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Analisis rendahnya penggunaan kondom berdasarkan pendekatan pemasaran sosial di kec.Kota Arga Makmur Kab.Bengkulu Utara th.2002

Ikhsan; Pembimbing: Rita Damayanti; Penguji: Rina Artining Anggorodi, Mieke Savitri, Trihono, Bob Susilo

Abstrak:

Upaya pengendalian penduduk dan penurunan fertilitas merupakan bagian yang tidak terpisahkan dari upaya kesehatan reproduksi yang berorientasi pada hak reproduksi perorangan. Pelayanan Keluarga Berencana (KB) diharapkan mampu meningkatkan derajat kesehatan reproduksi perorangan di samping menurunkan fertilitas. KB bertujuan untuk memenuhi hak reproduksi dan kesehatan reproduksi serta untuk membentuk keluarga kecil bahagia dan sejahtera. Program KB di Indonesia dianggap berhasil oleh dunia internasional, terbukti dengan tingkat kesertaan KB yang meningkat dari 26% tahun 1980, menjadi 50% tahun 1991, kemudian meningkat lagi menjadi 57% tahun 1997 dan terakhir menjadi 78,2% tahun 1999/2000. Namun yang menjadi persoalan adalah penggunaan kontrasepsi oleh laki-laki masih rendah. Kontrasepsi kondom penggunaannya masih sangat rendah walaupun merupakan kontrasepsi yang efektif dan hampir tidak mempunyai efek samping serta merupakan satu-satunya alat kontrasepsi yang dapat mencegah penularan IMS dan HIV/AIDS. Penelitian ini bertujuan untuk menggali berbagai informasi mengenai rendahnya penggunaan kondom sebagai kontrasepsi di kecamatan kota Arga Makmur kabupaten Bengkulu Utara berdasarkan pendekatan pemasaran sosial. Rancangan penelitian menggunakan metode kualitatif dengan informan adalah provider dari berbagai tingkatan, yaitu tingkat penentu kebijakan, kordinator pelaksana dan pelaksana teknis pada Dinas Kesehatan dan BKKBN. Informan lain adalah konsumen bukan pengguna kondom. Pengumpulan data dilakukan dengan wawancara mendalam dan diskusi kelompok terarah serta hasil penelitian dianalisis dengan analisis isi. Hasil penelitian menunjukkan hampir semua informan, mengatakan kondom program berkualitas kurang baik dilihat dari segi ketebalan, kemasan dan aroma, sedangkan alasan tidak menggunakan kondom karena tidak praktis, mengurangi kenikmatan dan kurang efektif. Argumentasi tersebut menyebabkan rendahnya penggunaan kondom. Menurut provider harga kondom termasuk murah dan terjangkau. Menurut konsumen hampir tidak ada perbedaan dalam hal biaya yang dikeluarkan jika menggunakan kondom dibandingkan dengan kontrasepsi lain, bahkan cenderung lebih mahal jika penggunaan dalam jumlah relatif banyak. Distribusi sampai ke pelayanan terdepan tidak ada kendala. Apotek dan toko obat adalah tempat untuk mendapat kondom. Akses ke tempat tersebut mudah dan dapat dijangkau dengan biaya murah. Kendala lain adalah promosi yang kurang, pesan yang disampaikan kurang komunikatif dan belum tersedianya dana khusus untuk kegiatan promosi. Media televisi merupakan sumber informasi utama mengenai kondom dan HIV/AIDS. Berdasarkan hasil penelitian ada beberapa saran yang perlu dikemukakan. Pertama BKKBN dalam pengadaan kondom hendaknya memperhatikan kualitas produk dan disesuaikan dengan kebutuhan serta tuntutan konsumen. Tidak perlu lagi program kondom gratis karena tidak tepat sasaran. Kedua provider hendaknya meningkatkan kualitas dan frekuensi promosi.

