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EFEKTIVITAS PELAKSANAAN PROLANIS DALAM PENGELOLAAN PENYAKIT TIDAK MENULAR DI PUSKESMAS MERGANGSAN YOGYAKARTA Endartiwi, Sri Sularsih; Ispandiyah, Woro
JURNAL PENELITIAN TERAPAN KESEHATAN Vol 12 No 1 (2025): JURNAL PENELITIAN TERAPAN KESEHATAN
Publisher : Poltekkes Kemenkes Bengkulu

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Abstract

Latar Belakang: seluruh FKTP termasuk puskesmas merupakan fasilitas pertama yang dimanfaatkan oleh pasien dimana FKTP diharapkan mampu menyelesaikan permasalahan kesehatan sesuai dengan Gate Keeper kompetensi yang harus dimiliki FKTP. FKTP juga harus memberikan pelayanan prolanis. Puskesmas Mergangsan juga merupakan salah satu puskesmas yang memberikan pelayanan prolanis. Peserta prolanis di puskesmas Mergangsan termasuk aktif untuk berkunjung ke puskesmas, akan tetapi kurang lebih 50% termasuk peserta yang kurang aktif. Tujuan: menganalisis efektivitas pelaksanaan prolanis dalam pengelolaan penyakit tidak menular di puskesmas Mergangsan Yogyakarta. Metode: Jenis penelitian ini adalah penelitian survei dengan menggunakan metode deskriptif kuantitatif dan kualitatif (mix method) dengan desain atau rancangan penelitian cross sectional. Populasi dalam penelitian ini adalah peserta Prolanis di Puskesmas Mergangsan Yogyakarta sebanyak 1200 orang. Jumlah sampel pada penelitian ini adalah 34 sampel. Pengumpulan data dilakukan dengan pembagian kuesioner kepada peserta prolanis. Data dianalisis dengan menggunakan chie square. Hasil: Terdapat pengaruh yang signifikan antara keikutsertaan dalam prolanis terhadap kepatuhan minum obat pada peserta pronalis di Puskesmas Mergangsan Kota Yogyakarta. Terdapat pengaruh yang signifikan antara kepatuhan minum obat terhadap pengelolaan PTM (Penyakit tidak menular) pada peserta pronalis di Puskesmas Mergangsan Kota Yogyakarta. Simpulan: Puskesmas mengembangkan kegiatan prolanis sehingga peserta prolanis menjadi lebih terkontrol kesehatannya. Peserta prolanis lebih patuh untuk mengkonsumsi obat secara rutin agar kondisi kesehatannya bisa stabil.
Pembinaan Santri untuk Menumbuhkan Jiwa Leadership Islam di Pondok Pesantren Modern Bantul Yogyakarta Putra, Hodiri Adi; Wijayanti, Nor; Tursilowati, Sri Yuni; Endartiwi, Sri Sularsih; Ispandiyah, Woro; Julaikah, Julaikah; Amyati, Amyati
Marsipature Hutanabe: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 02 (2024): Marsipature Hutanabe: Jurnal Pengabdian Kepada Masyarakat
Publisher : CV. Devi Tara Innovations

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Abstract

Islamic boarding school-based leadership requires someone who has Islamic boarding school-style leadership criteria, such as adaptive, selective, independent, strong and adhering to Islamic teachings in order to create an ideal education system. The purpose of this service is to explain the basics and foundations of Islamic leadership in the Qur'an and Hadith to students and Islamic boarding school administrators who are carrying out their duties in applying the knowledge they have gained at the Islamic boarding school to be put into practice at the Islamic boarding school. This community service method takes the form of coaching activities for students regarding Islamic leadership which is carried out offline. The number of students who took part in this service activity was 73 students. The results of the service activities showed that the students were enthusiastic about participating in this activity and were able to understand Islamic leadership such as self-management and practicing discipline in participating in activities at the Islamic boarding school and not using things that were not their rights. The benefit of this service activity is that the students can apply and understand Islamic leadership both while inside the Islamic boarding school and outside the Islamic boarding school.
Analisis Tarif Pelayanan Kesehatan Di FKTP: Analysis Of Health Services Rates At FLHSF Ispandiyah, Woro; Sri Sularsih Endartiwi; Hendi irawan; Muhammad Danang Fahrur Nur Fuad
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 14 No. 2 (2023): Jurnal Kesmas Untika Luwuk : Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/phj.v14i2.228

