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Analysis of Promotional Mix Effect (Marketing Communication Mix) on Patient Loyalty in Obstetric and Gynaecology Outpatient Unit in RSIA Kurnia Cilegon Eka Yunila Fatmasari; Sudiro Sudiro; Septo Pawelas Arso
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKPenurunan kunjungan rawat inap terutama ruang rawat inap kebidanan di RSIA Kurnia Cilegon, penurunan jumlah pasien lama dan penurunan jumlah persalinan memperkuat indikasi loyalitas pasien di Poliklinik Obstetri dan Ginekologi menurun. Adanya persaingan rumah sakit swasta menempatkan bauran komunikasi pemasaran penting dalam meningkatkan kunjungan dan membangun hubungan jangka panjang dengan pasien. Penelitian ini bertujuan untuk mengetahui nilai promotional mix (bauran komunikasi pemasaran) dikaitkan dengan loyalitas pasien. Jenis penelitian observasional dengan pendekatan cross sectional. Variabel yang diteliti meliputi komunikasi personal, periklanan, publisitas dan hubungan masyarakat, materi pembelajaran, rancangan korporat dan kepuasan pasien. Data penelitian diolah secara kuantitatif dengan metode univariat, bivariat dan multivariat dengan uji analisis regresi logistik dilengkapi dengan analisis secara kualitatif (content analysis). Hasil penelitian menemukan bahwa persepsi kurang baik pada komunikasi personal sebesar 62%, persepsi kurang baik pada periklanan sebesar 55%, persepsi kurang baik pada publisitas dan hubungan masyarakat sebesar 63%, persepsi kurang baik pada materi pembelajaran sebesar 54%, persepsi kurang baik pada rancangan korporat sebesar 53% dan persepsi kurang baik pada kepuasan pasien sebesar 72%. Hasil analisis pengaruh bersama-sama menunjukkan bahwa komunikasi personal, periklanan, publisitas dan hubungan masyarakat, materi pembelajaran, rancangan korporat dan kepuasan pasien berpengaruh terhadap loyalitas pasien. Hasil tersebut dapat dibuat persamaan regresi yaitu Y= 0,871 + 2,145 variabel komunikasi personal + 1,879 variabel periklanan + 1,044 variabel publisitas dan hubungan masyarakat + 1,758 variabel materi pembelajaran + 1,233 variabel rancangan korporat + 1,445 variabel kepuasan pasien. Komunikasi personal memiliki pengaruh yang paling kuat sedangkan publisitas dan hubungan masyarakat memiliki pengaruh yang paling lemah terhadap loyalitas pasien. Disarankan manajemen RSIA Kurnia Cilegon untuk meningkatkan komunikasi personal bidan dan informasi sms gateway.Kata kunci : Promotional Mix, Loyalitas Pelanggan, Perilaku Konsumen. ABSTRACTThe decrease of inward visit specifically in the obstetrics inward room of Kurnia maternal andchild hospital (RSIA) Cilegon, the decrease of the number of old patients, and the decrease of the number of deliveries strengthen the indication of decreasing patient’s loyalty in the obstetrics and gynecology policlinic. Competition among private hospitals placed a promotional mix an important matter to increase patient visit, and to build long term relationship with patients. Objective of this study was to identify promotional mix value in relation with patients’ loyalty. This was an observational study with cross sectional approach. Study variables were personal communication, advertising, publicity and public relation, teaching materials, corporation design, and patient satisfaction. Data were analyzed quantitatively using univariate and bivariate methods; and multivariate analysis was conducted by applying logistic regression test. Qualitative analysis was implemented, and content analysis was applied. Results of the study showed that perception on personal communication was not good (62%), perception on the advertising was not good (55%), perception on publicity and public relation were not good (63%); perception on teaching materials was not good (54%), perception on corporate design was not good (53%), and perception on patient satisfaction was not good (72%). Result of multivariate analysis showed that personal communication, advertising, publicity and public relation, teaching materials, corporate design, and patient satisfaction influenced the patient loyalty. The regression formula was Y= 0.871 + 2.145 communication personal + 1.879 advertising + 1.044 publicity and public relation + 1.758 teaching materials + 1.233 corporate design + 1.445 patient satisfaction. Personal communication had the strongest influence, publicity and public relation had the weakest influence to patient loyalty. It is suggested to the management of RSIA Kurnia Cilegon to improve midwives personal communication and sms information gateway.Keywords : promotional mix, customer loyalty, consumer behavior

