Buletin Penelitian Sistem Kesehatan最新文献

{"title":"Status Gizi Dan Perkembangan Pada Anak Baduta Di Kabupaten Wonosobo","authors":"Hadi Ashar, Yusi Dwi Nurcahyani, Dyah Yunitawati, H. D. Kusumawardani","doi":"10.22435/HSR.V24I2.4009","DOIUrl":"https://doi.org/10.22435/HSR.V24I2.4009","url":null,"abstract":"The need for nutritional intake in early childhood is not just to maintain survival with the predicate of good nutritional status, but more than that lack of nutritional intake will affect the child's developmental status. This study aims to determine the relationship of characteristics, nutritional status with development status in children aged 6-20 months. The study was conducted in Wonosobo Regency in 2019 with a Cross Sectional design. The population was children aged 6-20 months with sub-districts as the sampling unit. The total sample was 455 of children under two years in one district, but only 450 under two years met the data requirements. The results of the study showed that 19.8% of children under two years were stunted; 27.1% of children experienced motoric development delay; 16.2% of children endured language development delay and 68.7% of children had personal social development delay. Chi-Square test results showed that age was significantly related to motoric and language development with p=0.00; but there was no relationship with social personal development (p=0.50). There was no significant relationship between nutritional status and child development status. In conclusion, age of infants had a significantly higher risk of impaired motor and language development than age above. There was a tendency for boys to have motoric and language development delay. Children who had low birth weight have a risk of personal social development, and WHZ and WAZ nutritional status had a tendency of having language development delay. \u0000Abstrak \u0000Kebutuhan asupan nutrisi pada anak usia dini tidak hanya sekedar untuk mempertahankan kelangsungan hidup dengan predikat status gizi yang baik, namun lebih dari itu asupan gizi yang kurang akan mempengaruhi status perkembangan anak. Studi ini bertujuan untuk mengetahui hubungan karakteristik, status gizi dengan status perkembangan pada anak baduta usia 6–20 bulan. Studi dilakukan di Kabupaten Wonosobo tahun 2019 dengan desain Cross Sectional. Populasi adalah baduta usia 6-20 bulan dengan sampling unitnya adalah kecamatan. Sampel total sebanyak 455 baduta di satu kecamatan, namun hanya 450 baduta yang memenuhi syarat kelengkapan data. Hasil studi menemukan sebesar 19.8% baduta mengalami stunting; 27.1% mengalami hambatan perkembangan motorik; 16.2% hambatan perkembangan bahasa dan 68.7% mengalami hambatan perkembangan personal sosial. Hasil uji Chi-Square menunjukkan usia berhubungan secara signifikan dengan perkembangan motorik dan bahasa dengan nilai p=0.00; namun tidak terdapat hubungan dengan perkembangan personal sosial (p=0.50). Tidak terdapat hubungan yang signifikan antara status gizi dan status perkembangan anak. Kesimpulan dalam studi ini bahwa usia bayi secara signifikan mempunyai risiko lebih tinggi terhadap gangguan perkembangan motorik dan bahasa dibandingkan usia diatasnya. Terdapat kecenderungan anak laki-laki memiliki risiko hambatan perkembangan motorik dan bahasa, anak yang BBLR memiliki ","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42365826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penempatan Bidan Sebagai Tenaga Pelaksana Gizi Di Puskesmas : Profesionalisme dan Kebutuhan Organisasi","authors":"Rosita Rosita, Iin Nurlinawati","doi":"10.22435/HSR.V24I2.3296","DOIUrl":"https://doi.org/10.22435/HSR.V24I2.3296","url":null,"abstract":"Nutrition services at the primary health center (PHC) are ideally carried out by a nutritionist. At present not all PHC has nutritionists. All PHC without nutritionists in West Bandung Regency and Depok were assigning midwives as nutrition officer. The study was conducted to analyze the utilization of midwives as nutrition officer in PHC of professionalism and organizational needs and function. The study was conducted qualitatively in two health centers, one each in West Bandung Regency and Depok City. Data collection was carried out through in-depth interviews and document review. The informants consisted of midwives who served as nutrition officer, coworkers, PHC heads and cadres, as well as nutrition managers at the health centers. The results showed that the