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Lutfan Lazuardi
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Jl. Farmako Sekip Utara, Yogyakarta, Indonesia 55281 Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
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Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Published by Universitas Gadjah Mada
ISSN : 14106515     EISSN : 28286774     DOI : https://doi.org/10.22146/jmpk.v25i03.5186
Core Subject : Health,
Health Professions Public Health
Misi JMPK adalah menerbitkan, menyebarluaskan dan mendiskusikan berbagai tulisan ilmiah mengenai manajemen pelayanan kesehatan yang membantu manajer pelayanan kesehatan, peneliti, dan praktisi agar lebih efektif. Jurnal ini ditujukan sebagai media komunikasi bagi kalangan yang mempunyai perhatian terhadap ilmu manajemen pelayanan kesehatan antara lain para manajer, pengambil kebijakan manajerial di organisasi-organisasi pelayanan kesehatan seperti rumah sakit, dinas kesehatan, Kementerian Kesehatan, pusat-pusat pelayanan kesehatan masyarakat, BKKBN, pengelola industri obat, dan asuransi kesehatan, serta institusi pendidikan penelitian.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 5 Documents
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Search results for , issue "Vol 23 No 02 (2020)" : 5 Documents clear
IMPLEMENTASI PERMENKES NOMOR 43 TAHUN 2016 TENTANG STANDAR PELAYANAN MINIMAL (SPM) BIDANG KESEHATAN DI DINAS KESEHATAN KABUPATEN SUMBAWA BARAT Firdaini Armita; Laksono Trisnantoro; Dwi Handono Sulistyo
Journal of Health Service Management Vol 23 No 02 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.737 KB) | DOI: 10.22146/jmpk.v23i02.4176

Abstract

Background: Ministry of Health has issued Regulation the Minister of Health No. 43 of 2016 about Minimum Service Standards (SPM) Health Sector. This SPM contains 12 types of basic services which targeting 100% by the District / City Government. According to SPM report District West Sumbawa at 2017, they must more focused in three achievements indicator, among them mental disorders (ODGJ) weight (129.92%), pregnancy care (83.02%) and Tuberculosis care (TB) (28.26%). District West Sumbawa has not declared regulation about the implementation SPM in health sector become Regent Regulation because of constraints in determining indicator objectives. Objective: To describe the acceptance Health District in implemen tation Permenkes No. 43 of 2016 about SPM in West Sumbawa Regency. Methods: This research was qualitative research with descriptive research and using implementation research. Collecting data by in-depth interviews and document review. Results: The acceptance Health District West Sumbawa in implementation Permenkes No. 43 of 2016 to three SPM indicators, resulted that: (1) has accepted in affective attitude component; (2) has not accepted in burden components; (3) only TB indicator has accepted in ethicality component; (4) only TB indicator has not accepted in intervention coherence; (5) only ODGJ indicators has accepted in opportunity costs component; (6) has accepted in perceived effectiveness component; (7) has accepted in self-efficacy component. Conclusion: Factors inhibiting acceptance implementation Permenkes No. 43 of 2016 in burden component were unavailability of regional regulation regarding SPM and dominant budgeting from APBN. Then in ethicality component there was an incompatibility between ODGJ and pregnancy indicator with local government performance indicator. Lack of training in TB care became a factor inhibition in intervention coherence. Then in opportunity costs component, there was inadequate innovation of pregnancy and TB indicator. We need attention from various sectors to improve SPM policy implementation.
PENERAPAN CUCI TANGAN PESERTA DIDIK DI RUMAH SAKIT GIGI DAN MULUT UNIVERSITAS GADJAH MADA PROF. SOEDOMO Fitrina Rachmadanty Siregar; Andreasta Meliala
Journal of Health Service Management Vol 23 No 02 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.627 KB) | DOI: 10.22146/jmpk.v23i02.4177

Abstract

Background: Dental health professionals have potential infection risks during treatment for the patients. Performing good hand hygiene is very important to prevent the transmission of infections including in dental practice. However, various studies have shown that health workers have low compliance to hand hygiene. Some factors influence the compliance of health workers in hand hygiene practice are knowledge, perceptions, attitudes, workload, and the availability of hand hygiene facilities. Objective: The aim of the study was to improve the compliance of the dental clerkship students’ hand hygiene practice at UGM Prof. Soedomo Dental Hospital. Methods: The research design was action research. Quantitative data was collected during the diagnosing action through a questionnaire on knowledge and perceptions of hand hygiene and observation of hand hygiene compliance among 35 students, focus group discussion (FGD) on four students, and evaluating the hand hygiene facilities for students. The data collected in initial stage was used to determine the planning action, taking action, and evaluation stage. Results: The hand hygiene compliance of the students increased by 60% after dissemination of hand hygiene standard procedures, hand hygiene training, improving hand hygiene facilities, and increasing the commitment using consent forms before treating patients. The result of the Wilcoxon Signed Rank Test showed a Z value of -4.583 with a p-value of 0.000 (p<0.05). Conclusion: It can be concluded that the hand hygiene compliance of clerical students in UGM Prof. Soedomo Dental Hospital increase significantly by the policy and management interventions.
EVALUASI PERENCANAAN DAN PENGANGGARAN PROGRAM PROMOTIF DAN PREVENTIF DINAS KESEHATAN KABUPATEN TANA TIDUNG, KALIMANTAN UTARA Ranik Diastuti; Julita Hendrartini
Journal of Health Service Management Vol 23 No 02 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.392 KB) | DOI: 10.22146/jmpk.v23i02.4178