Relationship between Management Functions of P2 ISPA Program and Target Achievement of Coverage Rate of Pneumonia on Children under Five Years Old at Health Centres in Semarang City Sri Isroyati; Sri Suwitri; Sutopo Patria Djati
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKAngka cakupan pneumonia balita di puskesmas kota Semarang tahun 2012 sebesar 25% dan tahun 2013 sebesar 26%,kondisi ini masih dibawah target yang ditetapkan oleh DKK Kota Semarang yaitu 37 % pada tahun 2013. Hal ini menunjukkan rendahnya angka cakupan pneumonia balita yang diduga belum optimalnya fungsi manajemen program P2 ISPA. Tujuan penelitian adalah menganalisis fungsi manajemen program P2 ISPA kaitannya dengan angka cakupan pneumonia balita di puskesmas kota Semarang. Penelitian ini merupakan penelitian observasional dengan pendekatan cross sectional. Cara pengumpulan data melalui wawancara menggunakan kuesioner terstruktur dan observasi dokumen menggunakan checklist observasi terhadap fungsi manajemen program P2 ISPA. Jumlah sampel 36penanggung jawab program di 37Puskesmas Kota Semarang karena 1 penanggung jawab tidak memenuhi kriteria sampel. Analisis bivariat dengan uji chi square. Hasil penelitian menunjukkan dari puskesmas yang mencapai target cakupan proporsi penanggung jawab program yang memiliki perencanaan baik 87,5%, pengorganisasian baik 87,5%, penggerakan baik 75,0% dan pengawasan baik 87,5%. Dari puskesmas yang tidak mencapai target cakupan proporsi penanggung jawab program yang memiliki perencanaan baik 39,3%, pengorganisasian baik 42,9%, penggerakkan baik 28,6% dan pengawasan baik 46,4%. Puskesmas yang telah mencapai target cakupan sebanyak 22,2%. Analisis bivariat menunjukkan ada hubungan antara fungsi perencanaan (p value = 0,045) dan penggerakkan (p value = 0,049) dengan ketercapaian target angka cakupan pneumonia balita. Disarankan agar penanggung jawab program mengikutsertakan kader dalam deteksi dini, memotivasi petugas pelaksana teknis agar patuh dalam pendekatan MTBS, sosialisasi dalam tatalaksana standar, membuat laporan 3 bulanan dan 6 bulanan untuk upaya pemantauan rutin.Kata kunci : Fungsi Manajemen P2 ISPA, Cakupan Pneumonia BalitaABSTRACTCoverage rate of pneumonia on children under five years old at health centres in Semarang in 2012 was 25% and in 2013 was 26%. This results were lower than a target released by Semarang City Health Office (CHO) in 2013, namely 37%. This problem might be due to not optimal in conducting management functions of P2 ISPA program. The aim of this study was to analyse management functions relating to coverage rate of pneumonia on children under five years old at health centres in Semarang City. This was an observational study using cross-sectional approach. Data were collected using structured questionnaires and document observation using a checklist of management functions of P2 ISPA program. Number of respondents were 36 officers in charge of the program at 37 health centres in Semarang City. One officer had not met sample criteria. Data were analysed using Chi-Square test. The results of this research showed that among health centres that achieved the target, most ofofficers in charge of the program had good planning (87.5%), good organising (87.5%), goodactuating (75.0%), and good monitoring (87.5%. In contrast, among health centres that did not reach the target, some of officers in charge of the program had good planning (39.3%), good organising (42.9%), good actuating (28.6%), and good monitoring (46.4%). Proportion of health centres that had achieved the target was (22.2%). Bivariate analysis indicated that functions of planning (p value = 0.045) and actuating (p value = 0.049) had significant relationship with the target achievement of coverage rate of pneumonia on children under five years old. As suggestions, officers in charge of the program need to involve cadres in conducting early detection, motivate implementing technical officers in order to use MTBS approach, socialise in implementing a standard, make quarterly report and semester report as a routine monitoring.Keywords : management functions of P2 ISPA; coverage of pneumonia on children under five years old

The Impact of Succession on Working Situation at Jayapura Health Office in Papua Province Youke A. Supit; Chriswardani Suryawati; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKOtonomi daerah memberikan kewenangan penuh pada Bupati/Walikota mengatur semua potensi yang ada di daerah, termasuk Sumber Daya Manusia. Dalam periode 2010-2012, Dinas Kesehatan Kota Jayapura telah mengalami 6 kali pergantian Kepala Dinas. Pergantian tersebut berdampak pada situasi kerja staf/karyawan Dinas Kesehatan Kota Jayapura.Tujuan penelitian adalah menjelaskan dampak pergantian pemimpin Dinas Kesehatan terhadap situasi kerja. Penelitian dilakukan dengan metode kualitatif. Informan utama meliputi pejabat eselon 3 (3orang) dan eselon 4 (3orang) serta staf administrative (2orang). Informan triangulasi yaitu Kepala Puskesmas (2orang), Kepala Gudang Farmasi (1orang), Koordinator LSM (2orang) dan Ketua Bappeda (1orang). Pengumpulan data dilakukan dengan wawancara mendalam. Analisis data dilakukan dengan content analysis. Hasil penelitian menunjukkan bahwa staf/karyawan mempersepsikan pergantian pimpinan merupakan kewenangan Walikota berdasarkan pertimbangan tertentu termasuk pertimbangan politis. Pergantian pemimpin merupakan hal wajar karena bersifat tour of duty. Dampak yang ditimbulkan yaitu miskomunikasi berupa terganggunya komunikasi, koordinasi, perubahan kebijakan dan pengawasan. Koordinasi terganggu karena adanya keputusan yang seringkali berbeda, mekanisme pengawasan berubah, hubungan interpersonal cenderung bersikap saling curiga dan persaingan mengakibatkan motivasi kerja menurun yang terjadi di lingkungan Dinas Kesehatan Namun demikian terdapat juga dampak positif yang ditemui berupa penyegaran suasana yang baru oleh karena Kepala Dinas yang baru. Disimpulkan bahwa proses pergantian pemimpin lebih berdampak negatif terhadap situasi kerja berupa perubahan kebijakan, gangguan komunikasi, koordinasi serta penurunan motivasi kerja.Kata kunci : Pergantian Pemimpin, Otonomi Daerah, Kepemimpinan, Situasi KerjaABSTRACTDistrict autonomy status gave full authority for district/ city leader to manage all district/citypotencies including human resource. In the period of 2010-2012, Jayapura city health office had six times of leader change. This change had impact to the work situation of Jayapura city health office workers. Objective of this study was to explain the impact of leader change in the health office toward work situation. This study was done using qualitative method. Main informants were 3 people from the third echelon, 4 people from the fourth echelon, and 2 administrative staffs. Triangulation informants were 2 heads of primary healthcare centers (puskesmas), one head of pharmacy storage, 2 coordinators of non-government organization (LSM), and one Bappeda leader. Data collection was done through in-depth interview. Content analysis was applied in the data analysis. Results of the study showed that workers considered the leader change as a district leader’s authority that was based on certain considerations including political issue. Leader change was an ordinary event because it was a tour of duty. Impact of leader change was miscommunication such as communication disturbance, coordination, policy change, and supervision. Coordination disturbance occurred due to the existence of different decisions, change in the mechanism of supervision, non-conducive interpersonal relationship, and unhealthy competitive work atmosphere. Those situations caused reduction in the work motivation. However, a positive impact was found such as giving a fresh work atmosphere. In conclusion, leader change process gave more negative impacts to the work situation such as change in policies, communication disturbance, communication disturbance, and work motivation reduction.Keywords : leader change, district autonomy, leadership, work situation