Analysis on the Lowness of Condom Usage Based on Social Marketing approach at Kota Arga Makmur Subdistrict in North Bengkulu District in 2002. Population control and fertility reduction attempts are not apart from reproduction health efforts oriented to individual reproduction right. Family planning program (FPP) is hoped to be able to improve personal reproduction health as well as reduce fertility. FPP is aimed at fulfilling personal reproduction and reproduction health, also forming happy and welfare small family. FPP in Indonesia is considered successful by the world with the proof that its membership participation increased from 26% in 1980, into 50% in 1991, into 57% in 1997 and finally into 78,2% in 199912000. On the other hand, contraception used by men is still low. For example, condom is low, although this contraception is effective, almost has no side-effect, and seems to be the only contraception which enables to prevent IMS and HIV/AIDS spreading. The research purpose is to explore a great deal of information about the lowness of condom usage as contraception tool at Kota Arga Makmur Subdistrict, North Bengkulu District based on social marketing approach. The research uses qualitative method with informants through providers of all levels consisting of governance deciding maker, provider coordinator, technical operator from District Health Department and BKKBN. The other informant is non condom user. Data are collected through deep interview and directed group discussion. Then, these data are analyzed through content analysis. The research proves that according to most informants, condom from FPP is not so good in thickness, package and odor. Then, the reason not to use condom is that it is not practical, not effective and reduces sexual enjoy ness. These arguments cause the lowness of condom usage. According to provider, condom is cheap and accessible. According to consumers, condom almost has no price difference, if compared with other contraception tool. Even, condom tends to be expensive if used in great quantity. Condom distribution up to the user has no obstruction. Condom is usually obtained from drugstore and apotik. The access to those places is easy and reachable with cheap cost. The other obstruction is that condom promotion is less, its message is not so communicative and thre is no special finance for its promotion. Television is dominant media for main information source for condom and HIV/AIDS. Based on the research result, there are some points to suggest. First, BKKBN should notice condom quality in providing it and this providing suits the users need and demand. There should be no fee of charge condom as it reaches wrong target. The second is that provider should improve condom quality and its promotion frequency.

T-1401

Depok : FKM-UI, 2002

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

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Hubungan status ekonomi rumah tangga dengan kejadian komplikasi persalinan di Indonesia: analisis data SDKI th.2002

Abraham; Pembimbing: Hasbullah Thabrany; Penguji: Yovsyah

T-2055

Depok : FKM-UI, 2004

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

Cari yang mirip

Metadata PDF

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Analisis manajemen piutang jaminan pihak ketiga di RS. Dr. M.Hoesin Palembang th.2002

Muhammad Yusuf; Pembimbing: Jaslis Ilyas; Penguji: Prastuti Chusnun

Abstrak:

