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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
Jurnal Manajemen Kesehatan Indonesia
Published by Universitas Diponegoro
ISSN : 23033622     EISSN : 25487213.     DOI : -
Core Subject : Health, Science,
Decision Sciences, Operations Research & Management Health Professions
Arjuna Subject : -
Articles 373 Documents
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Evaluasi Penerimaan Sistem Informasi Pelayanan Kesehatan Ibu Dengan Metode Tam Di Dinas Kesehatan Kabupaten Bungo Martunus Martunus; Farid Agushybana; Sri Achadi Nugraheni
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 3 (2019): Desember 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.7.3.2019.212-216

Abstract

Berdasarkan hasil studi pendahuluan didapatkan bahwa pengumpulan data kesehatan ibu pada dinas kesehatan Kabupaten Bungo sering mengalami keterlambatan pengumpulan, kurang lengkapnya pengisian data dan membutuhkan waktu yang lama untuk menyajikan data yang diperlukan. Salah satu model evaluasi yang dapat digunakan untuk menilai penerimaan dan penggunaan sebuah sistem teknologi informasi adalah evaluasi dengan menggunakan metode model penerimaan teknologi (Technology Acceptance Model atau TAM). Metode pada penelitian ini ialah oobservasional anallitik, menggunakan analisis regresi linear berganda untuk mengetahui hubungan antara variabel persepsi terhadap kemudahan, persepsi terhadap kemanfaatan dengan variabel sikap dan minat untuk menggunakan sistem informasi kesehatan ibu.  Tujuan penelitian ini adalah Menerapkan evaluasi penerimaan sistem informasi pelayanan kesehatan ibu dengan menggunakan metode TAM di dinas kesehatan Kabupaten Bungo. Jenis penelitian yang digunakan adalah Kuantitatif. Subyek penelitian yaitu, bidan desa dan bidan koordinator di 19 puskesmas sejumlah 38 orang. Variabel persepsi terhadap kemudahan berpengaruh terhadap sikap untuk menggunakan SIK dengan nilai P-Value=0,000. Variabel persepsi terhadap kemudahan berpengaruh terhadap minat untuk menggunakan SIK dengan nilai P-Value=0,002. Variabel persepsi terhadap kemanfaatan berpengaruh terhadap sikap untuk menggunakan SIK  dengan nilai P-Value=0,003. Variabel persepsi terhadap kemanfaatan berpengaruh terhadap minat untuk menggunakan SIK dengan nilai P-Value=0,002. Perlunya ada pelatihan yang berkelanjutan terkait Sistem Informasi Kesehatan Ibu sehingga dapat meningkatkan keterampilan dan  menambah kepercayaan diri bidan dalam menggunakan Sistem Informasi Pelayanan Kesehatan Ibu.
Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang Ike Johan Prihatini; Sri Achadi Nugraheni; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.5.3.2017.28-35

Abstract

Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate
Model Pengadaan Obat dengan Metode ABC VEN Di RS X Semarang Siska Wulandari; Sugiarto Sugiarto
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 3 (2019): Desember 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.7.3.2019.186-190

Abstract

  Procurement of drugs at RS X was carried out unsystematically by the head of the RS Pharmacy Installation. This procurement causes the costs incurred by the Hospital to be unplanned and inefficient. The value of the use of active pharmaceutical supplies in 2016 with the number of pharmaceutical supplies of 2119 is worth Rp. 168,232,696 and the number of 2041 inactive supplies worth Rp. 533,260,268. The data shows the inefficiency of pharmaceutical supplies within 1 year which results in the use of budget funds less efficiently. The purpose of this study was to determine the role of the ABC VEN method as a basis for procurement systems in Hospital X.       The type of research conducted is quantitative, pre experimental using descriptive analytical methods with analysis of ABC and VEN methods. Samples were taken as much as 500 from the data of drug use for 1 year in RS X Pharmacy Installation.       The results of the study of 500 drug items with the ABC method found Group A 19.8%, Group B 40%, Group C 40.2%, the VEN method obtained group V 7.8%, Group E 88.8%, group N 3, 4%, with the ABC method VEN AV group 2%, AE 17.6%, AN 0.3%, BV 4.2%, BE 35%, BN 1.2%, CV 1.8%, CE 37%, CN 1.8%. The CE (C Essential) group is more due to its function as prevention and prevention of patient diseases. Before doing the ABC VEN method the inventory value is Rp. 6,188,183,555 and after the ABC VEN method was Rp. 5.833.095.547 with a difference of Rp. 355.089.998, (6.8%) of the total usage fee.        The conclusion of this study is that the system used by the Pharmacy Pharmacy Installation has not been efficient, causing losses for hospitals. Difference in inventory value before and after the ABC VEN method is Rp. 355,089,998. Suggestions are changing the old system to a new system through prior socialization and regulation.
Gambaran Kepesertaan JKN Tahun 2019 Silvia Nurvita
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 3 (2019): Desember 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.7.3.2019.217-222