The Feasibility Study of Intensive Care Unit (ICU) Development from Human Resource Management and Market Aspect at Nahdlatul Ulama Islamic Hospital Demak Nunuk Sri Lestari; Martha Irene Kartasurya; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKSelama 4 tahun terakhir, di Rumah Sakit Islam Nahdlatul Ulama Demak (RSI NU Demak) telah terjadi penurunan BOR dari 71% pada tahun 2009 menjadi 49% pada tahun 2012. Penurunan terjadi akibat rujukan ke RS lain (76,5% pada tahun 2012) karena tidak tersedianya ICU. Saat ini di Kabupaten Demak baru tersedia 10 TT ICU dari kebutuhan ideal minimal 22 TT ICU. Tujuan penelitian ini adalah melakukan studi kelayakan pendiran ICU RSI NU Demak ditinjau dari aspek manajemen SDM dan aspek pasar. Metode kualitatif dengan indepth interview digunakan untuk menjelaskan aspek manajemen SDM dan aspek pasar terkait rujukan. Informan utama aspek manajemen SDM adalah Ketua Yayasan, manajemen RS dan informan triangulasi dokter spesialis anasthesi dan dokter spesialis penyakit dalam.Informan utama aspek pasar terkait rujukan medis adalah 10 dokter umum yang berpraktek di sekitar RSI NU Demak . Metode kuantitatif melalui wawancara kepada 30 pasien dan atau keluarga di Poliklinik Penyakit Dalam dan Bedah RSI NU Demak dengan kuesioner terstruktur digunakan untuk menghitung ATP dan WTP. Studi banding dilakukan di RSUD Sunan Kalijaga dan RS Pelita Anugerah Demak. Pengolahan data kualitatif dilakukan dengan analsis isi (content analysis) dan kuantitatif secara deskriptif. Hasil penelitian aspek manajemen SDM menunjukkan jenis tenaga kesehatan sudah memenuhi, jumlahnya memerlukan penambahan 13 perawat. Semua tenaga kesehatan belum memiliki sertifikat pelatihan bantuan hidup lanjut dan sertifikat ICU. Pada aspek pasar, pendirian ICU mendapat dukungan dari dokter di sekitar RSI NU Demak dalam hal rujukan medis. Hasil ATP 1(kemampuan membayar terendah) sebesar Rp. 93.225,00 dan ATP 2 (kemampuan membayar tertinggi) sebesar Rp. 723.000,00 dan WTP sebesar Rp. 300.000,00. Disimpulkan bahwa dari aspek manajemen SDM, ICU di RSI NU Demak belum layak didirikan. Dari aspek pasar, ICU di RSI NU Demak layak didirikan.Kata kunci : Studi Kelayakan, ICU, Rumah SakitABSTRACTIn the past four years, bed occupancy ratio (BOR) in Nahdlatul Ulama Islamic hospital (RSI NU) Demak decreased from 71% in 2009 to 49% in 2012. The decrease was because of referral to other hospitals (76.5% in 2012) due to no intensive care unit (ICU) facility. Currently, the availability of number of beds in the ICU in Demak district was 10; the minimal ideal requirement of ICU beds was 22. Objective of this study was to conduct feasibility study for the establishment of an intensive care unit of RSI NU Demak viewed from human resource and market aspects. Qualitative method with in-depth interview data collection technique was used to explain human resource management aspect and market aspect related to referral. Main informants for human resource management aspect were a director of the foundation and management of the hospital. Triangulation informants were anesthesiologists and internists. Main informants for market aspect related to medical referral were 10 general practitioners who conducted their private practice in surrounding RSI NU Demak. Quantitative method was implemented through in-depth interview to 30 patients and/or family member who visited internal disease and surgery polyclinics of RSI NU Demak. Structured questionnaire was used to calculate ATP and WTP. Benchmarking to Sunan Kalijaga Demak district general hospital (RSUD) and Pelita Anugerah hospital Demak wasconducted. Content analysis was applied in the qualitative data analysis; quantitative data was analyzed descriptively. Results of the study showed that viewed from human resource management aspect: health worker type had fulfilled the expectation; however, additional 13 nurses were needed. All health workers did not have training certificate of life saving for elders and ICU certificate. In the market aspect: the development of ICU of RSI NU Demak obtained medical referral supports from physician surrounding RSI NU Demak. ATP1 (the lowest ability to pay the fee) was Rp. 93,225.00, and ATP2 (the highest ability to pay the payment) was Rp. 723, 000,00, WTP was Rp. 300,000.00. In conclusion, viewed from human resource management, ICU of RSI NU Demak is not feasible to be built. Viewed from market aspect, ICU of RSI NU Demak is feasible to be built.Keywords : feasibility study, ICU, hospital