utilization of midwives as nutrition officer at PHC was carried out by the head of the PHC due to limited health workers. The selection of midwives as nutrition officers was appointed through an appointment letter taking into consideration the function of midwives in maternal and child health services which were considered to be closely related to nutrition services. The midwife's performance as a nutrition officer was considered quite good, but the midwife herself felt that being a nutrition officer was not in accordance with their profession. For this reason, it is necessary to recruit nutritionists for nutrition services so that midwives can be posted at the right position. Nutritionists recruitment can be carried out independently by PHC by using BLUD funds . \u0000Abstrak \u0000Pelayanan gizi di puskesmas idealnya dilakukan oleh seorang nutrisionis. Saat ini belum seluruh puskesmas memiliki nutrisionis. Semua puskesmas di Kabupaten Bandung Barat dan Kota Depok yang tidak memiliki nutrisionis memberdayakan bidan sebagai tenaga pelaksana gizi (TPG). Penelitian dilakukan untuk menganalisis pemberdayaan bidan sebagai TPG di puskesmas berdasarkan aspek profesionalisme dan kebutuhan puskesmas. Penelitian dilakukan secara kualitatif di dua puskesmas, masing-masing satu puskesmas di Kabupaten Bandung Barat dan Kota Depok. Pengumpulan data dilakukan melalui wawancara mendalam serta telaah dokumen. Informan terdiri dari bidan yang bertugas sebagai TPG, rekan kerja, kepala puskesmas dan kader posyandu, serta pengelola program gizi Dinkes di wilayah studi. Hasil penelitian menunjukkan pemberdayaan bidan sebagai TPG di puskesmas dilakukan oleh kepala puskesmas dikarenakan keterbatasan tenaga gizi. Pemilihan bidan sebagai TPG dilakukan melalui surat penunjukkan dengan pertimbangan fungsi bidan dalam pelayanan kesehatan ibu dan anak yang dinilai erat kaitannya dengan pelayanan gizi. Kinerja bidan sebagai TPG dinilai cukup baik, namun bidan sendiri merasa bahwa sebagai TPG tidak sesuai dengan profesinya. Untuk itu diperlukan upaya pengadaan nutrisionis puskesmas melalui proses perencanaan sehingga bidan dapat menjalankan sikap profesional terhadap profesinya sebagai bidan. Pengadaan nutrisionis dapat dilakuka","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47930609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Pola Konsumsi Makanan Cepat Saji dan Hipertensi","authors":"Zulfa Fauziyyah, Solikhah Solikhah","doi":"10.22435/HSR.V24I1.2986","DOIUrl":"https://doi.org/10.22435/HSR.V24I1.2986","url":null,"abstract":"Hypertension is a silent killer that is still a health concern globally including in Indonesia. Consumption of fast foods that contain a high level of natrium, fat, sodium, sugar and MSG can be one of the causes of hypertension. Therefore, this research aimed at exploring the relationship between fast food consumption and hypertension in Indonesian. This research used cross-sectional design with secondary data from Indonesian Family Life Survey 5 (2014-2015). The sampling scheme in this study is based on the 1st IFLS survey scheme, which was stratified based on provinces and urban and rural areas. Samples were taken randomly at the household level. 13 provinces were chosen which represented 83% of the total population and reflected the cultural and socio-economic diversity of the Indonesian people. Data analysis uses multivariate logistic regression. Out of 12,105 respondents those who majority of participants consumed fast foods (73%). Multivariate logistic regression analysis showed that fast food consumption did not have any significant relationship with hypertension (AdjOR = 1.02; Cl 95% = 0.65-1.61; p > 0.05). However, males and respondents who worked were significantly associated with hypertension. Fast food consumption patterns did not correlate to hypertension among Indonesian. However, people need to pay attention to fast food overconsumption in order to be prevented from having hypertension. Future research is needed with other methods in such case-control by adding various risk factors of hypertension. \u0000Abstrak \u0000Hipertensi merupakan silent killer yang hingga kini masih menjadi masalah kesehatan masyarakat di dunia termasuk di Indonesia. Konsumsi makanan cepat saji yang mengandung tinggi natrium, tinggi lemak, tinggi sodium, tinggi gula dan MSG menjadi penyebab kejadian hipertensi. Oleh karena itu, penelitian ini bertujuan untuk mengekplorasi hubungan