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Dalam rangka mempertahankan status kesehatan masyarakat selama krisis ekonomi, upaya kesehatan diprioritaskan untuk mengatasi dampak krisis. Perhatian khusus diberikan kepada kelompok beresiko dari keluarga miskin agar kesehatannya tidak memburuk dan tetap hidup produktif, melalui pemberian Kartu Sehat. Meskipun program ini telah berjalan di Kabupaten Karawang sejak tahun 1998, tetapi pemanfaatannya masih rendah (52,4%).Penelitian ini bertujuan untuk mengetahui gambaran pemanfaatan rawat jalan puskesmas serta faktor-faktor yang berhubungan dengan pemanfaatan rawat jalan puskesmas oleh pemegang Kartu Sehat JPSBK di Kabupaten Karawang.Rancangan penelitian ini adalah rancangan cross sectional untuk mengetahui hubungan pendidikan, umur, pengetahuan, jumlah keluarga, pola pencarian pelayanan kesehatan, kejadian sakit, jumlah balita, jumlah usila, jarak dan persepsi terhadap pelayanan kesehatan dengan pemanfaatan rawat jalan puskesmas oleh pemegang Kartu Sehat. Sebagai responden adalah kepala keluarga pemegang kartu sehat JPSBK di empat puskesmas di wilayah kabupaten karawang berjumlah 382 responden yang dipilih secara acak.Hasil penelitian menunjukkan bahwa faktor pendidikan, umur, pengetahuan, pola pencarian pelayanan kesehatan, kejadian sakit, jumlah usila, persepsi terhadap pelayanan kesehatan serta jarak berhubungan dengan pemanfaatan rawat jalan puskesmas. Sebanyak 52,4% dari responden pernah memanfaatkan kartu sehatnya.Dari delapan faktor yang berhubungan, faktor pola pencarian pelayanan kesehatan adalah faktor yang mempunyai hubungan paling erat dengan OR 35,613 (CI 9.601- 132,093).Agar pemanfaatan kartu sehat bisa lebih baik lagi, perlu peningkatan kerja sama lintas sektoral dalam melaksanakan sosialisasi program ini, bekerjasama dengan Lembaga Swadaya Masyarakat serta meningkatkan pelayanan puskesmas dan kunjungan rumah terhadap pemegang kartu sehat.
Analysis on Primary Health Care Out-patient by Health of Card Holder Social Protection Sector Development Program (SPSDP) in Karawang District Year 2001To maintain community health status during economic crisis, health services should be prioritized to encounter the impact. A great concern is dedicated for risky group poor family to maintain their health condition and productive life.This research aimed to find out the characteristic of health card holder, description of outpatient services use as well as its determinants.The research used a cross sectional design to find out the relationship of education, age, knowledge, the number of family, health seeking pattern, morbidity case, number of family member under five, number of elderly, the distance and perception on health services use by health card holders.Respondents are head of households who owned health card (Social Protection Sector Development Program) at four Primary Health Center (PHC) in Karawang District. Simple random sampling is the method to select 330 respondents.The result revealed that education, age, knowledge, health seeking pattern, morbidity case, number of elderly, the distance and perception of health services are related with PHC's out patient use. The study showed that 52, 4% respondents have used their health card.Health seeking pattern factor has had close relationship where the OR was 35,613 (CI 9,601- 132,093). Health card use will be much better and successfully achieved if inter sectoral could be strengthen, cooperation, as well as relationship with non government organization along with special emphasis on improving PHC's services as well.
Salah satu masalah kependudukan utama yang dihadapi Indonesia adalah pertumbuhan penduduk yang tinggi, hingga saat ini telah dilakukan berbagai usaha untuk mengendalikan pertumbuhan penduudk, terutama melalui pengendalian angka kelahiran atau fertilitas. Upaya penurunan angka kelahiran ini dilakukan dengan cara pemakaian kontrasepsi kepada pasangan usia subur. Kabupaten Bogor juga mengalami hal yang sama, belum semua PUS memanfaatkan pelayanan KB. Kecamatan Ciseeng untuk cakupan unmet need KB belum memenuhi SPM (5%). Tujuan penelitian ini untuk mengetahui hubungan faktore predisposisi, pemungkin, kebutuhan dan penguat terhadap pemanfaatan pelayanan keluarga berencana. Penelitian ini bersifat kuantitatif dengan studi cross sectional. Data yang dikumpulkan adalah data primer, diperoleh dengan cara wawancara terhadap WUS yang berstatus menikah. Hasil penelitian menjelaskan bahwa umur, pekerjaan, akses dan kebutuhan berhubungan secara signifikan dengan pemanfaatan pelayanan KB. Kebutuhan akan pelayanan KB merupakan variabel yang paling dominan.
One of the main demography issues in Indonesia is a higher growth rate of population. Nowadays, there are any efforts to control the growth rate of the population through the controk of birth rate or fertility by using contraception involuntary by the fertile spouse. Bogor regency also experience the same thing, not all of the PUS use services of KB. Ciseeng subdistrict for unmet need coverage KB has not met the SPM (5%). The purpose of this research was to know relationship factors predisposing, needs and booster of the utilization of family planning services. this research is quantitative with cross sectional study. The Data collected is primary data, obtained by means of interviews to the WUS are married. Resultes of the study explained that the age, occupation, access and requirements associated with the utilization of service significantly KB. The need for services is the most variable KB is dominant.
Background: COVID-19 is a new contagious disease that was emerging in December 2019 and became a pandemic in 2020. Both morbidity and mortality rates have hit worldwide due to this disease. Health workers as the frontliner had to protect public from the COVID-19 infection. This study used Health Belief Model framework. Objective: To analyze the prevention behavior of COVID-19 among health workers at health centers, during the pandemic in Indonesia in 2020. Method: This study using cross-sectional approach on secondary data of the Association of Indonesian Public Health Educators and Educators (PPPKMI) 2020 in June 2020 survey. Selected variables consist of modification factors, perceived threats, perceived barriers, and cues to action. Whereas dependent variable wass the COVID-19 Prevention Behavior in Health Workers at the Puskesmas. Results: The total sample used was 651 respondents consist of 82% female, 20-29 years old, 54.3% civil servants and 66.2% working area in Java. The average of practicing preventive behavior was 97,75 points with the proportion of actions taken, namely always wearing mask when leaving the house 93,7%, at work 96.2%, always wash hands 90%, always keep a distance 85.7 and the availability of personal masks is above 96%. Independent variables that have a significant relationship with COVID-19 prevention behavior are Gender, Working Area and Perceptions of Barriers. Conclusion: this study found that perceived barriers were the most influencing factor on COVID-19 prevention behavior among health workers at Puskesmas p-value =0,000 OR.2,293