Analysis on Management of Strategic Plan of Sultan Agung Islamic Hospital through Balanced Scorecard Approach Suryani Yuliyanti; J. Sugiarto; Septo Pawelas Arso
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKBalanced scorecard merupakan contemporary management tool yang dapat pula digunakan sebagai rerangka penyusunan rencana strategis dan sebagai alat untuk memperbaiki aliran informasi dan komunikasi antara top eksekutif dengan manajemen menengah dalam perusahaan. Sejak tahun 2005 RSI Sultan Agung telah melaksanakan perencanaan strategi dengan pendekatan balanced scorecard, Data dari penelitian pendahuluan didapatkan pada pelaksanaan rencana strategis tersebut didapatkan kesulitan dalam internalisasi, dan sosialisasi visi dalam rumah sakit sehingga menjadi visi bersama. Penelitian ini bertujuan untuk menganalisis manajemen strategis di Rumah Sakit Islam Sultan Agung Semarang dengan pendekatan Balance Scorecard. Penelitian deskriptif kualitatif yang bersifat eksploratif. Obyek yang diteliti meliputi visi, value, misi, tujuan, sasaran strategis, strategic map, dan keselarasan antara masing – masing variabel. Selanjutnya dibuat alternatif rumusan visi, value, misi, tujuan dan sasaran strategis yang baru. Pengumpulan data dilakukan dengan observasi, studi dokumentasi, wawancara mendalam dan FGD kepada subyek penelitian yang terdiri berjumlah 19 orang Hasil penelitian, Visi dan misi di rumah sakit telah mengalami perubahan menjadi lebih singkat, padat dan mudah dipahami, value masih dalam proses implementasi, untuk tujuan dan sasaran kalimat masih terlalu panjang dan kurang fokus dan hanya sebagian sesuai visi sehingga sulit untuk dikomunikasikan,strategic mapping hubungan kurang logis, cascading belum dilakukan. Disimpulkan RSI Sultan Agung kurang baik dalam melaksanakan manajemen strategis berdasarkan pendekatan balanced scorecard.Kata kunci :, Rumah sakit. manajemen strategis, balanced scorecardABSTRACTBalanced scorecard was a contemporary management tool that can be used as a frame of strategic plan development and as a tool for improving information flow and communication between top executive and middle management in the company. Since 2005, Sultan Agung Islamic hospital (RSI) have implemented strategic plan with balanced scorecard approach. Data obtained from preliminary studies showed that problems during internalization and socialization of vision of the hospital to become a group vision were found in the implementation of the strategic plan. Objective of this study was to analyze strategic management in Sultan Agung Islamic hospital Semarang using balanced scorecard approach.This was an explorative descriptive-qualitative study. Objects of the study included vision, value,mission, purpose, strategic target, strategic map, and harmony among variables. Alternative formulation of vision, value, mission, purpose, and new strategic target were made. Data were collected by conducting observation, documentation study, in-depth interview, and FGD to 19 study subjects. Results of the study showed that vision and mission of the hospital has changed to be shorter, more compact, and easier to understand. Value was still implemented. Sentences in the purpose and target were still too long and not focused; only part of purpose and target that were in line with the vision, consequently, it was difficult to be communicated. Illogical relation was found in the strategic mapping, and cascading had not been implemented. In conclusion, Sultan Agung Islamic hospital is not good in implementing strategic management based on balanced scorecard approach.Keywords : hospital, strategic management, balanced scorecard