Abstract

Fasilitas pelayanan kesehatan tingkat pertama (FKTP) merupakan pelayanan yang pertama bagi peserta program Jaminan Kesehatan Nasional (JKN). Pada tahun 2023 pemerintah mengeluarkan kebijakan baru yaitu Peraturan Menteri Kesehatan Republik Indonesia Nomor 3 Tahun 2023 tentang Standar tarif pelayanan kesehatan dalam penyelenggaraan program jaminan kesehatan. Perubahan peraturan memberikan dampak bagi pemberi pelayanan kesehatan tingkat pertama dalam kegiatan operasionalnya dan penggunaan dana kapitasi pada FKTP. Tujuan adalah menganalisis perubahan peraturan tentang tarif pelayanan yang diimplementasikan pada fasilitas kesehatan tingkat pertama meliputi Puskesmas, Klinik pratama dan Dokter Praktek perorangan. Metode Studi Kebijakan dengan melakukan analisis terhadap kebijakan standar tarif yang digunakan di FKTP sejak diberlakukannya program jaminan kesehatan yang menghasilkan output terhadap data yang ada, penjabaran dari penemuan hasil kajian. Penelitian dengan pencarian data atau bahan literatur dari peraturan kebijakan tentang tarif pelayanan kesehatan, artikel yang dijadikan suatu landasan dalam isi maupun pembahasan. Hasil penelitianya adanya perubahan Permenkes no 3 tahun 2023 tentang ketentuan tarif pelayanan kesehatan terdapat kenaikan biaya pelayanan dan aturan yang lebih spesifik. Nilai kapitasi yang baru dapat digunakan untuk biaya pembelian obat dan pengadaan bahan habis pakai. Penentuan besaran tarif pelayanan FKTP perlu dilakukan pengkajian selanjutnya dengan memperhatikan rasio kepesertaan, pembiayaan obat-obatan dan wilayah FKTP.First level health service facilities (LFHSF) are the first services for National Health Insurance (NHI) program participants. In 2023, the government issued a new policy, namely Regulation of the Minister of Health of the Republic of Indonesia Number 3 of 2023 concerning Health Service Tariff Standards in the implementation of health insurance programs. Changes in regulations have an impact on first-level health service providers in their operational activities and the use of capitation funds in FLHSF. The aim is to analyze changes in regulations regarding service rates implemented in first-level health facilities including Community Health Centers, Pratama Clinics and individual practicing doctors. Policy Study Method by analyzing the standard tariff policies used at FLHSF since the implementation of the health insurance program which produces output based on existing data, elaborating on the findings of the study results. Research by searching for data or literature material from policy regulations regarding health service rates, articles that serve as a basis for the content and discussion. The results of the research are changes to Minister of Health Regulation No. 3 of 2023 concerning health service tariff provisions, there are increases in service costs and more specific regulations. The new capitation value can be used for the costs of purchasing medicines and procuring consumables. Determining the tariff for FLHSF services needs to be further studied by taking into account membership ratios, funding for medicines and the FLHSF area. It is hoped that changes to health service tariff regulations at the FLHSF will be able to improve health services.
THE APPLICATION OF STANDARDIZED HEALTH SERVICE FEES IN THE HEALTH INSURANCE SCHEME Endartiwi, Sri Sularsih; Ispandiyah, Woro
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.152-161

Abstract

Background: The implementation of the Indonesian Minister of Health Regulations No. 3 of 2023 on the standard health service tariff in the national health insurance program, as a replacement for the previous policy, has created confusion among field implementers. The capitation rate is considered sufficient but is sometimes insufficient to cover Public Health Care (PHC) operational costs. Aims: This study aims to analyze standard health service tariffs in the implementation of the health insurance program at PHCs.  Methods: The authors used descriptive qualitative methods with a case study as the research design. The unit of analysis was the health service tariff standards at the PHCs. Data collection techniques involved snowball discussions followed by FGDs. Research subjects were selected using a purposive sampling technique. The FGDs consisted of 3 participants from BPJS Kesehatan, 4 from the public health centers, 2 people from private clinics, and 3 individual practitioner doctors. Data were analyzed using Open Code software. In addition, a policy analysis of PHC tariff standards was also conducted.  Results:  PHCs have implemented the Minister of Health Regulations No. 3 of 2023 since February 2023. In the implementation of health service tariff standards at the PHCs, no significant obstacles were encountered, as they adjusted to the applicable policies. Although the tariff standards follow Minister of Health Regulations No.3 of 2023 and include an increase in the capitation value compared to the previous policy, the amount is perceived as inadequate and still below the reasonable cost required for service delivery. Private clinics and individual practitioners must still cover operational expenses using capitation funds supplemented by income from non-insured patients to meet operational costs related to human resources, equipment, and supporting facilities. Conclusion: PHCs have implemented the standard health service tariff in accordance with the existing policy. However, the increase in capitation fees has not fully covered the costs at PHCs. Keywords: health service; PHC; tariff standard
Edukasi PHBS (Perilaku Hidup Bersih dan Sehat) di Pondok Pesantren Wijayanti, Nor; Sularsih Endartiwi, Sri; Ispandiyah, Woro
JURNAL ABDIMAS KESEHATAN TERPADU Vol. 4 No. 2 (2025): Jurnal Abdimas Kesehatan Terpadu
Publisher : Fakultas Kedokteran Gigi, Universitas Trisakti bekerjasama dengan Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jakt.v4i2.25044

