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The Factors Associated with Ownership of Health Insurance Among Women of Reproductive Health in Guyana Rusmitasari, Heni; Santoso, Eko Budi; Supriatin, Supriatin; Maretalinia, Maretalinia
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.70196

Abstract

Women of reproductive age are one vulnerable group because of the phase of pregnancy, childbirth, and contraceptive use. Due to those reasons, they need to be covered by health insurance. However, the coverage of health insurance remains low, especially in developing countries including Guyana. This study aimed to examine the factors associated with ownership of health insurance among women of reproductive age. This study used the data from Multiple Indicators Cluster Survey Wave 6 (MICS6) Guyana in 2019-2020. Totally, 5,470 women met the criteria. The multivariate analysis was done by 2 models including the community characteristics. It was found some factors related to having or not having health insurance, including living in Damerara-Mahaica and Mahaica-Berbice regions, having Muslim, female, and from Amerindian, East Indian, and Mixed ethnic of household head, having a higher wealth index and education level, aged 30-34, and formerly marriage or never married. The health insurance scheme needs to be arranged especially at tat regional level to ensure women can access maternal services easily and effectively.
Faktor-Faktor Yang Berhubungan Dengan Kepuasan Pasien Rawat Jalan Poliklinik Bedah Di Rumah Sakit Ratri, Safitri Permata; Wardani, Ratih Sari; Rusmitasari, Heni; Lahji, Aisyah
Prosiding Seminar Nasional Unimus Vol 7 (2024): Transformasi Teknologi Menuju Indonesia Sehat dan Pencapaian Sustainable Development G
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pendahuluan: Kepuasan pasien menjadi kunci keseimbangan bagi sistem pelayanan kesehatan yang harusselalu diperhatikan. Kepuasan pasien dapat terpenuhi apabila layanan yang diterima sesuai dengankeingginan pasien. Jika pasien puas maka pasien cenderung akan melalukan kunjungan ulang danterbentuknya keterpercayaan pelayanan. Tujuan penelitian ini untuk mengetahui hubungan mutu pelayanandan citra pelayanan kesehatan terhadap kepuasan pasien rawat jalan poliklinik bedah RSUD dr. GondoSuwarno. Metode:  Jenis penelitian ini yaitu observasional analitik dengan desain cross sectional. Populasipenelitian yaitu pasien rawat jalan poliklinik bedah RSUD dr. Gondo Suwarno berjumlah 5.828 denganperhitungan sampel quota sampling sehingga didapatkan 104 sampel. Pengumpulan data menggunakankuesioner untuk variabel mutu pelayanan dan citra pelayanan kesehatan. Analisis data dilakukan secaraunivariat dan bivariat dengan uji hubungan menggunakan Rank Spearman’s. Hasil: Didapatkan hasildominasi variabel reliability (62,5%), responseveness (89,4%), tangible (87,5%), assurance (84,6%),emphaty (85,6%), dan citra pelayanan kesehatan (86,5%) berkategori baik dan kategori kepuasan 74%. Adahubungan yang bermakna antara dimensi reliability (sig p=0,003), responseveness (sig p=0,000), tangible(sig p=0,000), assurance (sig p=0,000), emphaty (sig p=0,000), dan citra pelayanan kesehatan (sigp=0,000). Kesimpulan: Terdapat hubungan yang positif antara dimensi reliability, responsiveness,tangible, assurance, emphaty, dan citra pelayanan kesehatan terhadap kepuasan pasien. Kata Kunci : kepuasan pasien rawat jalan, servquel, citra pelayanan kesehatan.
Penyegaran Metode Pembuatan Kuesioner Kebutuhan Pelatihan di BAPELKES Provinsi Jawa Tengah Sayono; Rusmitasari, Heni; Suyoto
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 4 No 2 (2025): April
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jipmi.v4i2.704