Evaluation on Integrated Health Post Cadres Training Management in Paruga Primary Healthcare Centers at Bima City Nusa Tenggara Barat Province Rostinah Rostinah; Laksmi Widajanti; Lucia Ratna Kartika Wulan
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKPelatihan Kader Posyandu di Puskesmas Paruga Kota Bima belum meningkatkan kompetensi kader Posyandu karena penimbangan bayi dan balita di Posyandu hanya mencapai 70%, lebih rendah dari target SPM yaitu 80%. Tujuan penelitian adalah melakukan evaluasi terhadap pelatihan kader Posyandu dan menganalisis hasil evaluasi untuk perbaikan pelaksanaan pelatihan kader Posyandu di Puskesmas Rasanae Timur. Pelaksanaan Penelitian dilakukan secara kualitatif dan kuantitatif. Evaluasi pelaksanaan pelatihan dilakukan secara kualitatif dengan wawancara mendalam di Puskesmas Paruga Kota Bima. Informan utama adalah Tim Pelaksana Pelatihan kader Posyandu. Analisis kualitatif dilakukan dengan analisis isi. Evaluasi uji coba Informan metode pelatihan dilakukan secara kuantitatif di Puskesmas Rasanae Timur dengan membandingkan dua kelompok sasaran dengan menggunakan metode konvensional dan Belajar Berdasarkan Masalah (BBM). Subjek penelitian adalah Tim Pelaksana Pelatihan dan kader Posyandu sejumlah 28 orang pada kelompok konvensional dan 38 orang pada kelompok Belajar Berdasarkan Masalah (BBM). Analisis data dilakukan dengan analisis bivariat uji Paired t-test. Hasil penelitian menunjukkan bahwa kualitas SDM masih rendah dan tidak memiliki pedoman pelatihan dalam manajemen pelatihan kader. Perencanaan tidak melibatkan kader, pelaksanaan pelatihan tidak sesuai dengan tujuan pelatihan dan evaluasi belum dilakukan pada pelatihan. Pelatihan kader dengan metode Belajar Berdasarkan Masalah dan konvensional meningkatkan pengetahuan dan keterampilan kader. Metode BBM meningkatkan kompetensi dan kepuasan kader Posyandu lebih tinggi daripada metode konvensional. Perencanaan pelatihan seharusnya melibatkan kader Posyandu, dilakukan penyusunan pedoman pelatihan dan dilaksanakan sesuai tujuan serta dilakukan evaluasi. Pelatihan dengan metode Belajar Berdasarkan Masalah meningkatkan kompetensi kader lebih baik daripada metode konvensional.Kata kunci : Evaluasi, Manajemen Pelatihan, Kader Posyandu, Belajar Berdasarkan MasalahABSTRACTTraining of posyandu (integrated service post) cadres in Paruga primary healthcare center (puskesmas) Bima city did not improve the posyandu cadres’ competency. It was indicated by only 70% infants and under-five children weighed their bodyweight in the posyandu; this was below the SPM (80%). Objective of this study was to evaluate training of posyandu cadres, and to analyze the evaluation results to improve the implementation of posyandu cadre trainings in East Rasanae primary healthcare centers. This was a qualitative and quantitative study. Evaluation of the training implementation was done qualitatively by conducting in-depth interview at Paruga primary healthcare center, Bima city Main informant was task force team for posyandu cadre training. Content analysis was applied in the qualitative analysis. Evaluation of a pilot testing on training method was done quantitatively in the East Rasanae puskesmas. Two target groups, one with conventional method and the other with problem based learning (BBM) method, were compared. Study subjects were training taskforce, 28 posyandu cadres in the conventional method group, and 38 cadres in the problem based learning method group. Paired t-test was applied in the bivariate analysis. Results of the study showed that human resource quality was inadequate, and no standard guidelines for cadre training management. Cadres were not involved in the planning, implementation of training did not match with the training purposes, and training evaluation was not conducted. Cadre training with problem based learning and conventional methods improved knowledge and skill of the cadres. The improvement of knowledge and skill of cadres was higher in the BBM method group than in the conventional method group. Similarly, cadre satisfaction was higher in the BBM method group than in the conventional method group. Training plan should involve posyandu cadres; training guidelines should be made; training implementation should be done according to the training purposes, and evaluation should be conducted. Training with BBM method is better in increasing cadre competence than conventional method.Keywords : evaluation, training management, posyandu cadre, problem-based learning