industri perumahsakitan merupakan usaha yang sangat kompleks, dinamis, padat karya, padat modal, bertehnologi tinggi dan multidisiplin yang selalu dipengaruhi perubahan Iingkungan yang cepat, maka manajemennya pun sangat kompleks. Salah satu komponen dasarnya adalah manajemen keuangan. Dengan pengelolaan keuangan yang baik akan menunjang pengembangan rumah sakit melalui peningkatan pendapatan sehingga semua biaya investasi, biaya operasional dan pemeliharaan dapat tertutupi. Salah satu sumber pendapatan yang terbesar berasal dari pasien jaminan pihak ketiga. Sayangnya tidak seluruhnya berhasil ditagih, sisanya ditagih kemudian. Karena itu manajemen piutang perlu mendapat perhatian khusus. Data keuangan RS. Dr. M. Hoesin Palembang tahun 1999 - 2002 menunjukan bahwa pendapatan jaminan pihak ketiga meningkat berturut-turut dari 126,66% (2000), 140,36% (2001) dan 153,36% tahun 2002 yang diikuti naiknya piutang jaminan pihak ketiga yang lebih besar 133,90% (2000), 217,17% (2001) menjadi 169,79% tahun 2002. Disamping itu, terdapat saldo piutang yang berumur lebih dan 90 hari per 31 Desember 2002 sebesar 52,30% dan total piutang yang berasal dan perusahaaan. Sekitar 35% dari pendapatan rumah sakit berasal dan pendapatan jaminan pihak ketiga. Dengan ditingkatkannya status rumah sakit menjadi rumah sakit Perjan pada tahun 2002, maka semakin penting untukmenganaiisis piutang jaminan pihak ketiga di RS. Dr. M.Hoesin (RSMH) Palembang tahun 2001 Penelitian ini dilakukan di RS. Dr. Mohammad Hoesin Palembang dari bulan April sampai Mei 2003, bertujuan untuk upaya yang dapat dilakukan dalam meningkatkan efektifitas manajemen piutang di RSMH Palembang. Rancangan penelitian yang digunakan adalah kualitatif dengan melakukan wawancara mendalam. pengamatan terhadap proses yang sedang berjalan dan kajian dokumen. Dari hasil peneltian disimpulkan bahwa penyebab tingginya piutang karena belum diterapkannya sanksi kepada debitur yang telat membayar, kurang selektifnya pemberian piutang, kurangnya dana penagihan, kurang tegasnya protap penagihan, kurang akuratnya pembebanan biaya dan terlambatnya pembuatan surat tagihan..ladi pembayaran debitur perbulan masih rendah yaitu 41, 02%. Disamping itu saldo piutang per 31 Desember 2002 yang berumur lebih 90 hari sebesar 52,30% yang berasal dari debitur perusahaan. Saran yang diusulkan untuk meningkatkan efektifitas manajemen piutang yaitu menerapkan sanksi lebih tegas kepada debitur yang telat bayar, mempertegas protap penagihan piutang dan membuat protap penutupan rekening, meningkatkan peran Tim verifikasi, pelimpahan wewenang dan menyediakan anggaran yang cukup untuk penagihan serta membentuk Tim Khusus untuk menangani piutang yang macet.

Hospitals industry is an enterprise and complex, dynamic, intensive capital investment and requires intensive of labor and multidiscipline. In addition, it is influenced by environment change rapidly. It requires a highly complex management. Financial management is an essential component of hospital management The properly finance management will significantly contribute income for the hospital. This increase will in turn recovers the operational and maintenance and investment cost. One of the biggest of becoming is patient of third party. Unfortunately, not all of transaction paid in cash and remaining of payment is collected later. So, the management of account receivable is very important to handle specifically. The financial data of RS. Dr. M. Hoesin Palembang for period 1999 - 2002, it is showed that income of the third party increased 126,66% (2000), 140,36% (2001) to 153,36% in year 2002, it is more than followed account receivable of the third party 133,90% (2000), 217,17% (2001) to 167,79% in year 2002. About 35% hospital revenues derived from revenue of the third paty. With on becoming Perjan status, it is necessary account receivable of the third party analysis on year 2002. This study used in depth interview, direct observation, and investigated of the document on effectiveness of the management account receivable in RS. Dr. Mohammad Hoesin Palembang during April - May 2002. The design of study is qualitative approach. The research finding causes of the high account receivable was not be applied the sanction yet for the third party pay too late, the giving of the account recievable is not selective, the collection budget is not enough, The standard operational procedure is not clear, The billing record is not accurate, The making of claim letter is very long, So the total received payment of debitor is still low is 41,02%. Beside there were account receivable which had been more than 90 days, about 52,30% of total account receivable per December 31, 2002 derived from the firm debitor. As suggestion to effectiveness of the management of account receivable are; the aplication of sanction agree with credit policies, making more clear SOP of collecting and making SOP of Write off, The role of Verification Team increased, the delegation of authority and the budgeting of collecting is sufficient and making of specifically Team to handle bad debt. References: 20 ( 1981 - 2002)

T-1655

Depok : FKM-UI, 2003

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

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Hubungan antara metoda perawatan tali pusat dengan lamanya puput tali pusat di rumah sakit kesdam jaya Jakarta 2009

Sumartini; Pembimbing: Agustin Kusumayati; Penguji: Mieke Savitri, Toha Muhaimin, Bagus Satriya Budi, Nurhasmani

Abstrak:

