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Good nutrition plays an important role in the health and cognitive development of individuals, especially in children and adolescents. Nutritional problems are still a major challenge in Indonesia, prompting the government launched the Free Nutritious Meal Program (MBG) to improve the nutritional status of vulnerable groups, with students being the largest group of beneficiaries. This program is being implemented in stages throughout Indonesia, with one of the areas that has benefited from the program in the early stages is Palmerah District, West Jakarta. However, the implementation of this program faces challenges such as complaints regarding the free nutritious food served which can affect student satisfaction. Satisfaction can be used as a measuring tool to see the success of the program. This study aims to determine student satisfaction seen from the four aspects of the implementation of the MBG program and student characteristics. The independent variables studied include four aspects of the MBG program: food quality, food quantity, serving process, and time management and two student characteristics: age and gender. The study used a quantitative approach with a cross-sectional design. The results showed that the variables of food quality (p = 0.000), food quantity (p = 0.018), serving process (p = 0.000), and time management (p = 0.018) had a significant relationship with student satisfaction while the variables of age (p = 0.434) and gender (p = 1.000) did not have a significant relationship with student satisfaction. This study provides several recommendations on components that require improvement to increase program effectiveness so that program objectives can be achieved.
Latar Belakang: Skizofrenia merupakan gangguan mental kronis yang menimbulkan beban signifikan terhadap sistem pembiayaan kesehatan, terutama dalam program Jaminan Kesehatan Nasional (JKN). Penyakit ini memerlukan perawatan jangka panjang dan rawan kekambuhan, sehingga berkontribusi terhadap tingginya angka kunjungan dan pembiayaan di fasilitas kesehatan, khususnya pada layanan rujukan. Tujuan: Mengetahui besarnya biaya pelayanan kesehatan peserta JKN dengan skizofrenia dan faktor-faktor yang berhubungan dengan biaya tersebut. Metode: Penelitian kuantitatif dengan desain cross-sectional menggunakan data sekunder BPJS Kesehatan tahun 2024. Sampel terdiri dari 1.597 peserta aktif JKN dengan diagnosis skizofrenia selama satu tahun. Analisis dilakukan secara univariat dan bivariat menggunakan SPSS versi 25. Hasil: Total biaya pelayanan mencapai Rp16.896.391.354. Rata-rata biaya rawat jalan Rp314.929 dan rawat inap Rp5.050.107. Biaya signifikan dipengaruhi oleh usia, hubungan keluarga, kelas hak rawat, segmentasi peserta, wilayah kepesertaan, jenis dan kepemilikan FKTP/FKRTL, kunjungan ke FKTP, dan tipe FKRTL. Kesimpulan: Skizofrenia memberikan beban biaya tinggi pada JKN. Diperlukan pembiayaan berbasis kebutuhan serta penguatan layanan jiwa di tingkat primer dan komunitas untuk efisiensi sistem.
Background: Schizophrenia is a chronic mental disorder that poses a significant burden on the healthcare financing system, particularly within Indonesia’s National Health Insurance (JKN) program. The condition requires longterm care and is prone to relapse, contributing to high healthcare utilization and costs, especially at referral level facilities. Objective: To determine the total healthcare costs for JKN participants diagnosed with schizophrenia and to identify factors associated with those costs. Methods: This quantitative study employed a crosssectional design using secondary data from BPJS Kesehatan (Indonesia’s Social Health Insurance) for the year 2024. The sample consisted of 1.597 active JKN participants diagnosed with schizophrenia over a 12 month period. Data were analyzed using univariate and bivariate techniques in SPSS version 25. Results: The total healthcare cost amounted to IDR 16.896.391.354. The average outpatient cost was IDR 314.929, while the average inpatient cost was IDR 5.050.107. Factors significantly associated with higher costs included age, family relationship status, treatment class, participant segmentation, region of enrollment, type and ownership of primary and referral healthcare facilities (FKTP/FKRTL), number of visits to primary care, and type of referral facility. Conclusion: Schizophrenia places a substantial financial burden on the JKN system. A need-based financing approach and strengthened mental health services at the primary and community levels are essential to improving efficiency and sustainability.