Abstract

National Health Insurance (JKN) is a program of the National Social Security System with the principle of social health insurance that is mandatory for the Indonesian population under Law No. 40 of 2004. The National Health Insurance has been implemented by the BPJS since January 1, 2014. BPJS of Health is a public legal entity that coordinates directly under the President and in 2019 all Indonesian people have to become JKN participants to make Universal Health Coverage (UHC). The purpose of this study was to study the JKN participant in 2019. This study used a descriptive type of research. The subject of this study is the all population of Indonesia. This study will discuss the number of JKN participants, types of JKN participation, rights and obligations, procedures for registration, cost, and how to use a National Health Insurance card. The results of this study show data from BPJS of Health on August 8, 2014 that National Health Insurance participants 126,487,166 people from total population 257,5 million. JKN participation continues to increase every year until 2019. Data from BPJS Health of JKN participants as of April 1, 2019 amounted to 219,669,453 people with a total PBI-APBN 96,517,386 people, PBI-APBD 35,925,726 people, PPU – PN 17,279,621 people, PPU-BU 33,187,465 people, PBPU 31,600,985 people, and Not Workers 5,158,270 people. In 2019 all Indonesia people became JKN participants. The conclusion that the number of JKN participants continued to increase, April 1, 2019 JKN participants 219.669.453 people from total population 257,5 million and in 2019 Indonesia be expected UHC. Suggestions  this research, companies that have not yet register their employees in JKN and people have not yet become JKN participants are immediately register through the office / website BPJS of Health or care center 1500400, Mobile JKN, e-DABU.
Supervisi dan Ketersediaan Buku KIA Terhadap Penggunaan Buku KIA oleh Bidan Desa Muhdar Muhdar; Cahya Tri Purnami; Titi Suherni
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 3 (2019): Desember 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.7.3.2019.7-14

Abstract

The high MMR of the government issued a Decree of the Minister of Health of the Republic of Indonesia concerning the MCH Handbook, stating that the MCH Handbook is a tool for early detection of disorders or health problems for mothers and children, so that when the MCH handbook is not utilized properly it will be difficult to detect early on mothers and child. The purpose of this study was to determine factors: perception of supervision and availability of MCH books influenced the use of MCH books. This type of observational quantitative research is cross sectional. The population of all village midwives is 124 people who work in 16 puskesmas working areas in Kolaka Regency. Sampling was done by simple rondom sampling method, obtained as many as 55 people who met the inclusion and exclusion criteria. The analysis uses moment or sperman’s rho product analysis, and multivariate analysis with linear regression test. Results: perception perception variables with Pearson's R. correlation test obtained r = 0.244 and p = 0.73 where the value of p> 0.05 means that there is no significant relationship between perception of supervision with the use of the MCH handbook. Variable availability of MCH books with the Spearman correlation test, s Rho obtained r = 0.157 and p = 0.25 where p> 0.05, which means there is no significant relationship between the availability of MCH books with the use of MCH books. Conclusion: the study found that the perception of supervision and provision of MCH books did not significantly influence the use of MCH books in antenatal services by village midwives in Kolaka District. Suggestions Kolaka District Health Office needs to increase the role of periodic supervision and procurement of MCH books in accordance with the target number and availability of MCH books at health service sites.
Implementasi Program Pembinaan Kesehatan Perilaku Hidup Bersih dan Sehat Institusi Pendidikan oleh Petugas Promosi Kesehatan Puskesmas Wilayah Kota Surabaya Hadina Eka Camalia; Bagoes Widjanarko; Cahya Tri Purnami
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.5.3.2017.36-42