ABSTRAK Masih tingginya angka kematian neonatal di Indonesia dimana masih mencapai 34/1000 kelahiran hidup. Penyebab kematian neonatal tersebut antara lain adalah disebabkan oleh tetanus neonatorium, diare, pneumoni dan infeksi tali pusat yang mencapai 57,1 % (Djaja, 2003). Dari beberpa penelitian perawatan tali pusat menunjukkan pengaruh metoda terhadap lama puput dan terjadinya infeksi. Penelitian ini merupakan penelitian observasional dengan desain kohort karena melakukan observasi terhadap perawatan tali pusat sampai lepas puput tali pusat yang bertujuan untuk mengetahui hubungan metoda perawatan tali pusat terhadap lama puput tali pusat. Populasi penelitian adalah bayi sehat yang lahir secara spontan di Rumah Sakit Kesdam Jaya Jakarta dibagi tiga populasi untuk masing-masing metoda sebesar 24 bayi. Analisis data meliputi analisa univariat, analisis bivariat dengan uji chi square. Untuk melihat hubungan antara variabel bebas dengan variabel terikat dan analisis multivariat dengan uji regresi logistik untuk melihat faktor yang paling dominan. Hasil analisis multivariat menunjukkan bahwa terdapat 5 variabel yang berhubungan dengan lama puput tali pusat di Rumah Sakit Kesdam Jaya Jakarta yaitu variabel metoda perawatan tali pusat, timbulnya infeksi, cara perawatan, kelembaban tali pusat dan sanitasi lingkungan. Sedangkan berat lahir bayi dan lingkar tali pusat tidak berhubungan. Variabel yang paling dominan berhubungan dengan lama puput tali pusat adalah timbulnya infeksi dan sanitasi lingkungan . Hasil penelitian menunjukkan rerata waktu pelepasan tali pusat yang dirawat dengan metoda kering terbuka adalah 4,58 hari, kering tertutup 6,58 hari dan alkohol 8,46 hari. Bila dibandingkan perbedaan rata rata lama puput antara metoda alkohol dengan kering terbuka 3,38 hari, antara metoda alkohol dengan kering tertutup 1,88 hari dan antara metoda kering terbuka dengan kering tertutup 2,00 hari (p=0,000) terdapat perbedaan yang bermakna. Sehingga dapat ditarik kesimpulan perawatan tali pusat metoda kering terbuka puput lebih cepat dibandingkan metoda alkohol dan kering tertutup. Disarankan kepada rumah bersalin dan bidan dapat menerapkan dan dapat memberikan pendidikan kesehatan yang benar kepada ibu yang baru melahirkan agar dapat melaksanakan metoda dan cara perawatan tali pusat yang baik.