Program pendidikan tenaga kesehatan merupakan bagian dari pengembangan tenaga kesehatan dengan tujuan untuk tetap meningkatkan jumlah dan mutu tenaga kesehatan yang mampu untuk mengemban tugasnya kearah perubahan, pertumbuhan dan pembaharuan dalam rangka pemenuhan kebutuhan kesehatan bagi seluruh lapisan masyarakat, seperti yang tertuang dalam SK Menkes Nomor. 558/Menkes/ SK/84. mempunyai togas dan fungsi melaksanakan, mengkoordinasikan dan membuka pendidikan tenaga kesehatan di lingkungan Departemen Kesehatan. Kualitas pendidikan berkaitan erat dengan kualitas masukan dan kualitas proses pembelajaran. Upaya untuk peningkatan kualitas lulusan lembaga pendidikan tenaga kesehatan hendaknya mencakup peningkatan kualitas masukan dan kualitas proses pembelajaran. Masukan utama mencakup mahasiswa, dosen, kurikulum dan perangkat pembelajarannya. Dosen memiliki peran penting dalam meningkatkan prestasi mahasiswa, dan untuk itu doses haruslah yang berkualitas. Peran, fungsi dan tanggung jawab dari profesi dosen dalam mengajar menuntut kompetensi yang tinggi dalam tugasnya. Penelitian ini secara umum bettujuan untuk mengetahui faktor-faktor yang berhubungan dengan kinerja dosen dalam mengajar di Akademi Kesehatan Depkes Palembang tahun 2001. Rancangan penelitian yang digunakan adalah cross sectional. Penelitian ini dilaksanakan di Akademi Keperawatan (Akper), Akademi Gizi (Akzi), Akademi Kebidanan (Akbid) Depkes Palembang. Sampel penelitian adaiah seluruh dosen tetap yang mengajar di Akademi Kesehatan Depkes Palembang sebanyak 66 orang.Penelitian ini menunjukkan bahwa faktor pengalaman kerja, pelatihan dan sumber daya mempunyai hubungan yang bermakna dengan kinerja dosen dalam mengajar. Dan basil analisis multivariat dapat disimpulkan bahwa pelatihan dan pengalaman kerja merupakan variabel yang dominan berhubungan dengan kinerja dosen dalam mengajar di Akademi Kesehatan Depkes Palembang tahun 2001 (OR= 4,69 dan 4,53). Berdasarkan basil penelitian, ada berbagai saran yang perlu ditindak lanjuti. Agar pihak Pusat Pendidikan Tenaga Kesehatan perlu meningkatkan pelatihan bagi dosen terutama yang sesuai dengan materi kuliah yang diajarkan; selain itu perlunya meningkatkan penyediaan saran prasarana yang menunjang dalam proses belajar mengajar. Bagi pihak institusi Akademi Kesehatan Depkes Palembang hendaknya mengaktifkan peran dosen senior dalam membimbing dosen yunior selain itu agar staf dosen diberi kemudahan untuk mengikuti pelatihan secara bergantian. Perlunya penelitian lanjutan terhadap faktor-faktor yang ada diluar faktor-faktor dalam penelitian ini.
Factors Related to the Performance of Lecturers within The Academy of Health Minister of Health Palembang in The Year 2001.Educational program for health professional is a part of human resource for Health (HRH) development, which have objectives to add its quantity and also to improve their quality. So that, they contribute significantly to health service changes, growth and innovations (Minister of Health Decree Number: 158/MenKes/SK/84). Quality of education is very much related with quality of input and process factors. It is therefore, input and process factors should always be considered in any effort to improve learning process. Factor within input are the students, lecturers, curriculum and educational infra structures. Lecturers are believed to have significant roles in improving students achievements, and therefore, their quality should always be monitored and improved. Their roles, functions and responsibilities demand high competencies. This study has objective to describe factors related to the performance of lecturers within the Academy of health , Ministry of Health Palembang in the Year 2001. The study used cross sectional design, which covered lecturers within Nurse, Nutrition, and Midwives Academics, Ministry of Health Palembang_ (Total population = 66 ).The study showed that work experience, previous training and education resources variables have significant relationship with the performance. Furthermore using multivariate statistic, it is shown that previous training and work experience variables are dominantly related to performance (OR =4.69 and = 4.53 respectively). This study reccomrnends to The Central for Health Professional Education (Pusdiknakes) to add more training for lecturers especially training that are related to courses teached by them. Furthermore, Pudiknakes should always maintain and improve education resources in supporting learning process in each Academy. This study also suggest that the Academy of Health Ministry of Health Palembang should develop a system of young lecturers mentoring and support strongly and open widely any training opportunity for them. At last this study recommends to continue the study to explore others than factors examined.