Abstract

CHLB (Clean and Healthy Living Behavior) enables the Islamic boarding school community to independently and actively participate in disease prevention and improve health and hygiene within the school environment. Observations at this Islamic boarding school revealed that approximately 70% of female students have not yet properly implemented CHLB.   For example, still reusing dirty clothes, not washing their hair at least once every 2 days, not combing their hair diligently, not washing their hands with soap and running water after using the toilet, still hanging dirty clothes, and brushing their teeth sometimes only once a day. Based on the results of interviews with students, it was also obtained information that some students had suffered from scabies, tinea versicolor, itchy skin, insect bites such as tomcats, and head lice. This activity aims to increase the knowledge and understanding of students about the importance of CHLB and its application in daily activities. The method used is education aimed at students who live at the Harun Asy-Syafi'i Putri Tahfidz Al-Qur'an Islamic Boarding School using the lecture method. The activity went smoothly. Students who participated in CHLB education activities at the Islamic boarding school had increased knowledge from before the education was held. Students already understand the importance of implementing CHLB in daily life to prevent disease. Every student is expected to consistently practice CHLB  at the Islamic boarding school. Furthermore, both students and Islamic boarding school administrators can always seek information to increase their knowledge of CHLB.
Edukasi gizi remaja sebagai upaya deteksi dini prediabetes Maria, Debby Yulianthi; Setyowati, Sri; Kurnia, Nia Marlina; Fatimah, Andini Nur; Murandari, Murandari; Setiadi, Adi; Rahayu, Bety Agustina; Ispandiyah, Woro
Link Jurnal Masyarakat Vol 2 No 2 (2025): December : Jurnal Masyarakat
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljm.v2i2.122

Abstract

Latar belakang: Prediabetes pada remaja merupakan masalah kesehatan yang semakin meningkat seiring dengan perubahan gaya hidup, pola makan tidak seimbang, dan rendahnya aktivitas fisik. Kondisi ini sering tidak terdeteksi secara dini karena minimnya pengetahuan remaja mengenai faktor risiko dan upaya pencegahan. Tujuan: Program Pengabdian kepada Masyarakat (PKM) ini bertujuan untuk meningkatkan pengetahuan, kesadaran, dan kemampuan manajemen diri remaja dalam mendeteksi dini prediabetes melalui pendekatan edukasi gizi. Metode: Kegiatan dilaksanakan pada remaja usia sekolah menengah dengan metode penyuluhan interaktif, diskusi kelompok, dan evaluasi pre-test serta post-test. Materi edukasi meliputi pengenalan prediabetes, faktor risiko, prinsip gizi seimbang, pemilihan makanan sehat, serta strategi manajemen diri dalam kehidupan sehari-hari. Instrumen yang digunakan yaitu kuesioner pengetahuan. Data hasil PKM dianalisa dengan dekriptif analitik. Hasil: adanya peningkatan pengetahuan dan pemahaman remaja mengenai prediabetes dan pentingnya pola makan sehat sebagai langkah preventif. Simpulan: Edukasi gizi terbukti efektif sebagai pendekatan promotif dan preventif dalam deteksi dini prediabetes serta mendorong perilaku hidup sehat pada remaja. Disarankan agar program edukasi gizi mengenai prediabetes dilaksanakan secara berkelanjutan dan terintegrasi dalam kegiatan promosi kesehatan di sekolah. Tenaga pendidik dan petugas kesehatan perlu berkolaborasi dalam memperkuat materi pola makan sehat serta gaya hidup aktif pada remaja.