pola konsumsi makanan cepat saji dengan kejadian hipertensi pada penduduk dewasa di Indonesia. Rancangan yang digunakan dalam penelitian ini, yaitu cross sectional. Penelitian ini menggunakan data sekunder dari The Indonesian Family Live Survey gelombang 5 (IFLS-5). Skema pengambilan sampel dalam survei ini didasarkan pada skema pengambilan survei IFLS gelombang 1, yang dilakukan secara bertingkat berdasarkan propinsi dan wilayah perkotaan dan pedesaan. Sampel diambil secara acak pada skala rumah tangga. Terpilih 13 propinsi sebagai sampel yang merepresentasikan 83% dari total populasi serta mencerminkan keanekaragaman budaya serta sosial ekonomi masyarakat Indonesia. Analisis data menggunakan multivariate regresi logistik. Dari 12.105 responden, mayoritas responden sering mengkonsumsi makanan cepat saji (73%). Analisis multivariat menunjukan bahwa orang yang sering mengkonsumsi makanan cepat saji tidak berhubungan secara signifikan terhadap kejadian hipertensi (AdjOR = 1,02; CI 95% = 0,65-1,61; p>0,05). Namun responden berjenis kelamin laki-laki dan yang bekerja secara signifikan berhubun","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46222069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Karakteristik Dengan Kesesuaian Bidang Kerja Lulusan Pendidikan DIII Kebidanan Di Jawa Barat","authors":"Sefrina Werni, Rosita Rosita, Nita Prihartini","doi":"10.22435/HSR.V23I4.3209","DOIUrl":"https://doi.org/10.22435/HSR.V23I4.3209","url":null,"abstract":"Midwifery education graduates ideally work as midwives. This study explored the relationship between characteristics and suitability the field of work graduates of DIII midwifery study program in 2019. This study applied a cross-sectional design with a quantitative approach. The population was graduates in 4 DIII midwifery study programs in West Java and the sample whose access the google form as many as 442 respondents. Google forms distributed by email, Facebook, and WhatsApp group graduates within one month. The dependent variable was the suitability the field of work graduate. In contrast, the independent variables were characteristics of graduate (the status of the study program, age, marital status, year of graduation, the value of IPK, and additional education after graduation). Analysis of data used chi-square. The results showed 10.2% of midwifery study program graduates worked not as midwives, 37.8% of them said that salary was the reason they did outside the midwife profession and another 15.6% expressed no interest as midwives. The results of the bivariate analysis showed that marital status and IPK at graduation had a significant relationship with the suitability of the graduate work field (p <0.005). The commitment of graduates as midwives is the main focus to enhance midwifery professionalism. The existence of graduates whose work outside the midwife profession along with their reasons provided information on the need for strengthening midwife salary standards based on labour regulations.  \u0000Abstrak \u0000Lulusan pendidikan kebidanan idealnya bekerja sebagai bidan. Penelitian ini dilakukan pada tahun 2019 untuk menilai hubungan antara karakteristik dengan kesesuaian bidang kerja lulusan prodi DIII kebidanan. Penelitian menggunakan desain penelitian potong lintang dengan pendekatan kuantitatif. Populasi adalah lulusan di 4 prodi DIII kebidanan di Jawa Barat dan sampel adalah yang mengakses google form. Total sampel sebanyak sebanyak 442 responden. Google form yang disebarkan melalui email, facebook, dan whatsapp group lulusan dalam jangka waktu 1 bulan. Sebagai variabel terikat adalah kesesuaian bidang kerja lulusan, variabel bebas adalah karakteristik lulusan (status program studi, umur, status pernikahan, tahun lulus, nilai IPK, dan pendidikan tambahan setelah lulus). Data dianalisis menggunakan chi-square. Hasil penelitian menunjukkan 10,2% lulusan prodi DIII kebidanan bekerja bukan sebagai bidan, 37,8% diantaranya menyampaikan bahwa gaji merupakan alasan mereka bekerja di luar profesi bidan dan 15,6% lainnya menyatakan tidak berminat sebagai bidan. Hasil analisis bivariat memperlihatkan status pernikahan dan IPK saat lulus memiliki hubungan yang bermakna dengan kesesuaian bidang kerja lulusan (p<0,005). Komitmen lulusan sebagai bidan merupakan fokus utama untuk meningkatkan profesionalisme bidan. Keberadaan lulusan yang bekerja di luar profesi bidan beserta alasannya memberikan informasi perlunya