Abstract

Latar belakang: Tenaga kesehatan perlu memiliki kompetensi yang sesui untuk menjalankan program Kesehatan secara efektif. Namun, seringkali terdapat kesenjangan antara kompetensi yang dimiliki dengan kebutuhan tugas yang ada di lapangan. Tujuan: Menganalisis kebutuhan pelatihan pada tenaga Kesehatan. Metode: Studi deskriptif dengan pendekatan kuantitif. Data dikumpulkan melalui kuesioner yang disebarkan kepada tenaga Kesehatan menggunakan google form, kemudian dianalisis. Hasil: Responden memiliki kompetensi yang sesuai dengan jenis jabatannya, serta perlu adanya pelatihan yang difokuskan pada aspek-aspek kompetensi untuk meningkatkan kinerja dari tenaga Kesehatan. Kesimpulan: Kompetensi sudah sesuai dengan jenis jabatan, terdapat 3 jenis pelatihan yang menjadi prioritas di masing-masing jenis tenaga kesehatan. Kata kunci: pelatihan, tenaga kesehatan, training needs analysis _____________________________________________________________________ Abstract Background: Healthcare workers must possess the appropriate competencies to implement health programs effectively. However, there is often a gap between existing competencies and the actual demands in the field. Objective: To analyze the training needs of healthcare workers. Method: A descriptive study with a quantitative approach. Data were collected through questionnaires distributed to healthcare workers via Google Forms and subsequently analyzed. Result: Respondents generally had competencies aligned with their job titles. However, there is a need for training focused on specific competency aspects to enhance the performance of healthcare workers. Conclusion: Competencies were generally in line with job titles. Three types of training were identified as priorities for each category of healthcare workers. Keywords: training, healthcare workers, training needs analysis
Factors Related to Employer Health Insurance Contribution During COVID-19 Epidemic in Indonesia Rusmitasari, Heni; Supriatin, Supriatin; Sadli, Mohamad; Amaliah, Lili; Tresnawan, Teten; Suyitno, Suyitno; Maretalinia, Maretalinia
JURNAL INFO KESEHATAN Vol 21 No 3 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss3.1208

Abstract

The COVID-19 pandemic impacted all sectors of the world, including business. In fact, the employer faced a collapse, and many employees were determined. Another issue is health insurance, which might change before and during the pandemic. The objective of this study was to examine the factors associated with the employer’s contribution to health insurance during COVID-19. The secondary data, “Rapid Gender Assessment Survey 2021”, was used on 239 employees in Indonesia. The dependent variable in this study was employer contribution to health insurance during the pandemic (yes or no) and the main independent variable was employer contribution before the pandemic. Other sociodemographic variables were also included in the model as controls. This study used univariate, bivariate, and multivariate (binary logistic regression). The result of this study revealed that employers who contributed to health insurance before the pandemic tend to contribute again to health insurance during the pandemic. This study also reviews the legal law, including regulations about national health insurance and employment. The government’s intention is needed to ensure the rights of employees are well realized. 
Sosialisasi Stunting Balita Pada Ibu PKK RT 03 RW 02 Tegalkangkung Kedungmundu Kota Semarang Astuti, Rahayu; Wirdati, Ismi Elya; Rusmitasari, Heni
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 2 No 1 (2023): Januari
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jipmi.v2i1.91

Abstract

Latar belakang: Salah satu masalah gizi yang saat ini menjadi program nasional adalah stunting. Berdasarkan data dari Kementerian Kesehatan RI tahun 2020, prevalensi stunting sebesar 24,1% diharapkan pada tahun 2024 turun menjadi 14%. Prevalensi stunting di Jawa Tengah masih 20,9% dan kota Semarang 21,3%. Tujuan: Meningkatkan pengetahuan tentang Stunting pada ibu-ibu PKK. Metode: Kegiatan pengabdian dilaksanakan dengan sosialisasi menggunakan metode ceramah dan diskusi. Hasil: Hasil pengukuran pre-test dan post-test, sebelum dan setelah dilakukan sosialisasi tentang stunting pada ibu-ibu PKK RT 3 RW 2, diperoleh hasil bahwa nilai pre-test berkisar 0-100 dengan nilai 57,9 ± 19,5 (x  ± SD). Nilai hasil post-test  berkisar 50-100  dengan nilai 85,5 ± 16,6 (x  ± SD). Rerata nilai pengetahuan pre-test dan post-test berdistribusi tidak normal, namun berbeda bermakna (p=0,000). Rerata nilai pengetahuan sebelum soaialisasi 57,9 dan sesudah sosialisasi 85,5. Kesimpulan: Kegiatan sosialisasi dengan penyuluhan dapat meningkatkan pengetahuan ibu tentang stunting. Direkomendasikan melaksanakan sosialisasi tentang kesehatan secara berkala kepada ibu PKK untuk menjaga derajat kesehatan masyarakat. Kata Kunci: balita, penyuluhan, perilaku sehat, sosialisasi, stunting _________________________________________________________________________________________ Abstract Background: One of the nutritional problems that are currently a national program is stunting. Based on data from the Indonesian Ministry of Health for 2020, the prevalence of stunting is 24.1% and it is hoped that in 2024 it will decrease to 14%. The prevalence of stunting in Central Java is still 20.9% and in Semarang city is 21.3%. Objective: Increase knowledge about stunting among PKK mothers. Method: Community service activities are carried out by outreach using lecture and discussion methods. Results: The results of the pre-test and post-test measurements, before and after the socialization about stunting for PKK RT 3 RW 2 mothers, showed that the pre-test scores ranged from 0-100 with a value of 57.9 ± 19.5 (x  ± SD). Post-test results ranged from 50-100 with a value of 85.5 ± 16.6 (x  ± SD). The mean pre-test and post-test knowledge scores were not normally distributed, but significantly different (p=0.000). The mean value of knowledge before socialization was 57.9 and after socialization was 85.5. Conclusion: Outreach activities with counseling can increase mothers' knowledge about stunting. It is recommended to carry out periodic health outreach to PKK mothers to maintain the health status of the community. Keywords: toddlers, counseling, healthy behavior, socialization, stunting
Evaluasi Pasca Pelatihan Pemberian Makan Bayi dan Anak (PMBA) Pada Tenaga Kesehatan Tingkat Pertama di Jawa Tengah Sayono; Rusmitasari, Heni; Suyoto
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 3 No 3 (2024): Juli
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jipmi.v3i3.702