ABSTRACT Neonatal mortalities in Indonesia are still high reached 34/1000 live births. Some of them are caused by neonatarium tetanus, diarhea, pneumonia and umbilical cord infection that reach 57.1% (Djaja, 2003). Some researches show that there are influences of umbilical cord treatment method to the length of umbilical cord separation and infection occurance. This study is an observational research using kohort design because it observed the umbilical cord treatment till its separation that aims at knowing the correlation of the umbilcal cord treatment method to the length of its ravelation. The population of this study are normal born healthy babies in Kesdam Jaya Jakarta Hospital which are devided into three populations with 24 babies for each method. The data analysis includes univariat analysis; bivariat analysis with chi square test to see the correlation between independance variable and dependance variable; and multivariat analysis with logistic regression test to see the most dominant factor. Multivariat analysis results show that there are 5 variables related to the long of umbilical cord separation in kesdam jaya jakarta hospital, that are umbilical cord treatment method, infection occurrence, treatment ways, umbilical cord humidity, and environmental sanitation. While babies? birth weight and the umbilical cord bend are not related. The most dominant variables related to the the long of umbilical cord revelation are the infection occurence and environmental sanitation. The results show that the time average of umbilical cord ravelation with dry-open treatment method is 4.58 days, 6.58 days with dry-closed method, and 8.46 days with alcohol method. The time average comparation between alcohol and dry-open method is 3.38 days, alcohol and dry-closed method is 1.88 days, and between dry-open and dry-closed method is 2.00 days (p=0.000) which means there is a difference. Therefore, it can be concluded that the umbilical cord ravelation treatment with dry-open method is faster than alcohol and dry-closed method. It is recommended to the maternity home and the midwife to apply and provide the proper health education to new mothers who give birth in order to implement the proper umbilical cord treatment methods.;Neonatal mortalities in Indonesia are still high reached 34/1000 live births. Some of them are caused by neonatarium tetanus, diarhea, pneumonia and umbilical cord infection that reach 57.1% (Djaja, 2003). Some researches show that there are influences of umbilical cord treatment method to the length of umbilical cord separation and infection occurance. This study is an observational research using kohort design because it observed the umbilical cord treatment till its separation that aims at knowing the correlation of the umbilcal cord treatment method to the length of its ravelation. The population of this study are normal born healthy babies in Kesdam Jaya Jakarta Hospital which are devided into three populations with 24 babies for each method. The data analysis includes univariat analysis; bivariat analysis with chi square test to see the correlation between independance variable and dependance variable; and multivariat analysis with logistic regression test to see the most dominant factor. Multivariat analysis results show that there are 5 variables related to the long of umbilical cord separation in kesdam jaya jakarta hospital, that are umbilical cord treatment method, infection occurrence, treatment ways, umbilical cord humidity, and environmental sanitation. While babies? birth weight and the umbilical cord bend are not related. The most dominant variables related to the the long of umbilical cord revelation are the infection occurence and environmental sanitation. The results show that the time average of umbilical cord ravelation with dry-open treatment method is 4.58 days, 6.58 days with dry-closed method, and 8.46 days with alcohol method. The time average comparation between alcohol and dry-open method is 3.38 days, alcohol and dry-closed method is 1.88 days, and between dry-open and dry-closed method is 2.00 days (p=0.000) which means there is a difference. Therefore, it can be concluded that the umbilical cord ravelation treatment with dry-open method is faster than alcohol and dry-closed method. It is recommended to the maternity home and the midwife to apply and provide the proper health education to new mothers who give birth in order to implement the proper umbilical cord treatment methods.;Neonatal mortalities in Indonesia are still high reached 34/1000 live births. Some of them are caused by neonatarium tetanus, diarhea, pneumonia and umbilical cord infection that reach 57.1% (Djaja, 2003). Some researches show that there are influences of umbilical cord treatment method to the length of umbilical cord separation and infection occurance. This study is an observational research using kohort design because it observed the umbilical cord treatment till its separation that aims at knowing the correlation of the umbilcal cord treatment method to the length of its ravelation. The population of this study are normal born healthy babies in Kesdam Jaya Jakarta Hospital which are devided into three populations with 24 babies for each method. The data analysis includes univariat analysis; bivariat analysis with chi square test to see the correlation between independance variable and dependance variable; and multivariat analysis with logistic regression test to see the most dominant factor. Multivariat analysis results show that there are 5 variables related to the long of umbilical cord separation in kesdam jaya jakarta hospital, that are umbilical cord treatment method, infection occurrence, treatment ways, umbilical cord humidity, and environmental sanitation. While babies? birth weight and the umbilical cord bend are not related. The most dominant variables related to the the long of umbilical cord revelation are the infection occurence and environmental sanitation. The results show that the time average of umbilical cord ravelation with dry-open treatment method is 4.58 days, 6.58 days with dry-closed method, and 8.46 days with alcohol method. The time average comparation between alcohol and dry-open method is 3.38 days, alcohol and dry-closed method is 1.88 days, and between dry-open and dry-closed method is 2.00 days (p=0.000) which means there is a difference. Therefore, it can be concluded that the umbilical cord ravelation treatment with dry-open method is faster than alcohol and dry-closed method. It is recommended to the maternity home and the midwife to apply and provide the proper health education to new mothers who give birth in order to implement the proper umbilical cord treatment methods., Neonatal mortalities in Indonesia are still high reached 34/1000 live births. Some of them are caused by neonatarium tetanus, diarhea, pneumonia and umbilical cord infection that reach 57.1% (Djaja, 2003). Some researches show that there are influences of umbilical cord treatment method to the length of umbilical cord separation and infection occurance. This study is an observational research using kohort design because it observed the umbilical cord treatment till its separation that aims at knowing the correlation of the umbilcal cord treatment method to the length of its ravelation. The population of this study are normal born healthy babies in Kesdam Jaya Jakarta Hospital which are devided into three populations with 24 babies for each method. The data analysis includes univariat analysis; bivariat analysis with chi square test to see the correlation between independance variable and dependance variable; and multivariat analysis with logistic regression test to see the most dominant factor. Multivariat analysis results show that there are 5 variables related to the long of umbilical cord separation in kesdam jaya jakarta hospital, that are umbilical cord treatment method, infection occurrence, treatment ways, umbilical cord humidity, and environmental sanitation. While babies’ birth weight and the umbilical cord bend are not related. The most dominant variables related to the the long of umbilical cord revelation are the infection occurence and environmental sanitation. The results show that the time average of umbilical cord ravelation with dry-open treatment method is 4.58 days, 6.58 days with dry-closed method, and 8.46 days with alcohol method. The time average comparation between alcohol and dry-open method is 3.38 days, alcohol and dry-closed method is 1.88 days, and between dry-open and dry-closed method is 2.00 days (p=0.000) which means there is a difference. Therefore, it can be concluded that the umbilical cord ravelation treatment with dry-open method is faster than alcohol and dry-closed method. It is recommended to the maternity home and the midwife to apply and provide the proper health education to new mothers who give birth in order to implement the proper umbilical cord treatment methods.] File Digital: 1

