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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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INDONESIA
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
 1 
Search results for , issue "Vol 24 No 04 (2021)" : 5 Documents clear
PENERIMAAN PEMANGKU KEPENTINGAN KABUPATEN DALAM PENGEMBANGAN PELAYANAN TERPADU PRA-KONSEPSI Matsna Haniifah; BJ Istiti Kandarina; Retna Siwi Padmawati
Journal of Health Service Management Vol 24 No 04 (2021)
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 (142.404 KB) | DOI: 10.22146/jmpk.v24i04.4164

Abstract

Background: Stunting prevention can be accomplished in prewedding services for prospective brides based on the latest regulations regarding the acceleration of stunting reduction. Sleman Regency, as one of the focus locations for the intervention of stunting, has institutions that are involved in the service of prospective brides, i.e. institutions in the field of health, religion, and family planning. This new policy is a challenge because the existing programs in these institutions have not utmostly directed the prevention of stunting. There is a suggestion from the academic side to develop pre-conception integrated services causes be necessary to explore the early acceptance of Sleman Regency stakeholders. Objective: This study aimed to explore the potential in Sleman Regency to develop the pre-conception integrated services, including the early acceptance of stakeholders. Methods: A qualitative approach with a descriptive-exploratory design is used in this study by determining subject by purposive sampling. Research was conducted in Sleman and Mlati Sub-district. Data collection using in-depth interviews, focus group discussions, observation and document studies using the framework analysis method as a technique in analyzing the data. Results: There are various things behind aspects of stakeholder acceptance, i.e. capacity in the aspect of affective attitudes, the aspect of supportive needs of each stakeholder group, various things that affect the financing aspect, aspects of effectiveness perceived by stakeholders, aspects of stakeholder confidence in participating, and aspects of suitability of the proposed concept with stunting reduction. Conclusion: Stakeholders give a positive response and confidence to participate in pre-conception integrated service. In the future, local governments need to provide policy support to implement pre-conception integrated services as commitment to preventing stunting from upstream. In addition, stakeholders can maximize potential so that pre-conception integrated services can be a solution in improving health status of community.
HAMBATAN PEMANGKU KEBIJAKAN DALAM MENGGUNAKAN DATA RUTIN KESEHATAN IBU DAN ANAK UNTUK PERENCANAAN DAN PENGANGGARAN Brian Sahar Afifah; Lutfan Lazuardi; Tiara Marthias
Journal of Health Service Management Vol 24 No 04 (2021)
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 (624.636 KB) | DOI: 10.22146/jmpk.v24i04.4165

Abstract

Background: In Indonesia, policy stakeholders’ use of routine health data is still limited because the data are incomplete, not of good quality, and timeliness is still constrained. In MCH (Maternal and Child Health), the use of routine data contributes to the quality of services, MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate), including in the Special Region of Yogyakarta (DIY). The current pandemic situation has a negative impact on the availability of routine data and the achievements of the MCH program. Thus, it is essential to understand the factors that influence the use of routine data to improve the MCH program during the pandemic. Objective: This study aimed to explore the use of MCH data in the planning and budgeting process for MCH programs and the fac tors that need to be improved in the utilization of MCH data in DIY Province during the COVID-19 pandemic. Methods: This research is descriptive qualitative research that explores barriers to policy stakeholders’ used data in the planning and budgeting process of the MCH program. Research is located in two regencies, Sleman and Gunung Kidul Regencies, DIY Province. Determination of subjects by purposive sampling method, with criteria for stakeholders involved in the planning and budgeting process for the MCH program at the primary health care and health offices. Data analysis using content analysis techniques. Results: The study results found obstacles to using routine MCH data by policymakers, such as low quality of MCH data, Human Resources (HR) quality, an unintegrated MCH information system, internet network, and political interests. In addition, researchers also found lower quality of MCH data during the pandemic. Conclusion: The government needs to increase the use of data in planning and budgeting by using an integrated and simple electronic-based information system to meet MCH information needs. Furthermore, the government needs to make regulations on the integration of MCH information and special SOPs for MCH, improve the quality of human resources for users of information systems, increase HR motivation in respecting MCH information, and need to review PMK policy No. 7 regarding the preparation of MCH planning and budget regarding the timeline for submitting plans. and program budgets.
KUNJUNGAN RUMAH SEBAGAI STRATEGI PENINGKATAN PELAYANAN KESEHATAN UNTUK KELUARGA RAWAN DI KOTA MATARAM (WILAYAH KERJA PUSKESMAS KARANG PULE) Yatik Krisliani; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 24 No 04 (2021)
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 (141.879 KB) | DOI: 10.22146/jmpk.v24i04.4166