penetapan standar gaji bidan dengan be","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48266994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daftar Isi","authors":"Hsr Managerxot","doi":"10.22435/hsr.v22i4.2750","DOIUrl":"https://doi.org/10.22435/hsr.v22i4.2750","url":null,"abstract":"","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48789798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Budaya Kehamilan Dan Persalinan Pada Masyarakat Baduy, Di Kabupaten Lebak, Tahun 2018","authors":"Vita Kartika, Asep Kusnali, Rozana Ika Agustiya","doi":"10.22435/hsr.v22i3.1494","DOIUrl":"https://doi.org/10.22435/hsr.v22i3.1494","url":null,"abstract":"Maternal and infant mortality rates in Lebak District are still high. Pregnancy and maternity culture that rooted in Baduy community be one of those catalytic factors that increase mortality rates. Intervention research based on Baduy culture itself was intended to reduce the maternal and neonatal mortality rates. The purpose of the research was to get more information about pregnancy and childbirth behaviors in the Baduy community combined with the concept of modern health services. Participation Action Research (PAR) was used as the method in this research. Data were collected by in-depth interview and Focus Group Discussion (FGD). Informants were chosen purposively consisting of Health Care Centres in Baduy, elders (kokolot), and infl uencers in Baduy Tribe. The method of data analysis uses content analysis. This research indicated that Baduy Tribes were very obedient in their norms including the process of pregnancy and maternity. They often delivered a baby without any help from the health centre or midwife. They still asked shaman for help because they believed that shaman had power to heal people. This delivery behaviour triggered a limitation for a mother to get proper health treatment. We should not also neglect the fact that geographically, Baduy Tribes live in the uphill areas. Both factors were the main reasons why women in Baduy did not get proper delivery treatment and ended up dying because of complications. Effective communications are required between health care staff and the Baduy community to decrease the mortality rate both for mothers and infants in Baduy. \u0000Abstrak \u0000Tingkat kematian ibu dan bayi di Kabupaten Lebak, Provinsi Banten masih cukup tinggi. Salah satu faktor yang menyebabkan tingginya tingkat kematian tersebut adalah budaya pada masa kehamilan dan persalinan pada masyarakat Baduy, sehingga diperlukan upaya penurunan angka kematian ibu dan bayi melalui intervensi kesehatan berbasis budaya. Tujuan penelitian adalah menggali lebih dalam perilaku kehamilan dan persalinan pada masyarakat Baduy yang dipadukan dengan konsep pelayanan kesehatan modern. Penelitian ini menggunakan pendekatan Participatory Action Research (PAR). Pengumpulan data melalui wawancara mendalam dan diskusi kelompok terarah (focus group discussions/FGD). Informan dipilih secara purposive terdiri dari Dinas Kesehatan Kabupaten Lebak, Puskesmas, para ketua adat, tokoh masyarakat, dan kokolot serta informan penting lainnya yang berpengaruh di masyarakat Baduy. Metode analisis data menggunakan analisis isi (content analysis). Hasil penelitian menunjukkan bahwa masyarakat Baduy sangat patuh dalam melaksanakan norma-norma dalam masa kehamilan dan persalinan di kehidupannya. Hal ini tergambar dari masih banyaknya persalinan yang dilakukan sendiri tanpa penolong, baik oleh dukun paraji maupun tenaga medis, kecuali terdapat penyulit dalam persalinan meminta bantuan tenaga medis. Kedudukan dukun paraji dalam masyarakat Baduy sangat dihormati dan berpengaruh ka","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46180274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daftar Isi","authors":"Hsr Managerxot","doi":"10.22435/hsr.v22i3.2432","DOIUrl":"https://doi.org/10.22435/hsr.v22i3.2432","url":null,"abstract":"","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46412991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efektivitas Metode Therapeutic Community Dalam Pencegahan Relapse Korban Penyalahguna Napza Di Panti Sosial Pamardi Putra Galih Pakuan Bogor Tahun 2017","authors":"I. Ardani, Heti Sri Hari Cahyani","doi":"10.22435/hsr.v22i3.1281","DOIUrl":"https://doi.org/10.22435/hsr.v22i3.1281","url":null,"abstract":"Drug abuse has many adverse effects such as disease transmissions and social dysfunction. Social