T-3119

Depok : FKM-UI, 2009

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

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Faktor-faktor yang berhubungan dengan kepatuhan kunjungan ulang pada pasien rujukan persalinan di rumah sakit umum pusat Fatmawati Jakarta tahun 2004

Sudarmi; Pembimbing: Hadi Pratomo; Penguji: Sutanto Priyo Hastono

Abstrak:

Kepatuhan kunjungan ulang pasien rujukan persalinan merupakan salah satu upaya menurun AKI. AKI di RSUP Fatmawati 100% berasal dari kasus rujukan, dan pada bulan Januari, Februari dan Maret 2004 pasien rujukan persalinan yang patuh melakukan kontrol hanya 25%. Kasus rujukan persalinan 95,7% mempunyai penyulit sehingga perlu kunjungan ulang, mengingat asuhan masa nifas sangat penting dimana perlu memberikan konseling KB sedini mungkin, bahaya kehamilan yang akan datang, serta untuk mengetahui dampak intervensi sebelumnya, maka perlu identifikasi faktor-faktor penyebabnya. Tujuan penelitian ini adalah diketahuinya gambaran kepatuhan kunjungan ulang pasien rujukan persalinan dan faktor-faktor yang mempengaruhinya di RSUP Fatmawati Jakarta tahun 2003-2004. Penelitian menggunakan desain cross sectional. Responden dalam penelitian ini, adalah ibu hamil trimester ke III yang dirujuk untuk bersalin dari tanggal 1 juni 2003 sampai dengan 31 Mei 2004, menggunakan data sekunder, pengambilan sampel secara simpel random sampling sebanyak 212 orang. Hasil penelitian ini menunjukan tingkat kepatuhan sebesar 18,9%. Penelitian ini dari 12 variabel yang diteliti yang ada hubungan bermakna adalah 5 variabel yaitu umur, paritas, jarak kelahiran, pendidikan ibu, pengalaman berobat, dengan kepatuhan kunjungan ulang. Untuk variabel pekerjaan ibu, pekerjaan kepala keluarga, penanggung biaya, jarak tempuh, riwayat persalinan yang lalu, penyulit kehamilan, dan penyakit yang diderita ibu tidak hubungan. Dalam hal ini lima dari dua betas hipotesa yang berhasil dibuktikan kebenarannya. Dan hanya 2 variabel yang secara signifikan berhubungan yaitu jarak kehamilan dan pengalaman berobat. Dimana setiap kenaikan 1 tahun jarak kelahiran berpeluang untuk melakukan kunjungan ulang sebesar 1,21 kali dengan (95% CI: 1.03-1,43) setelah dikontrol pengalaman berobat. Responden yang berpengalaman berobat berpeluang untuk patuh sebesar 6.61 kali dengan ( 95% CI:3,07-14,20) setelah dikontrol variabel jarak kelahiran responden. Dari 12 variabel independen yang dapat diintervensi untuk meningkatkan kepatuhan di rumah sakit hanya I variabel adalah pengalaman berobat dan 11 variabel Iainnya yang berasal dari iuar rumah sakitldiluar kontrol RSUP Fatmawati, intervensinya harus dilakukan dengan koordinasi lintas sektoral baik DepKes, Depag, Depdiknas, Departemen Pemberdayaan Wanita, Depdagri dan LSM.