Abstract

Background: Planning and budgeting are important components of community health efforts. Budget allocation for health in Tana Tidung was small. Budget absorption in health office was also low. Achievement of some Minimum Service Standard (SPM) indicators still below 60%. This indicates the possibility of problems regarding the quality of planning, budgeting, or implementation of promotive and preventive programs. Research needs to be done to evaluate the process of planning and budgeting of promotive and preventive program in Tana Tidung district health office. Objective: To evaluate the process of planning and budgeting of promotive and preventive program in Tana Tidung district health office to be known the obstacles of SPM indicators achievement. Methods: The type of research is case study research with single case design. Data collected by documentation document review, observation and in-depth interview with 17 employees in health of fice and primary healthcare centers during the period of March-April Data were analyzed with qualitative method. Results: Achievement of promotive and preventive program indicators in Tana Tidung district health office influenced by planning, either from human resources, data and information also guidelines for planning. Budgedting of promotive and preventive programs was ineffective and inefficient to improve achievement of SPM indicators. Constraints encountered are human resources have not been sufficient in quantity and quality, less communication, lack monitoring and evaluation functions, weak commitment of the programs holders in targets achievement, as well as the commitment of local authorities to promotive and preventive programs that are also weak. Conclusion: Planning and budgeting of promotive and preventive program had not been able to increase achievement of SPM indicators. Improvement is needed, especially on human resources, data management, policy components and also need a strong commitment to improve the achievement of promotive and preventive program indicators.
KAPASITAS SUSTAINABILITY PROGRAM HIV/AIDS DI KABUPATEN SINTANG Hermanto; Yodi Mahendrahata; Yanri Wijayanti Subronto
Journal of Health Service Management Vol 23 No 02 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.354 KB) | DOI: 10.22146/jmpk.v23i02.4179

Abstract

Background: HIV/AIDS sufferers in Sintang Districts recorded the number of new cases from 29 people in 2012 to 63 people in 2017. Funding for the HIV/AIDS program from the Global Fund is uncertain, while funding from the Sintang Regency APBD tends to decrease. These data indicated that the dependence on funding for the HIV/AIDS program from donors, namely the Global Fund, is large enough that a study on the sustainability of the HIV/AIDS program is required if funding support from donors ceases. This can be a consideration for local governments and managers of the HIV/AIDS program to maintain the sustainability of the HIV/AIDS program to achieve the benefits and objectives to be achieved in the HIV/AIDS prevention program. Objective: To describe capacity sustainability (funding stability, or ganizational capacity, program evaluation, program adaptation and communication) of HIV/AIDS programs in Sintang District. Methods: This research used a qualitative approach with descriptive research type. Subjects of this study were 21 people. This research used purposive sampling and snowballing sampling for People living with HIV/Aids (PLWHA), with data analysis used is content analysis. Results: The sustainability of HIV/AIDS programs has not been supported by varied funding sources and the ability to obtain funding through the private sector (CSR). Priority setting of the proposed funding program is not evenly distributed, especially on cross-sectoral OPD and lack of NGO independence in terms of funding. Increased availability of health personnel and improvement of facilities at puskesmas to be able to perform HIV / AIDS testing. Standard evaluation report formats are still not getting attention, not yet supported by the local monitoring and evaluation team as well as some OPD across sectors have not benefited from the evaluation. weak aspects of prevention of HIV/AIDS transmission and cross sectoral involvement in monitoring. lack of availability of counselors and weak cross-sectoral involvement in communicating programs. Conclusion: The capacity of funding stability, organizational capacity, program evaluation, program adaptation and communication still require improvement and improvement with priority setting policy and funding through the private sector, support for the role of stakeholders related to the HIV/AIDS program.
PERAN STAKEHOLDER TERHADAP PROGRAM KESEHATAN JIWA DALAM PENANGGULANGAN PASUNG PADA ORANG DENGAN GANGGUAN JIWA (ODGJ) DI KECAMATAN MOYUDAN KABUPATEN SLEMAN Syifa Atun Nisa; Mubasysyir Hasanbasri; Nunung Priyatni
Journal of Health Service Management Vol 23 No 02 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.275 KB) | DOI: 10.22146/jmpk.v23i02.4180

Abstract

Background: Mental health problems or mental health disorders are closely related to the physical restraint. Physical restraint on people with mental disorders is due to lack of information about mental health, financial barriers, inadequate access of mental health services especially in rural areas. The participation or role of stakeholder in mental health programs is one of the determinants to prevent the physical restraint on people with mental health disorders (ODGJ). Objective: This study aimed to find out and explore the role of stakeholders on mental health programs in prevention of physical restraint on people with mental health disorders in Moyudan, Sleman regency. Methods: This research was a descriptive study with qualitative methods. The research design used was a case study to identify and explore the role of each stakeholder in overcoming shackles in ODGJ in Moyudan District, Sleman Regency. The study used purposive sampling with research subjects totaling 19 people. Data collection is done by in-depth interviews, observation and document review. Results: All stakeholders have a role in mental health programs to prevent physical restraint on people with mental health disorders. Puskesmas as a key stakeholders have to advocate for other stakeholders. The results of advocacy are political commitment from local government, policy support from Health District Office, Social Welfare District Office, Ghrasia Mental Hospital, Moyudan district and village government. However, the implementation of the advocacy was not always successful. In this case, family as the main stake holder refused the advocacy. The negative stigma about mental health is one of the problem that is still difficult to deal within the community. Conclusion: All stakeholders have a role in mental health programs to prevent physical restraint on people with mental health disorders, although not yet optimal.

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