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Jurnal Administrasi Kesehatan Indonesia

JAKI
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Published by Universitas Airlangga

ISSN : 23033592 EISSN : 25409301 DOI : -

Core Subject : Health,

Health Professions

Jurnal Administrasi Kesehatan Indonesia (JAKI) is a scientific journal that contains editorials, research articles, and literature reviews related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. JAKI (p-ISSN 2303-3592, e-ISSN 2540-9301) has mission in developing knowledge in health administration through publication. Based on this mission, this journal aims at facilitating numerous experts in the field of Health Administration to share their ideas and scientific studies in order to improve the quality of healthcare services.

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Articles 304 Documents

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Pendekatan PDSA Untuk Perbaikan Proses pada Indikator Sasaran Keselamatan Pasien di Rumah Sakit Elly Numa Zahroti
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Patient safety is an indicator of hospital service quality. A hospital in Surabaya identified six indicators of patient safety goals. There are two indicators which can not achieve the standard, namely effective communication and infection risk reduction.Aims: This study aims to identify the process improvement that can be done to increase indicator performance by using PDSA cycle.Method: A descriptive observational design was used in this study with a case study and participatory approach. There were 5 subjects selected by purposive sampling. Interview and observation were used to collect data that then were analyzed descriptively. The validity of data was done by triangulation of method, source, and theory.Results: The PDSA results indicated that the cause of the poor indicators performance of both patient safety goals is the poor compliance of the health staffs in carrying out read-back procedure and hand hygiene as written in SOP. It was caused by the lack of knowledge and motivation of the health staffs in implementing the SOP.Conclusion: In conclusion, process improvement can be done by socializing read-back SOP and hand hygiene as well as supervision conducted periodically by managers. Plan stage is one step which should be improved. Commitment in implementing the improvement planning is necessary. In addition, further research on factors that influence compliance should be conducted.Keywords: patient safety, PDSA method, process improvement, quality of hospital

Pengukuran Indeks Kepuasan Masyarakat (IKM) Pelayanan Kesehatan di Puskesmas Kabupaten Hulu Sungai Utara Dedie Fahamsyah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: To know people's judgment of the services provided by Hulu Sungai Utara public health center (puskesmas) to the public, there should be a measure of the level of people’s satisfaction with health services.Aims: The purpose of this study was to measure the peoples’s satisfaction based on Permenpan RB number 16 in 2014 and measure peoples’s satisfaction based on the Customer Satisfaction Index (CSIndex).Method: This study was observational. There were 13 health centers in Hulu Sungai Utara analyzed. The sample was 450 people who used health services in Hulu Sungai Utara public health centers.Results: The first analysis used the data by Permenpan RB No. 16 of 2014, and the second used the Customer Satisfaction Index (CSIndex). The results of this research based Permenpan number 16 of 2014 found all public health centers in Hulu Sungai Utara had a value of community satisfaction index in either category. By usingCSIndex, it was found that the entire public health centers had a high satisfaction.Conclusions: It can be concluded that the value of Community Satisfaction Index in all public health centres was rather satisfied. Some reconstruction for supporting facilities, such as clean toilet, comfortable and clean waiting room, service information, service flow, management improvement, and product marketing should be done.Keywords: CSIndeks, Community Satisfaction Index, Permenpan, Health Center

Kualitas Fungsional dan Kepuasan Pasien terhadap Perawat dan Dokter Gigi di Rumah Sakit Afifa Nur Chabibah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: The quality of healthcare is an important aspect to be implemented by hospitals as a healthcare facility. Doctors and nurses are human resources that directly provide services to patients. Interpersonal communication between physicians and nurses with patients may influence patients’ satisfaction as an output of service quality.Aim: This study aimed to identify the functional quality of nurses and dentists on patients’ satisfaction at Dental Polyclinic of Dr. R. Sosodoro Djatikoesoemo Bojonegoro Hospital.Method: This research was a quantitative descriptive and observational research. The data were gathered from 68 respondents. Primary data were collected through a questionnaire disseminated for patients at Dental Polyclinic from 14th to 26th of May 2018. The data were processed and analyzed by using 2x2 position matrix.Results: The results show that the functional quality of nurses is in quadrant IV (3.18; 3.21), and functional quality of doctors is in quadrant II (3.48; 3.46).Conclusion: This study concludes the nurses’ functional quality still must be improved and promoted to the patients regarding to their competence, assurance (3S application and nurse's hospitality), and empathy (nurses’ tranquility) while overall dentists’ functional quality (competence, assurance, and empahty) is maximized.Keywords: dentists, functional quality, hospital, nurses, satisfaction

