceptability, ability to perceive, ability to seek, and ability to reach. Unrelated variables were age, occupation, and ability to engage. Health center is recommended to increase knowledge related to the importance of childbirth assisted by health personnel in health facilities by collaborating with the community around the mother.Keywords: Childbirth, Health Center, Maternal Mortality Rate
Pengaruh Harga Iuran dan Sanksi terhadap Lama Keterlambatan Pembayaran Iuran Program Jaminan Kesehatan Nasional Ariska, Rinda Minanti; Nuria, Shinta; Budiarto, Wasis
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.474-480

Abstract

Background: Participants of National Health Insurance in Indonesia reached 252,235,864 with 93.05% coverage. East Java is one of the provinces that has not yet achieved Universal Health Coverage or UHC with a membership coverage of 88.6%. For East Java, there are 8 cities/regencies that have reached UHC, with the largest number of inactive participants being in the city of Surabaya with 591,273 or 67.5%. Objectives: The purpose of this study was to determine the effect of contribution fee and penalties on the length of delay in paying contributions to the national health insurance program. Methods: The type of research used was a descriptive study with a cross-sectional design, with a sample of 107 participants in the national health insurance program from noncontribution assistance recipients who had or currently had National Health Insurance contributions in arrears in 2022 in the city of Surabaya. Results: The results showed that the National Health Insurance contribution price variable had a significant effect on the length of delay (α <0.05) with an odds ratio of 0.39 and 95% CI (-1.892 to -0.010). The formation of sanctions also had a significant effect on the delay in paid National Health Insurance contributions (α <0.05) with an odds ratio of 0.32 and a CI of 95% (-2.068 to -0.201). Conclusions: There was a significant influence between the price of National Health Insurance contributions and sanctions on the length of delay in paid National Health Insurance contributions. It expected that National Health Insurance participants from the non-contribution assistance recipient group could access National Health Insurance services to know National Health Insurance regulations and could pay contributions on time so that their membership status remained active.