Arrangement of Draft Outline of a Regent Regulation as an Operational Regulation of Local Regulation Number 4 Year 2012 about Health of Maternal, Infant, Baby, and Children under 5 years old in District of Hulu Sungai Selatan in Province of South Borneo Ismayanti Ismayanti; Sutopo Patria Jati; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKABSTRAK Implementasi Perda Kabupaten HSS Nomor 4 Tahun 2012 tentang KIBBLA belum dilaksanakan secara optimal, hal ini dikarenakan selama kurun waktu 2 tahun sejak disahkannya Perda KIBBLA, DKK HSS hanya melakukan kegiatan-kegiatan yang masih bersifat himbauan saja tanpa didukung peraturan lain di bawah Perda yang lebih mengikat. Tujuan penelitian mengevaluasi seberapa jauh kinerja implementasi Perda Nomor 4 Tahun 2012 tentang KIBBLA di Kabupaten HSS terkait penyusunan outline draft Peraturan Bupati tentang KIBBLA. Desain penelitian kualitatif disajikan secara deskriptif eksploratif, pendekatan menggunakan teknik non probability sampling dengan purposive sampling. Subjek penelitian 4 orang informan utama yaitu Kepala Dinas Kesehatan, Kabid Kesga, Kasi KIA dan Kasi Gizi, total informan triangulasi sebanyak 24 orang, yang terbagi dalam 2 kelompok yaitu 12 orang berasal dari tenaga kesehatan pelaksana Perda KIBBLA dan 12 orang sasaran Perda KIBBLA. Data dikumpulkan dengan wawancara mendalam (indepth interview) FGD dan workshop, pengolahan data dengan metode analisis isi (content analysis). Hasil penelitian menunjukkan bahwa: 1) evaluasi kinerja implementasi Perda KIBBLA melalui indikator sebagai berikut: a) akses sasaran Perda KIBBLA untuk menjangkau fasilitas dan pelayanan KIBBLA bervariasi tergantung dari letak geografis; b) pelayanan KIBBLA masih belum dapat dijangkau oleh semua kelompok sasaran; c) frekuensi sasaran mendapat pelayanan KIBBLA beragam tergantung dari jenis pemberi pelayanan; d) masih terdapat penyimpangan terhadap penerapan Perda KIBBLA di lapangan; e) pelayanan yang diberikan masih belum sesuai standar; f) akuntabilitas yang dilaksanakan sebatas pada kegiatan rutin; g) keluaran kebijakan yang diterima oleh sasaran masih belum sesuai dengan kebutuhan; 2) telah dilakukan proses identifikasi masalah dan masukan untuk penyusunan Peraturan Bupati dari sasaran dan petugas kesehatan; 3) telah dilakukan perumusan outline draft Perbup, mengenai: wewenang, tanggung jawab Pemda, pelayanan persalinan, jenis tenaga KIBBLA, jenis sarana pelayanan kesehatan dan kualifikasi yang dibutuhkan, tata cara pelaporan, pengaduan, pembentukan unit pengaduan masyarakat dan tata cara verifikasi dan tingkat kesiapan.Kata kunci : Evaluasi kinerja implementasi, Perda KIBBLA, Outline Draft Peraturan Bupati.ABSTRACTThe local regulation Number 4 Year 2012 about health of maternal, infant, baby, and childrenunder 5 years old in District of Hulu Sungai Selatan had not been optimally implemented because it was not supported by other regulation below its regulation since it was approved two years ago. This research aimed to arrange a draft outline of Regent regulation as an operational regulation of the local regulation Number 4 Year 2012 about Health of Maternal, Infant, Baby, and Children under 5 years old in District of Hulu Sungai Selatan in Province of South Borneo. This was qualitative research presented using descriptive-explorative methods. Number of main informants were 4 persons selected using non probability sampling with purposive sampling. They consisted of head of District Health Office, head of family health department, and heads of maternal and child health section and nutritional section. Informants for triangulation purpose were divided into two groups namely 12 health workers and 12 people of target of the local regulation. Data were collected using in-depth interview, FGD, Brainstorming, and workshop. Furthermore, data were analyzed using content analysis.The result of this research showed that: 1) the indicators to evaluate the local regulationimplementation were as follows: a) access to reach service facilities and obtaining the variousservices depended on geographical location; b) the services of Health of Maternal, Infant, Baby, and Children under 5 years old had not been used by all target people; c) frequency of target people who obtained the services varied depending on types of providers; d) there was any irrelevance in implementing the local regulation; e) there was any unstandardized service; f) a form of accountability was only as a routine activity; g) a released policy was not appropriate with necessity of target people. 2) There had been done a process of problem identification and input to arrange the draft outline of the regent regulation from target people and health workers. 3) Some important points that would be written on the draft outline were: authority, local government responsibility, delivery service, types of workers, types of health service means and qualification needed for the services, reporting procedure, complaint, forming a complaint unit and a procedure to verify and level of readiness.Keywords : Performance Evaluation of Implementation, Local Regulation of Health of Maternal, Infant, Baby, and Children under 5 years old, Draft Outline, Regent Regulation

Analysis of Factors Associates to the Incidence of Pulmonary TB Patients Drop Out in Primary Healthcare Centers in Sorong Papua Barat Lopulalan Octovianus; Suhartono Suhartono; Tjahjono Kuntjoro
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAK Data Dinas Kesehatan Propinsi Papua Barat tentang kasus baru TB Paru dari tahun ke tahun terus meningkat, walau pelaksanaan program pemberantasan TB Paru terus ditingkatkan. Dari data BP2PL Dinas Kesehatan Propinsi Papua Barat tahun 2009 ditemukan 2462 penderita baru BTA positif. Dari jumlah tersebut yang drop out 337 penderita, dan pada tahun 2010 ditemukan 2476 kasus BTA Positif dan dari jumlah tersebut drop out 441 penderita. Berdasarkan hasil survey pendahuluan yang dilakukan pada puskesmas di kota sorong, pada tahun 2008 ditemukan jumlah penderita baru TB Paru BTA positif 87 penderita. Dari jumlah tersebut yang diobati hingga sembuh sebanyak 20 penderita, yang drop out sebanyak 64 penderita. Tahun 2009 ada peningkatan penderita baru yakni sebanyak 108 penderita, yang sembuh 28 penderita yang drop out 61 penderita. Dan tahun 2010 ditemukan sebanyak 103 penderita baru BTA positif, yang sembuh 27 penderita dan yang drop out 55 penderita. Tujuan penelitian ini untuk mengetahui faktor-faktor apa saja yang ada hubungannya dengan kejadian drop out pada penderita TB Paru yang sedang menjalani pengobatan. Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Pengumpulan data melalui metode wawancara dengan bantuan kuisioner terstruktur pada semua penderita yang berobat pada puskesmas kota Sorong. Jumlah sampel 50 penderita yang drop out dan 50 penderita yang berobat teratur dan sembuh di Puskesmas Kota Sorong. Analisis univariat dilakukan dengan deskriptif frekwensi, analisis bivariat dengan uji Chy Square. Hasil penelitian menunjukan ada hubungan antara pengetahuan dengan kejadian DO (p=0,001). Ada hubungan antara Motivasi dengan kejadian DO (p=001). Ada hubungan antara peran PMO dengan kejadian DO (p=0,001). Ada hubungan antara Akses dengan kejadian DO (p=0,001). Ada hubungan dukungan keluarga dengan kejadian DO (p=0,001) Tidak ada hubungan antara umur dengan kejadian DO (p=0,356). Tidak ada hubungan antara jenis kelamin dengan kejadian DO (p=0,156). Tidak ada hubungan antara pendidikan dengan kejadian DO (p=0,453). Dapat disimpulkan variabel yang ada hubungan dengan kejadian drop out adalah pengetahuan, motivasi,peran PMO,. Akses serta dukungan keluarga. Saran bagi Dinas Kesehatan meningkatkan frekwensi penyuluhan, pemutaran film dukumenter tentang penyakit menular, dan jangka panjang pengadaan puskesmas pembantu serta pengaktipan kembali kader kesehatan desa.Kata kunci : Drop Out, TB ParuABSTRACTData from health office of West Papua province regarding new cases of tuberculosis (TB) indicated that the number of cases increased although lung TB control program was improved. Data from BP2PL of West Papua health office in 2009 showed that 2462 new cases of positive fast acid bacilli (BTA) were found; among them, 337 patients were dropout. In 2010, 2476 cases with positive BTA were found, and among them 441 patients were dropout. Based on preliminary survey done in Sorong city primary healthcare centers, in 2008, 87 new lung TB cases with positive BTA were found. Among them, 20 patients were treated and cured, 64 patients were dropout. In 2009, there was an increase in the number of new cases, which were 108 patients. Among them, 28 patients were cured, and 61 patients were dropout. In 2010, 103 new cases with positive BTA were found; among them, 27 patients were cured, and 55 patients were dropout. The objective of this study was to identify factors related to the occurrence of drop out among lung TB patients who were in the treatment program. This was a quantitative study with cross sectional approach. Data were collected using interview method supported by structured questionnaire. Study population was all patients visited in the Sorong city primary healthcare centers. Study samples were 50 dropout patients and 50 patients who sought for medication regularly and cured in primary healthcare centers in Sorong city. Frequency distributions were presented for univariate analysis, and chi square test was applied for bivariate analysis. Results of the study showed that there was association between knowledge and dropout occurrence (p= 0.001).Motivation was associated with dropout occurrence (p= 0.001). The role of PMO was associated with drop out occurrence (p= 0.001). Accessibility was associated with dropout occurrence (p= 0.001). Family support was associated with dropout occurrence (p= 0.001). No association between age and dropout occurrence (p= 0.356), between sex and dropout occurrence (p= 0.156), between education and dropout occurrence (p= 0.453). In conclusion, variables related to dropout occurrence are knowledge, motivation, roles of PMO, accessibility, and family support. Suggestions for district health office are to increase education frequency, playing documentary movies about infectious diseases. Long term suggestions are to build supporting primary health care center, and to reactivate village health cadres.Keywords : Dropout, lung TB