Literasi Informasi Kesehatan Nifas Ibu Hamil Berstatus Sosial Menengah ke Bawah Tito Yustiawan; Nurhasmadiar Nandini
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Post-partum health information is hardly accessible to pregnant women. In fact, post-partum health literacy for pregnant mothers in relation to socio-economic factors allows the decline of post-partum morbidities.Aim: This research aimed to analyse the post-partum health information literacy of pregnant women with middlelow social status.Method: This was a quantitative study by using a direct survey technique to assess respondents’ information literacy about post-partum health. There were 79 pregnant women to take part in this study. They only completed their high school degree as their highest educational level, and their family income was less than Rp 2,000,000($180) per month. This indicated that these participants are coming from middle-low social status. A selfdeveloped questionnaire was used in this study to be filled by respondents.Results: Results showed that nearly half of respondents (44.1%) found post-partum health information for their self-hygiene well-being after baby delivery process finished. Information accessed by pregnant women were elaborated from other people (66.1%) like as parents, relatives, colleagues, or health officers. Most of the participants agreed to trust captured information (78%), but there were only little use the information (11.9%).Conclusion: To summarize, the health information literacy of pregnant mothers with middle-low status was tenuously elaborated from other people, and most of them believed it. It is possible that information obtained from other people is incorrect, so pregnant mothers might use wrong information.Keywords: health, information literacy, post-partum, pregnant women

Pengaruh Informasi Pelayanan Prolanis dan Kesesuaian Waktu terhadap Pemanfaatan Prolanis di Pusat Layanan Kesehatan Unair Auliya Firdha Chusna Arifa
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: The Chronic Disease Management Program (Prolanis) was a promotive and preventive program developed by BPJS Kesehatan in collaboration with Primary Health Care (FKTP). Target ratio of prolanis patient visit (RPPB) to FKTP in safe zone was at least 50% every month. Average range of RPPB at UnairHealth Service Center (PLK Unair) from January to July of 2017 was 15% out of 62 registered participants, still below the target of the safety zone determined by BPJS Kesehatan.Aims: This study aimed to analyze the influence of enabling factors and need factor for the utilization ofProlanis at PLK Unair.Method: This research was a correlational-analytic research by using cross sectional research design.Results: The result of this study showed that there was a significant influence between prolanis information (p=0,020) and time conformity (p=0,008) towards the utilization of prolanis in PLK Unair. Meanwhile, BPJS class, distance, travel time, availability of transportation, type of transportation, social relations, health workers,health facilities, waiting time, and need has no significant effect.Conclusion: The conclusion of this research is the utilization of prolanis in PLK Unair influenced by prolanis information and time conformity of the patients. PLK Unair needs to recollect the information of their patients, redesign the socialization media and conduct home visit as well as discuss the schedule of prolanis activitieswith the patients.Keywords: enabling factor, need factor, prolanis, utilization of health services

Kesiapan Unit Rekam Medis Klinik dalam Menghadapi Akreditasi Karina Amalia Sholihah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: First Level Clinic is a health facility that provides first-layer clinical services to the community. Efforts that can be made to improve the quality and safety of clinical services at the Pratama clinic are through accreditation. The medical record unit is part of the Pratama clinic support service unit included in the Pratama clinical accreditation assessment section. The readiness of medical record units needs to be assessed to see what documents and implementations do not yet exist and are done. Identification of readiness of Clinic X medicalrecord unit accreditation was carried out two years earlier in 2015.Aims: The purpose of this study was to determine the continuity of readiness of medical record unit accreditationin 2018.Method: This study was an observational descriptive study using a cross-sectional design. Data collection was carried out through observation and interviews with medical record officers., Analysis was done by comparing the prediction of Clinic X medical record unit accreditation readiness scores between 2015 and 2018.Results: The result showed that the prediction score increased from 41.7% in 2015 to 65.8% in 2018. The comparison of readiness for accreditation can be used as an evaluation to complement the needs of documents that do not yet exist and procedures that have not been implemented.Conclusion: The clinic has not been accredited because most of the elements being evaluated were the incomplete supporting documents. The clinic can make a framework, determine the method, and analyze the instruments based on the suitable method.Keywords: accreditation, medical record, primary clinic

Gambaran Figur Otoritas terhadap Kepatuhan Perawat dalam Implementasi Standar Prosedur Operasional Kebersihan Tangan Amira Maulida Putri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Nurses’ obedience in the implementation of Standard Operational Procedures of hand hygiene is an effort in preventing phlebitis in the hospital. Report on surveillance data by Infection Prevention and Control or Pencegahan dan Pengendalian Infeksi (PPI) RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro 2017 mentioned the incidence of phlebitis in the Inpatient Installation reached 2.73%. One cause of high rates of phlebitis is incorrect nurse’s hand-washing technique according to the procedures.Aims: This study aimed to analyze the relationship between status of location from RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro, personal responsibility, legitimacy, status, and proximity of authority figures and nurses’ obedience to Standards Operational Procedures of hand hygiene before and after intravenous installation.Method: This study was an analytical study with a cross-sectional framework. This study was conducted in April 2018 at in-patient installation of RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro by inviting 52 nurses chosen with stratified random sampling.Results: It was found that there was a significant correlation between personal responsibility (p = 0.020), status (0.015) and proximity of authority figure (p = 0.000) and nurses’ obedience to the implementation of Standard Operational Procedures of hand hygiene before and after intravenous installation in in-patient installation of RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro.Conclusion: It can be concluded that the majority of the nurses did not follow hand hygiene stages well. The hospital needs to improve nurses’ personal responsibility, authority figure status, and rapport of authority figure.Keywords: hand hygiene, nurse obedience, Standard Operational Procedures