rehabilitation by therapeutic community method may overcome addictions to addictive substances and restore the social function for drug users. The problem is a post-rehabilitation relapse. Objective to determine the effectiveness of relapse prevention with the TC method carried out by PSPP Galih Pakuan Bogor. It is case study research, conducted by in-depth interviews with management, social workers, and clients, as well as observations and analysis of secondary data. Drop-out rates at PSPP Galih Pakuan reached 44.8% in 2017, with relapse rate 30%. In addition, many studies stated that the TC method was relatively more effective than other methods for social rehabilitation in reducing anti-social behavior due to drug abuse. The challenge in TC method is a high drop-out rate. TC method can improve the social functioning of drug users by fostering self-confi dence, and learning emotional and spiritual management.  \u0000Abstrak \u0000Penyalahgunaan napza memiliki dampak buruk yaitu penularan penyakit dan ketidak berfungsian sosial akibat kecanduan napza. Rehabilitasi sosial dengan metode therapeutic community dianggap dapat membantu mengatasi kecanduan pada zat adiktif dan mengembalikan peran dan fungsi sosial para penyalahguna napza. Kendalanya adalah banyak penyalahguna napza mengalami relapse pasca rehabilitasi. Tujuan dari penelitian ini adalah mengetahui efektivitas pencegahan relapse dengan metode TC yang dilakukan oleh PSPP Galih Pakuan Bogor. Penelitian ini merupakan studi kasus dengan penyajian secara deskriptif analitis, dilakukan dengan wawancara mendalam kepada manajemen panti, Pekerja Sosial, dan klien, serta melakukan observasi dan analisis data sekunder. Hasil dari penelitian ini menunjukkan bahwa tingkat drop out rehabilitasi sosial di PSPP Galih Pakuan mencapai 44,8% pada tahun 2017, sedangkan tingkat relapse diperkirakan mencapai 30% dari klien yang lulus rehabilitasi. Di sisi lain, berbagai penelitian menyebutkan bahwa metode TC merupakan metode yang relatif lebih efektif dibanding metode rehabilitasi sosial lain dalam mengurangi penyalahgunaan napza dan perilaku anti sosial akibat penyalahgunaan napza. Tantangan dalam metode TC adalah tingkat drop out yang cukup tinggi. Dibandingkan dengan metode rehabilitasi sosial lain, TC efektif meningkatkan keberfungsian sosial penyalahguna napza melalui penguatan individu dengan menumbuhkan kepercayaan diri, manajemen emosi dan spiritual. ","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48560387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Kualitas Pelayanan Berhubungan Dengan Kepuasan Peserta Jkn Di Fasilitas Kesehatan Tingkat Pertama Provinsi Daerah Istimewa Yogyakarta","authors":"Sri Sularsih Endartiwi, Pramukti Dian Setianingrum","doi":"10.22435/hsr.v22i3.897","DOIUrl":"https://doi.org/10.22435/hsr.v22i3.897","url":null,"abstract":"BPJS Health targets participant satisfaction to reach 95%, but until 2017 participant satisfaction reaches 85%. Participants who received service at the primary health facilities based on observations averaged 70%. Based on observations at the primary health facility can be seen that participant satisfaction is 70%. The objective was to evaluate the correlation between the quality services and participant satisfaction on the national health insurance at primary health facilities in the province of Yogyakarta. The type of research was quantitative descriptive with cross sectional design. The research location was primary health facilities that cooperate with BPJS Kesehatan in the Province of Yogyakarta. The study was conducted in July 2018. The number of samples in this study was 850 by proportional random sampling. Data analysis was using the Kendall Tau test. Results showed that the quality of health services both in terms of tangible, reliability, responsiveness, assurance and empathy were related to the satisfaction of BPJS Kesehatan participants in the primary health facilities. The results of bivariate analysis for each variable had a Sig. (2-tailed) 0,000 with a strong relationship. The quality of health services was related to the satisfaction of patients participating in the BPJS Kesehatan in the primary health facilities of the Province of Yogyakarta. Primary health facilities in order to maintain the quality of its health services so that patients participating in the National Health Insurance program remain satisfi ed with the services that have been provided. \u0000Abstrak \u0000BPJS Kesehatan menargetkan kepuasan peserta mencapai 95%, akan tetapi sampai tahun 2017 ini kepuasan peserta mencapai 85%. Peserta yang mendapatkan pelayanan di fasilitas kesehatan tingkat pertama berdasarkan hasil observasi di puskesmas, dokter keluarga dan klinik pratama rata-rata 70%. Berdasarkan hasil observasi di fasilitas kesehatan tingkat pertama (FKTP) yang bekerja sama dengan BPJS Kesehatan dapat diketahui bahwa kepuasan peserta sebesar 70%. Penelitian bertujuan untuk membuktikan bahwa kualitas pelayanan berhubungan dengan kepuasan peserta Jaminan Kesehatan Nasional (JKN) di Fasilitas Kesehatan Tingkat Pertama Di Provinsi Daerah Istimewa Yogyakarta. Jenis penelitian adalah deskriptif kuantitatif dengan rancangan cross sectional. Lokasi penelitian adalah FKTP yang bekerjasama dengan BPJS Kesehatan di Provinsi Daerah Istimewa Yogyakarta. Penelitian dilakukan pada bulan Juli 2018. Jumlah sampel dalam penelitian ini adalah 850 secara proportional random sampling. Analisis data dilakukan dengan menggunakan uji Kendall Tau. Kualitas pelayanan kesehatan baik dari sudut tangible, reliability, responsiveness, assurance maupun empathy berhubungan dengan kepuasan pasien peserta BPJS Kesehatan di FKTP Provinsi Daerah Istimewa Yogyakarta. Hasil analisis bivariat setiap variabel mempunyai nilai Sig. (2-tailed) 0,000 dengan hubungan yang kuat. Kualitas pelayanan kesehatan (tan","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43064881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengetahuan Kader Posyandu, Para Ibu Balita Dan Perspektif Tenaga Kesehatan Terkait Keaktifan Posyandu Di Kabupaten Aceh Barat","authors":"L. Ambarita, A. Husna, Hotnida Sitorus","doi":"10.22435/hsr.v22i3.65","DOIUrl":"https://doi.org/10.22435/hsr.v22i3.65","url":null,"abstract":"Basic health research in 2007 showed the existence of the gap of IPKM (community health development index) among provinces, including Aceh province. Maternal and child health issue were important indicators in IPKM. This research aimed to determine knowledge of Posyandu’s cadres and mothers as well as the perspective of health offi cer towards Posyandu activities. This was a qualitative study with participatory observation design. There were two areas (Puskesmas) chosen as the research location, and at each location was conducted focus group discussion (FGD) to the mothers and Posyandu’s cadres and in-depth interview towards the informant (health offi cer). Generally, Posyandu’s cadres have good knowledge about maternal and child health, while mothers have less knowledge. The results showed that Posyandu has not been optimal in health service. This condition associated with low visits of mothers as well as the involvement of Posyandu’s cadres themselves. External factors (support of husband, family, social environment) could interfere the belief of mothers towards Posyandu services. Knowledge becomes an important aspect to infl uence awareness and willingness of mothers to utilize the service of Posyandu. \u0000Abstrak \u0000Hasil Riskesdas 2007 menunjukkan adanya kesenjangan IPKM (Indeks Pembangunan Kesehatan Masyarakat) antar propinsi maupun pada tingkat propinsi itu sendiri seperti di Provinsi Aceh. Kesehatan ibu hamil dan balita merupakan salah satu indikator penting dalam IPKM. Penelitian ini bertujuan untuk mengetahui pengetahuan kader Posyandu maupun ibu balita serta perspektif tenaga kesehatan terkait kegiatan Posyandu. Penelitian ini merupakan penelitian kualitatif dengan disain observasi partisipatif. Terdapat dua wilayah terpilih sebagai lokasi penelitian, dan pada setiap lokasi dilakukan diskusi kelompok terarah terhadap kelompok ibu balita dan kader Posyandu wawancara mendalam terhadap kader Posyandu dan ibu balita, serta tenaga kesehatan. Secara umum pengetahuan kader Posyandu telah cukup baik, namun untuk ibu balita belum sepenuhnya baik. Hasil penelitian menunjukkan belum optimalnya pelayanan Posyandu. Ketidakoptimalan tersebut berhubungan dengan rendahnya kunjungan para ibu balita, maupun keterlibatan kader Posyandu itu sendiri. Faktor eksternal (pandangan suami, keluarga & lingkungan sosial) dapat menjadi unsur yang mempengaruhi keyakinan ibu balita terhadap pelayanan Posyandu. Pengetahuan menjadi aspek penting terhadap kesadaran dan kemauan ibu balita untuk datang ke Posyandu.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46544239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}