Abstract

Sejak tahun 2013 Kota Surabaya telah melakukan upaya peningkatan PHBS institusi pendidikan melalui “Eco School” dan sebanyak 84% mendapat pembinaan tentang PHBS, namun belum dapat mengubah perilaku siswa, sedangkan di wilayah Surabaya Barat hanya 68,75%. Tujuan penelitian ini adalah menganalisis implementasi program pendidikan kesehatan perilaku hidup bersih dan sehat institusi pendidikan oleh petugas promosi kesehatan Puskesmas Wilayah Kota Surabaya Barat.Penelitian ini menggunakan pendekatan kualitatif. Sebagai informan utama (tim promosi kesehatan dari 4 Puskesmas) dan informan triangulasi (4 kepala Puskesmas, 8 guru UKS, dan 1 kasie pelayanan kesehatan dasar Dinas Kesehatan Kota Surabaya). Penentuan informan berdasarkan cakupan pembinaan PHBS.Teknik analisis data dengan analisis isi.Hasil penelitian menunjukkan petugas pelaksana program PHBS belum sesuai dengan Keputusan Menteri no 585/menkes/sk/V/2007 yaitu D III Promosi kesehatan, namun memiliki jabatan fungsional sebagai koordinator promosi kesehatan, semua petugas belum mendapatkan pelatihan PHBS institusi pendidikan. Pendanaan kegiatan upaya mencapai sekolah sehat di Puskesmas diambil dari BOK dan APBD sudah mencukupi, di sekolah didanai BP3 dan sumbangan siswa. Peralatan sarana untuk penyuluhan beberapa dalam kondisi rusak. Dalam pelaksanaan kegiatan penyuluhan tidak tersedia petunjuk pelaksanaan dan petunjuk teknis. Perencanaan dilakukan 1 tahun sekali membahas hasil pengamatan di institusi pendidikan terutama target yang belum tercapai di tahun sebelumnya. Perencanaan, pengorganisasian,penggerakan, pelaksanaan serta penilaian dilakukan oleh tim promkes. Indikator program PHBS yang belum mencapai target adalah tersedianya kantin sehat dan menimbang badan serta ukur tinggi badan setiap 6 bulan. Program PHBS sekolah sudah dilaksanakan namun latar belakang pendidikan petugas belum sesuai, belum tersedia petunjuk pelaksanaan dan petunjuk teknis secara khusus bagi petugas pelaksana program di Puskesmas. 
Perilaku Berpantang Makan pada Ibu Hamil Suku Dayak di Kabupaten Sintang Kalimantan Barat Siti Nurul Huda; Martha Irene Kartasurya; Sulistiyani Sulistiyani
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 3 (2019): Desember 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.7.3.2019.191-197

Abstract

Setiap daerah mempunyai pola makan tertentu khususnya pada ibu hamil yang disertai dengan kepercayaan akan pantangan, tabu, dan larangan terhadap beberapa makanan tertentu. Penelitian ini bertujuan untuk mengidentifikasi dan menganalisa perilaku berpantang makan pada ibu hamil Suku Dayak di Kabupaten Sintang Kalimantan Barat. Penelitian kualitatif dilakukan pada 5 ibu hamil sebagai informan utama. Informan triangulasi terdiri dari 2 orang tua yang tinggal satu rumah dengan ibu hamil dan satu dukun bersalin. Pengambilan sampel dilakukan secara purposive dan pengumpulan data dengan wawancara mendalam. Analisis data dilakukan dengan content analysis. Jenis makanan yang dipantang terdiri dari makanan pokok, lauk pauk, sayur dan buah. Alasan berpantang karena akan berdampak pada kesehatan ibu dan bayi. Penganjur untuk berpantang adalah orang tua / mertua, suami, dan keluarga terdekat / kerabat. Pantang makan masih dilakukan oleh ibu hamil dan makanan yang paling banyak dipantang adalah ikan. Diharapkan dapat meningkatkan KIE (Konseling, Informasi, dan Edukasi) kepada keluarga terdekat ibu hamil tentang pentingnya gizi seimbang dan pola makan yang baik bagi ibu hamil untuk mengubah persepsi yang salah tentang perilaku berpantang makan pada saat hamil.
Analisis Implementasi Total Quality Management (TQM) Pada Kasus Pending Klaim Jaminan Kesehatan Nasional (JKN) Di RSUD Kendal Tahun 2018 Faik Agiwahyuanto; Shinta Octaviasuni; Moh. Umar Nauful Fajri
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 3 (2019): Desember 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.7.3.2019.15-24