Factors Related To Compliance Of Revisit Among Referred Delivery Patients In Fatmawati General Hospital, Jakarta 2003-2004Revisit compliance among referred delivery patients is one of important effort to reduce Maternal Mortality Rate. In the Fatmawati General Hospital all maternal death was caused by referred delivery cases. During January, February and March 2004 the revisit compliance of the referred delivery cases was only 25%. Revisit during post partum period is absolutely important since during this time it is timely appropriate to early introduce family planning methods for preventing future problems of maternal and newborn health_ Therefore, it is quite important to identify factors related with the revisit compliance of the referred delivery patients in the hospital. The objective of this study was to assess factors related to revisit compliance among referred delivery patients in the Fatmawati General Hospital 2003-2004. The design of the study was a cross-sectional design. Population of the study was 3'1 quarter pregnant women who were referred to the delivery room and had a referral letter. The referral took place between June 1 2003 to May 31, 2004. A total of 212 sample of the study was selected using a simple random sampling method. Results of the study indicated that the revisit compliance of the referred delivery patients in the Fatmawati General Hospital was 18,9%. In addition, it showed that there was a significant correlation between revisit compliance of the patients with the following independent variables namely age, parity, birth space, education of mothers, and previous experience of using the hospital services. There was no significant relationship between revisit compliance with the following variables: work status of the mother, occupation of the head of household, person respoiisible for cost of care in the hospital, distance of home to hospital, obstetric history, problems of pregnancy and diseases affecting the mothers. In this study, 5 out of 12 hypotheses was accepted. There were significant relationship between birth space and the experience of utilization of hospital services of the pregnant women. After being controlled with the previous experience of the pregnant women in using hospital service, for each year increase of birth space provides a chance of revisit compliance 1.21 times (95% confidence interval 1,03-1,43). After being control with variable of birth space, those pregnant women who had experience in using previous hospital service had a chance 6,61 times (95% confidence interval 3,07-14,20). Out of 12 variables that are amenable to intervention only previous experience of using hospital service which could be intervened by the hospital. Some other variables such as birth space, occupation of the husband, obstetric history etc could only be intervened by inter-sectoral cooperation among different institutions. Therefore, it is strongly recommended that the improvement of women status and their empowerment should become a priority of the government and non-government intervention.

T-1876

Depok : FKM-UI, 2004

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

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Analisis komparatif kepuasan pasien rawat inap pada rumah sakit yang sudah diakreditasi dan yang belum diakreditasi di Jakarta th.2002

Endah Ribriana; Pembimbing: Wachyu Sulistiadi

T-1264

Depok : FKM-UI, 2002

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

Cari yang mirip

Metadata PDF

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Distribusi risiko kesehatan logam merkuri di lokasi pertambangan emas Kab.Minahasa Selatah Prop. Sulawesi Utara th.2004

Budi Hartono; Pembimbing: Umar Fahmi Achmadi, Ririn Arminsih Wulandari; Penguji: Dewi Susanna, Hendra Martono, Ely Setyawati