Abstract

Latar belakang: Pemberian Makan Bayi dan Anak (PMBA) merupakan komponen penting dalam pencegahan stunting dan peningkatan status gizi balita. Pelatihan PMBA bagi kader dan ibu balita telah dilaksanakan sebelumnya, namun diperlukan evaluasi untuk mengetahui efektivitas pelatihan tersebut terhadap perubahan pengetahuan, sikap, dan praktik peserta. Tujuan: Kegiatan pengabdian ini bertujuan untuk mendiseminasikan hasil evaluasi pasca pelatihan PMBA dan mendorong tindak lanjut peningkatan kapasitas kader serta ibu balita dalam praktik PMBA. Metode: Kegiatan ini dilakukan melalui telaah data hasil evaluasi pasca pelatihan PMBA yang melibatkan kader dan ibu balita di wilayah binaan. Analisis data mencakup perbandingan nilai pre dan post test pengetahuan, sikap, dan praktik peserta pelatihan, serta penyusunan laporan hasil evaluasi sebagai dasar advokasi kegiatan lanjutan. Hasil: Hasil evaluasi menunjukkan peningkatan skor rata-rata pada seluruh aspek: pengetahuan (67,2 menjadi 84,5), sikap (70,4 menjadi 86,3), dan praktik (60,3 menjadi 74,2). Data ini menunjukkan bahwa pelatihan memberikan dampak positif terhadap kapasitas kader dan ibu balita dalam menerapkan PMBA. Kesimpulan: Evaluasi menunjukkan bahwa pelatihan PMBA efektif dalam meningkatkan pengetahuan, sikap, dan praktik peserta. Kegiatan pengabdian ini memberikan rekomendasi untuk pelatihan lanjutan serta pendampingan rutin guna memperkuat penerapan PMBA di masyarakat. Kata kunci: evaluasi pelatihan, makan bayi dan anak, kader posyandu, praktik gizi balita _______________________________________________________________________ Abstract Background: Infant and Young Child Feeding (IYCF) is a critical component in preventing stunting and improving the nutritional status of children under five. IYCF training for community health volunteers and mothers of toddlers has been conducted previously, but an evaluation is needed to determine the effectiveness of the training in changing participants’ knowledge, attitudes, and practices. Objective: This community service activity aims to disseminate the results of the post-training evaluation of IYCF and to encourage follow-up efforts to strengthen the capacity of health volunteers and mothers in practicing appropriate IYCF. Method: This activity was conducted through a review of post-training evaluation data involving health volunteers and mothers in a designated area. Data analysis included comparisons of pre- and post-test scores for participants’ knowledge, attitudes, and practices, followed by compiling an evaluation report to serve as a basis for advocacy and follow-up programs. Result: The evaluation showed an increase in the average scores across all aspects: knowledge (from 67.2 to 84.5), attitude (from 70.4 to 86.3), and practice (from 60.3 to 74.2). These findings indicate a positive impact of the training on the capacity of health volunteers and mothers in implementing IYCF. Conclusion: The evaluation indicates that IYCF training was effective in improving participants’ knowledge, attitudes, and practices. This community service activity recommends further training and regular mentoring to strengthen the implementation of IYCF at the community level. Keywords: training evaluation, infant and young child feeding, community health volunteers, child nutrition practices