Abstract

Background: Improvements in hospitals are needed to become a going concern hospital. One strategy that can be applied is Total Quality Management (TQM). TQM seeks continuous improvement of all hospital functions. The National Health Insurance Program (JKN) has been run by the Regional Hospital General Hospital (RSUD) Dr. H. Soewondo Kendal as of January 1st, 2014. Health financing is the most important part of implementing JKN held in hospitals by BPJS Kesehatan through submission of claims. During the implementation of JKN in Kendal General Hospital, problems were found between the difference between the visits of BPJS Health patients to hospitalizations and the Health BPJS visits claimed, thus causing pending cases of late claims. File claims that are late in submission will be included in the claim process the following month.Objective: Analyze the pending causes of the Health BPJS file based on TQM implementation.Method: This type of research uses qualitative phenomenological methods and case study research designs. The research subjects were 7 officers who were directly involved in the claim process. The research instrument is the patient claim file by paying BPJS Kesehatan. Data analysis using the Importance Performance Analysis (IPA) technique.Summary: Pending causes of claims from casemix manpower factors with educational background not medical records and lack of coding staff. The factor of the casemix section method is no Standard Operating Procedure (SOP) for claiming BPJS Health. Material factors still have claims files that cannot be submitted due to inappropriate SEP numbers or often purif. Casemix machine factors (INA CBGs) already use computers and printers. The money factor for hospital income was delayed due to pending claims and claims that failed to purify.Conclusion: The process of implementing the BPJS Health claim in Dr. Hospital H. Soewondo Kendal is in accordance with the theory but there are still file claims that are pending.Suggestion: Organize education to officers intensively and standardize the time of collecting investigations and operating reports to medical records so that the files will be claimed as soon as possible and sent to BPJS.
Evaluation on Recording and Reporting System of Maternal Child Health in SIKDA (Regional Health Information System) of Public Health Affair Surakarta Nopita Cahyaningrum; Farid agushybana; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.5.3.2017.43-47

Abstract

Regional Health Information System (RHIS) is an integrated Health Information System which effectively functions as data communication in a region. This system has been used since 2012. However, it has not shown best performance. Puskesmas (Community Health Centers) send their regular reports in the form of soft copy or hard copy. However, DKK has not verified the reports on the maternal child health regularly. Moreover, they retype the report to be sent to the Ministry of Health. It results in possibility of errors in its accuracy and validity. Thus, it requires further evaluation to improve the implementation of RHIS especially in recording and reporting maternal child health to the Ministry of Health. The objective of this research is to analyze the maternal child health data recording and reporting system in RHIS Surakarta.This is a qualitative research. Data were collected by deep interview and direct observation on the implementation of the RHIS. Object of this research is the recording and reporting system of Maternal Child Health in the RHIS DKK Surakarta. The main informant is the head and the staffs of SIMKES, midwifes coordinators of SIK in 6 Community Health Centers.The results of this study propose that improvement on human resources competences should be done regularly. The data of maternal child health are taken from community health centers. That is why, there should be proper policy on the reporting the data of maternal child health. The report sent should be filed in soft copy and hard copy. Nevertheless, the available data have been processed by community health centers and are accessible for public needs.This study proposes that the recording and reporting system of maternal child health data should be developed by improving the competences of human resources, decreeing operational policy, and providing standard operating procedure.
Analisis Sistem Penanganan Komplain di Rumah Sakit Permata Medika Semarang Krisantus Lou Musu; Chriswardani Suryawati; Hardi Warsono
Jurnal Manajemen Kesehatan Indonesia Vol 8, No 1 (2020): April 2020
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.8.1.2020.7-15

Abstract

 Complaint handling becomes an important groove when the resulting product does not match the customer's expected value. Complaints can be used as an opportunity to improve and develop hospital services. This research aims to analyze the complaint handling system and identify the complaint-handling factor and formulate a good complaints handling system in Permata Medika Hospital. This research uses a qualitative approach. The results showed that the input variables: commitment to handling complaints directly responsive handled no longer than 1-2 days, the system only has Operating Procedure Standards and flow, facilities to support complaint handling are complete, there is no training, seminars and delegations, reporting once a month , follow-up on handling complaints returned to their respective units, there are Standard Operating Procedures for handling complaints both verbally and in writing. Process variable: complaint handling is done by receiving, reviewing, investigating and resolving. Output variable: complaints were resolved directly in 176 cases and 20 cases required additional investigation time out of a total of 196 cases. Obstacles identified: have not categorized complaints based on severity, no policies, duties and responsibilities and evaluation has not been conducted. Formulate a good system with transparency and complaint handling strategies.It was concluded that there was no policy input for handling complaints, there was no categorization process for handling complaints, Output: 90% of complaints cases were immediately resolved, formulating complaints handling strategies and transparency mechanisms for handling complaints. Keywords         : complaints, complaint handling, complaint managementBibliography    : 47 (1999-2014)

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