Difference Analysis of the Implementation of Ten Steps to Successful Breastfeeding between Private and Public Hospitals in District of Kudus Kudarti Kudarti; Martha Irene Kartasurya; Siti Fatimah Pradigdo
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAKSepuluh Langkah Menuju Keberhasilan Menyusui (LMKM) merupakan kunci keberhasilan pemberian ASI Eksklusif. Pelaksanaan 10 LMKM di rumah sakit Kabupaten Kudus dipengaruhi oleh sistem birokrasi yang berbeda antara rumah sakit swasta dan pemerintah. Penelitian ini bertujuan menganalisis perbedaan implementasi sepuluh langkah menuju keberhasilan menyusui antara rumah sakit swasta dan pemerintah di Kabupaten Kudus. Desain penelitian adalah kualitatif. Subjek penelitian untuk setiap rumah sakit adalah kepala ruang bersalin, bidan KIA, 2 dokter spesialis kebidanan, 3 bidan ruang nifas sebagai informan utama. Informan triangulasi meliputi direktur,manajer keperawatan, 3 pasien nifas dan 2 pasien hamil dari setiap rumah sakit. Data dikumpulkan melalui wawancara mendalam dan dianalisis dengan analisis isi. Hasil penelitian menunjukkan perbedaan implementasi 10 LMKM di rumah sakit swasta dan pemerintah. Hal yang belum dilaksanakan di rumah sakit swasta adalah tersedianya susu formula tanpa indikasi, rawat gabung masih parsial (2 jam setiap hari), kurangnya dukungan terhadap ibu dalam pemberian ASI sesuai kemauan bayi, tersedianya dot dan belum terbentuk KP-ASI. Hal tersebut berkaitan dengan keterbatasan sumber daya, komitmen implementor yang masih rendah dan lingkungan eksternal yang belum mendukung. Rumah sakit pemerintah belum melaksanakan penyuluhan kepada ibu hamil dan pembentukan KP-ASI. Hal tersebut disebabkan keterbatasan sumber daya khususnya pendanaan untuk pelatihan dan pengadaan media penyuluhan. Rumah sakit swasta diharapkan untuk meningkatkan pelayanan kebidanan sesuai standar sistem akreditasi rumah sakit dari pemerintah. Rumah sakit pemerintah disarankan meningkatkan anggaran untuk pelatihan dan pengadaan media penyuluhanKata kunci : Implementasi, Sepuluh Langkah Menuju Keberhasilan Menyusui, Rumah Sakit, Swasta, PemerintahABSTRACTTen Steps to Successful Breastfeeding (TSSB) is a key of successful exclusive breastfeeding. The implementation of TSSB at hospitals in District of Kudus was influenced by a difference bureaucratic system between private and public hospitals. This research aimed to analyze the difference of the TSSB implementation for successful breastfeeding between private and public hospitals in District of Kudus. This was qualitative research. Main informants encompassed head of childbirth room, midwives of Maternal and Child Health, 2 obstetricians, and 3 midwives at post-natal room. Meanwhile,informants for triangulation purpose encompassed director, manager of nursing, 3 post-natal patients, and 2 pregnant women at each hospital. Data were collected by in-depth interview and analysed using a method of content analysis. The result of this research showed that some differences of the implementation of TSSB between private and public hospitals were as follows: at private hospitals, there was any formula milk without indication, joined treatment room was still partial (2 hours a day), and there was lack of support for mother in providing breastfeeding in accordance with babies’ need. In addition, there was any dot and there was no a support group of breastfeeding. These problems were due to limitation of resource, low commitment of an implementer, and lack of external environment support. In contrast, public hospitals had not provided information to pregnant women and had not formed a support group of breastfeeding. These problems were due to limitation of resource particularly funding for training and providing information media. As suggestions, private hospitals need to improve midwifery services in accordance with a standard of a hospital accreditation system from the government. In addition, public hospital need to increase funds for training and providing information media.Keywords : Implementation, Ten Steps to Successful Breastfeeding, Hospital, Private, Government