Hubungan Faktor Individu dan Organisasi terhadap Kepatuhan Bidan Menerapkan Standar Prosedur Operasional Cuci Tangan Ririk Harlinisari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Infection cases are the major cause of the high rate of morbidity and mortality in the world. Nosocomial infections cause 1.4 million deaths every day in the world. Even the number of nosocomial infections in Indonesia also increases. Therefore, prevention is very necessary to be done. One effective prevention is hand-washing. However, health staffs including midwives still had under 50% compliance to apply Standard Operating Procedure of hand-washing.Aims: The aim of this research was to analyze the influence of individual factors (motivation, knowledge, and attitude) and organizational factors (training, availability of facilities, supervision) on midwives' compliance in applying Standard Operating Procedure of hand-washing.Method: The research was conducted at RSU Bakti Mulia, Banyuwangi. This was an observational research with an analytical and cross-sectional design. The population of the research was 40 midwives in the midwifery unit. The sample size was thirty-three midwives in the midwifery unit determined by Lemeshow formula withm simple random sampling. Data were collected by observation and questionnaire.Results: The results showed that all variables had p values (0,001) < α (0.05). Individual and organizational factors have a significant and positive effect on midwives' compliance in the Standard Operating Procedure of hand-washing.Conclusion: It can be concluded that the higher individual factors (motivation, knowledge, attitude) and the better organizational factors (training, availability of facilities, supervision) are, the higher midwives' compliance in Standard Operating Procedure of hand washing is. However, these factors were still low at RSU Bakti Mulia.Keywords: compliance, hand-washing, individual factor, organizational factor, Standard Operating Procedure

Beberapa Faktor yang Berhubungan dengan Keaktifan Kader Posyandu di Desa Pengadegan Kabupaten Banyumas Arina Candra Profita
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Posyandu is a maternal and baby clinic to decline the infant mortality rate, infant birth rate, and maternal mortality. The success of activities in Posyandu depends on the cadre’s activeness. Data obtained from Banyumas district office in 2013 showed that Puskesmas 1 Wangon hads the lowest percentage of active cadres in Banyumas district, especially posyandu in Pengadegan Village (36 cadres) (60%).Aims: This research aimed at identifying some factors related to the activity of cadres in Posyandu of Pengadegan Village, Banyumas Disctrict.Method: This study used an analytic survey method with total sampling of 60 cadres. The independent variables of this research are knowledge, occupation, motivation and government’s support while the activeness of cadresis as a dependent variable. The research instruments were questionnaire and cadre attendance document. Data were analyzed descriptively by using Chi Square.Results: The result shows that knowledge, work, motivation and support of posyandu are related to the activity of cadres in Posyandu of Pengadegan Village, Banyumas Disctrict. Cadres’ high activeness is influenced by good knowledge about maternal and baby clinic, high motivation, and unemployement.Conclusion: Knowledge, job, motivation and support from other stakeholders are needed to encourage cadres’ participation in the maternal and baby clinic. Coaching and refreshing cadres on an ongoing basis and giving them an award can be alternatives to improve their active participation.Keywords: activeness, cadre, Posyandu

Penyebab Kejadian Kekurangan Energi Kronis pada Ibu Hamil Risiko Tinggi dan Pemanfaatan Antenatal Care di Wilayah Kerja Puskesmas Jelbuk Jember Christyana Sandra
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: The main cause of maternal death from 2010 to 2013 were bleeding, hypertension, infection, old labor, and abortion. From 2013 to 2015, public health center of Jelbuk had 50% high-risk pregnant women more than total pregnancy.Aim: The objective of this study was to identify factors of chronic energy loss incidence in high-risk pregnant women and service utilization of antenatal in Jelbuk public health center, Jember district.Method: This research was an analytic research with cross-sectional approach. The population of this study was all high-risk mothers who experienced Chronic Energy Deficiency or Kekurangan Energi Kronis (KEK) in the work area of Jelbuk public health center with a total sample of 42 respondents selected by using simple random sampling.Results: Results showed that most respondents had a complete use of ANC. There was a correlation between predisposing factors including age, knowledge, attitude and trust toward ANC utilization. There was no correlation between supporting factors including the variable of access to health service and officers’ services with ANC utilization. There was a correlation between need factors (mother’s health condition) with ANC utilization.Conclusion: Overall, the respondents had completed Antenatal Care (ANC). The predisposing factors (age, knowledge, behavior, and trust) was correlated to the use of ANC, but the supporting factors was not correlated to ANC utilization. It is recommended to promote ANC to pregnant mothers with Chronic Energy Loss and strengthen cadres’ performance for socialization.Keywords: high-risk pregnant women, KEK, prenatal care

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