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Maternal and infant mortality rate in Indonesia is still high compared withother countries in Southeast Asia. The low utilization at medical labour attendants(midwives) is one of the factors contributed to the high rates. The coveragenumber of labour by medical attendants in Bantan District is 78,1% (target SPM90%). This study aims at determine the factors associated with the selection ofmedical professional as the labour attendants in the area of Occupational HealthDistrict Health Clinics UPTD Bantan. This study is a quantitative cross-sectionaldesign. The sample was taken from 290 women who giving birth in January toDecember 2012. Data are collected by descriptive analysis techniques andanalysis of the relationship between two variables. Research findings show thatthere is a big involvement of Traditional Birth Attendants as birth attendants(33.3%). The results of the analysis of the relationship of five variables show thatEducation (p = 0.000 and OR=5,000), Knowlegde (p = 0.000 and OR=6,191),Ante Natal Care (p = 0.000 and OR=6,270), Income Family (p = 0.000 andOR=3,357) and Family Support (p= 0.033 and OR=2,231) are the variablesrelated to the selection of birth attendants. Furthermore, the results of this studyshow that age, parity, and cost has no significant relation with the selection ofmedical professional as the labour attendants . The result of this studyrecommends to the District Health Clinics Health UPTD Bantan to increase publicknowledge about the health of the mother and maternal through pregnancy class,cross-sector cooperation related to the revitalization of Traditional BirthAttendants and midwives partnership.Key Word: Labour Attendant, Maternal Mortality Rate
ABSTRAK Nama : Egidius Ulukyanan Program Studi : Ilmu Kesehatan Masyarakat Judul : Manajemen Pengelolaan Obat Dalam Keadaan Bencana di Rumah Sakit Darurat RSUD dr.H.Ishak Umarella Provinsi Maluku Tahun 2019 Pembimbing : Dr. Dra.Dumilah Ayunigtyas, MARS Pelayanan Kefarmasian merupakan kegiatan yang bertujuan untuk mengidentifikasi, mencegah, dan menyelesaikan masalah terkait obat. Pada dasarnya pengelolaan obat di instalasi farmasi rumah sakit meliputi perencanaan, pengadaan, penerimaan, penyimpanan, pendistribusian, penghapusan dan pengendalian dimana keempat tahap ini saling terkait dan saling mempengaruhi sehingga harus terkoordinasi dengan optimal. Penelitian ini bertujuan untuk mengetahui manajemen pengelolaan obat yang dilakukan rumah sakit umum daerah dr.H.Ishk Umarella Maluku dalam keadaan bencana alam terjadi. Dengan desain penelitian kualitatif yang dilakukan dengan cara wawancara mendalam terhadap informan yang bertanggungjawab terhadap farmasi RSUD dr.H.Ishak Umarella Maluku. Hasil penelitian ini yaitu perencanaan yang dilakukan rumah sakit dalam penyediaan obat yaitu dengan menyusun sesuai formula nasional dan formula rumah sakit dengan metode konsumsi yang dilakukan oleh tim perencana yang ditetapkan oleh rumah sakit, proses pengadaan dilakukan menggunakan e-catalog, proses penerimaan obat dilakukan oleh tim penerima obat yang berkompeten dibidang farmasi, seluruh obat disimpan dalam ruangan/tenda yang menyesuaikan dengan kondisi untuk menjaga mutu dan kualitas obat dengan sistem penyusunan sesuai dengan jenis sediaan obat. Proses pendistribusian obat dilakukan dengan resep perorangan, baik pasien rawat jalan maupun pasien rawat inap. Obat yang telah melewati batas kadaluarsa akan dilakukan pemusnahan dan obat yang disimpan dikendalikan dengan stok opname untuk menghindari kekosongan obat. Kendala yang dihadapi pada saat bencana yaitu ketersediaan sarana untuk penyimpanan obat. Disarankan kepada RSUD dr.H.Ishak Umarella agar dapat melakukan manajemen pengelolaan obat sesuai dengan standar yang telah ditetapkan nasional meskipun tidak maksimal dikarenakan dalam keadaan bencana. Kata kunci: Manajemen obat, IFRS, Farmasi
ABSTRACT Name : Egidius Ulukyanan Study Program : Public Health Title : Management of Drug Management in a Disaster in the Emergency Hospital of Dr.H.Ishak Umarella Regional Hospital, Maluku Province in 2019 Counsellor : Dr. Dra.Dumilah Ayuningtyas, MARS Pharmaceutical Services is an activity that aims to identify, prevent and solve drug related problems. Basically the management of drugs in a hospital pharmacy installation includes planning, procurement, acceptance, storage, distribution, deletion and control where these four stages are interrelated and influence each other so that it must be coordinated optimally. This study aims to determine the management of drug management conducted by the regional general hospital Dr.H.Ishak Umarella Maluku in the event of a natural disaster. With a qualitative research design carried out by means of in-depth interviews with respondents who are responsible for the pharmacy Dr.H.Ishak Umarella Maluku General Hospital. The results of this study are the planning carried out by the hospital in the supply of drugs, namely by compiling in accordance with national formula and hospital formula with the consumption method carried out by the planning team prepared by the hospital, the procurement process is carried out using e-catalogs, the process of receiving drugs is carried out by the receiving team competent medicine in the pharmaceutical field, all drugs are stored in a room / tent that adjusts to the conditions to maintain the quality and quality of the drug with a drafting system according to the type of drug. The process of drug distribution is done by individual prescriptions, both outpatients and inpatients. Drugs that have passed the expiration date will be destroyed and the stored drug is controlled with the stock ofname of the drug to avoid the vacancy of the drug. The obstacle faced at the time of the disaster is the availability of facilities for drug storage. It is recommended to the RSUD Dr.H.Ishak Umarella to be able to manage the management of drugs in accordance with national standards, although not optimal because in a state of disaster. Keywords: Drug management, IFRS, Pharmacy