Abstract

Background: The Government of Indonesia has adopted the Healthy Indonesia Program with a Family Approach (PIS-PK) as a strategic step to assist home visit services for vulnerable populations. Current PIS-PK research or home visits relate to how home visits result in mapping of health conditions. Mataram city is included in the vulnerable category. For this reason, a strategy is needed to address vulnerable communities in the city of Mataram by conducting a home visit program. Objective: To examine the home visit program for vulnerable or vulnerable communities within the puskesmas area and how such home visits will strengthen the improvement of these health services. Methods: The research method used a qualitative descriptive approach with data collection using interview guidelines and data analysis using descriptive analytic. The subjects in this study were nurses or midwives who had done home visits, heads of puskesmas, heads of home visit programs and people who received home visit services. Results: Home visits were carried out to all families in the working area of the Karang Pule Health Center, both to families with health problems and those without health problems. This caused a lack of focus for health workers in providing home visit services to vulnerable families because they do not prioritize which families to visit. Antenatal care services for pregnant women were not carried out during home visits. In addition to home visits, services for pregnant women are carried out by telephone with a process through cadres to be informed to the puskesmas midwife. The services provided during home visits are health education, education and care for families who have health problems. Conclusion: Home visit service to all families in each region is an ineffective program because home visits should be aimed at prioritized families, specifically families who are vulnerable, both in terms of health and vulnerable in the use of health service facilities.
MANAJEMEN PERSEDIAAN OBAT DENGAN PENDEKATAN PERIODIC REVIEW SYSTEM Rukmono Siswishanto; Erna Kristin; Irwan Endrayanto Aluicius
Journal of Health Service Management Vol 24 No 04 (2021)
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 (139.31 KB) | DOI: 10.22146/jmpk.v24i04.4167

Abstract

Background: Continuity of drug availability in hospitals with no excessive supplies is still a problem. The range of inaccuracies in the plan for drug needs can be wasteful in procurement costs and affect the continuity of health services. Hospitals need to improve historical processing data on drug absorption to optimize drug demand planning. Objective: The research aimed to simulates optimizing the planning and control of drug inventory using the periodic review system. Methods: Case study research to plan drug needs, using daily drug uptake data longitudinally (2014-2017). The obtained formulas are used to perform simulations by comparing drug supplies based on existing methods with optimization methods on accurate uptake data in 2018. Interviews In-depth research is carried out on informants selected based on the relationship with system. Data analysis was performed using the t-test statistical test and qualitative data were analyzed using open coding. Results: An assessment of 10 types of drugs, each of 5 drugs has carried out in the fast moving and slow-moving groups. Eight out of the ten drugs reviewed, there were significant differences in drug supply between the existing method and the periodic review system method. The price of drug supplies during 2018 is Rp.13,315,337,556, while the existing method is Rp. 16,481,465,208. There were 25 cases of drug shortages worth Rp. 655,282,174 in the periodic review system method that is lower than the existing method, which is 31 instances of drug shortages worth Rp.756,743,295. Conclusion: The periodic review system method has advantages compared to existing methods in terms of fewer inventories and cost needs, and the occurrence of fewer drugs shortages and the budget to finance the drug shortages rates. Thus periodic review system method has the potential to improve the planning of drug needs in hospitals.
GAMBARAN KESIAPSIAGAAN, RESPON, DAN PEMULIHAN PADA LEVEL KABUPATEN DALAM PENGENDALIAN PANDEMI COVID-19 Luqman Hakim; Laksono Trisnantoro; Ni Luh Putu Eka Putri Andayani
Journal of Health Service Management Vol 24 No 04 (2021)
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 (166.326 KB) | DOI: 10.22146/jmpk.v24i04.4168

Abstract

Background: WHO has designated COVID-19 as a World Public Health Emergency. Success of the district level in handling COVID-19 is determined by the efforts made in these 3 phases: preparedness, response, and recovery. Sleman which has an urban character has its own vulnerabilitie and resources in the COVID-19 pandemic situation. Objective: This study aimed to obtain an overview of the preparedness, response, and recovery in controlling COVID-19. Methods: Qualitative research with a case study design in Sleman using the WHO Practical Actions in Cities to Strength Preparedness Checklist for the COVID-19 Pandemic and Beyond. The research subjects are informants who play a role in Task Force. Data were collected by means of documentation studies, observation, and in-depth interviews. Data validation was done by triangulation of sources and research data. Results: Expert academics and communities are less involved. At the beginning of the pandemic, risk communication was less than optimal to form stakeholder awareness in the government and the community, resulting in poor public compliance with health protocols and public health measures. Mobility restrictions follow national directives. However, compliance monitoring and enforcement of violations are weak. Testing and tracing capacity is still far below the standard. The strategy to increase the capacity of COVID-19 beds in hospitals does not anticipate a surge in cases, and the formation of village shelters has not been maximized. Conclusion: Planning and coordination require improvement by taking into account existing vulnerabilities and involving all resources in the community. Risk communication strategies need to be strengthened according to changing situations and tailored to specific targets using effective media. The government needs to make adjustments to public health measures carefully, taking into account the epidemiological situation, the capacity of the health system, and the socioeconomic conditions of the community.

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