Information System Development of Patients’ Satisfaction at Halmahera Health Center in Semarang to Support Evaluation of Services Richi Eka Yanti; Eko Sediyono; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

ABSTRAK Kegiatan Evaluasi Pelayanan di Puskesmas Halmahera Kota Semarang seringkali berjalan kurang baik karena informasi kepuasan pasien yang berasal dari survey kepuasan pasien belum dapat mendukung kegiatan evaluasi. Ada beberapa permasalahan pada sistem informasi kepuasan pasien sebelum dikembangkan yaitu Petugas RM seringkali terlambat melaporkan informasi kepuasan pasien kepada Koordinator BP dan Kepala Puskesmas dikarenakan proses pengolahan data kepuasan pasien memakan waktu lama, laporan kepuasan pasien belum dapat memberikan informasi dengan jelas dan ketika akan mengakses kembali informasi mengalami kesulitan. Tujuan penelitian ini adalah mengembangkan sistem informasi kepuasan pasien di Puskesmas Halmahera Kota Semarang untuk mendukung evaluasi pelayanan. Desain penelitian adalah desain pra eksperiment dengan pendekatan one group pretest-posttest, pengembangan sistem menggunakan metode FAST (Framework for the Application of System Techniques). Subjek penelitian terdiri dari Kepala Puskesmas, Koordinator BP dan Petugas RM. Data dikumpulkan dengan teknik observasi, wawancara mendalam dan cheklist. Pengolahan data menggunakan analisis isi dan rata-rata tertimbang. Penelitian ini menghasilkan suatu sistem infromasi kepuasan pasien untuk mengatasi permasalahan yang terjadi pada sistem sebelum dikembangkan. Hasil dari perhitungan rata-rata tertimbang menunjukkan bahwa rata-rata skor sesudah sistem dikembangkan lebih tinggi dari pada rata-rata skor sebelum sistem di kembangkan dari aspek kejelasan informasi dari 2.04 menjadi 4.18, ketepatan waktu dari 2.19 menjadi 4.24 dan kemudahan akses informasi dari 2.23 menjadi 4.43. Sebagian besar pasien menyatakan sistem informasi kepuasan pasien mudah digunakan dan sebagian besar pasien juga setuju jika sistem informasi kepuasan pasien terus diterapkan. Sistem informasi kepuasan pasien yang baru dikembangkan secara periodik perlu dievaluasi dan pihak manajemen agar terus menerus memonitor sistem informasi kepuasan pasien untuk menjamin sistem terus berjalan.Kata kunci : Sistem Informasi Kepuasan Pasien, PuskesmasABSTRACTEvaluation activity of services at Halmahera Health Center in Semarang City was not good because information of patients’ satisfaction obtained from a survey could not be used to support the evaluation activity. Some problems on the current information system of patients’ satisfaction were as follows: a RM officer was often late to inform about patients’ satisfaction to a BP coordinator and head of health center because data processing took long time and a report of patients’ satisfaction was not clear. This research aimed to develop information system of patients’ satisfaction at Halmahera Health Center in Semarang to support evaluation of services. This was pre-experiment design using one group pretest-posttest approach. Development of the system used a method of FAST (Framework for the Application of System Technique). Research subjects encompassed head of health center, coordinator of BP, and RM officer. Data were collected using techniques of observation, indepth interview, and checklist. Furthermore, data were analyzed using content analysis and balanced average.The research resulted new information system of patients’ satisfaction to solve problems happened in the old system. The result of balanced average calculation showed that average of scores in the new system was higher than that of the old system. Aspect of information clarity increased fro 2.04 to 4.18. Similarly, aspect of timeliness rose from 2.19 to 4.24 and aspect of easiness to access climb from 2.23 to 4.43. Most of patients stated that the new system was user friendly and they agreed if it was applied. The new information system of patients’ satisfaction needs to periodically be evaluated and the health center manager needs to continually monitor the system in order to keep it running properly.Keywords : Information System of Patients’ Satisfaction, Health Center

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Prodi Magister Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UNDIP, Jalan Professor Soedarto, Tembalang, Kota Semarang, Jawa Tengah 50275, Indonesia

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INDONESIA

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Editorial Address Prodi Magister Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UNDIP, Jalan Professor Soedarto, Tembalang, Kota Semarang, Jawa Tengah 50275, Indonesia

Location Kota semarang, Jawa tengah INDONESIA

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Contact Name
-

Contact Email
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Prodi Magister Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UNDIP, Jalan Professor Soedarto, Tembalang, Kota Semarang, Jawa Tengah 50275, Indonesia

Location
Kota semarang,

Jawa tengah

INDONESIA