Abstrak:

Adanya aktivitas pertambangan emas dan banyaknya penambangan emas liar tanpa izin (PETI) di Propinsi Sulawesi Utara berpotensi menimbulkan dampak yang merugikan baik terhadap lingkungan hidup maupun terhadap kesehatan manusia. Kondisi seperti ini merupakan suatu faktor risiko bagi masyarakat yang tinggal di sekitar teluk Buyat dan teluk Ratatotok, Kabupaten Minahasa Selatan, Propinsi Sulawesi Utara. Berdasar pada paradigma kesehatan lingkungan maka untuk mengetahui hubungan antara pencemaran lingkungan oleh logam berat serta pengaruhnya terhadap derajat kesehatan masyarakat diperlukan suatu pembuktian tingkat kandungan bahan pencemar sejak dari sumber, keberadaan di media lingkungan dan biomarker sampai pengaruhnya pada kesehatan manusia. Tujuan penelitian ini adalah untuk mengetahui gambaran distribusi tingkat risiko terhadap timbulnya gangguan kesehatan pada masyarakat di wilayah studi terkait dengan sebaran logam merkuri di ikan dan di air. Penelitian ini bersifat deskriptif analitik dengan pendekatan Cross Sectional. Variabel bebas yang digunakan dalam penelitian ini adalah konsentrasi MeHg di ikan, konsentrasi MeHg di air, konsentrasi MeHg dalam darah, pola makan ikan, lama tinggal, tekanan darah, jenis pekerjaan dan status pendidikan, sedangkan variabel terikatnya adalah tingkat risiko timbulnya gangguan kesehatan. Pengolahan data menggunakan pendekatan statistik, analisis risiko dan spasisal terhadap seluruh variabel bebas dengan variabel terikat dilakukan untuk mendapatkan hubungan dan menentukan variabel bebas mana yang paling berpengaruh terhadap tingginya tingkat risiko kesehatan. Hasil penelitian memperlihatkan bahwa kandungan merkuri yang ada pada ikan yang ditangkap di perairan teluk Buyat dan teluk Ratatotok telah menimbulkan risiko gangguan kesehatan terhadap masyarakat yang mengonsumsinya, sedangkan untuk sumber air yang berisiko menimbulkan gangguan kesehatan bagi masyarakat yang mengonsumsinya adalah air dari muara sungai Ratatotok, hulu sungai Buyat dan penampungan air bersih/air minum PT. Newmont Minahasa Raya. Variabel babas yang berhubungan dengan tingkat risiko kesehatan adalah konsentrasi MeHg di ikan, pola makan dan lama tinggal dengan variabel yang paling besar pengaruhnya terhadap tingginya tingkat risiko adalah konsentrasi MeHg di ikan. Pendekatan spasial menunjukkan bahwa wilayah penelitian yang paling besar tingkat risikonya berada pada areal yang dekat dengan pertambangan. Dengan melihat pada fenomena bahwa tingkat risiko gangguan penyakit akibat pencemaran merkuri semakin tinggi jika masyarakat di wilayah studi mengonsumsi ikan-ikan yang ditangkap dari perairan teluk Buyat dan teluk Ratatotok_ Maka untuk mengurangi tingkat risiko gangguan kesehatan akibat pemajanan merkuri, disarankan kepada Pemerintah Daerah Kabupaten Minahasa Selatan untuk melakukan penyuluhan tentang diversifikasi bahan makanan.

Many of gold mining activities at Province of North Sulawesi have potential possibility to give worse effect to the environmental and human health. This condition is one of the risk factor for mercury exposured for the people who lived near the Buyat and Ratatotok bay at South Minahasa District, Province of North Sulawesi. From the environmental health paradigm, the ammount of risk agent from the source, environmental media and biomarker until the health effect sign need to assess to know the relation between environmental pollution from heavy metal and health effect. The objective of this study is to describe the distribution of risk qoutient of non carcinogen from water and fish which exposed by mercury. This research used cross sectional study and used statistic, environmental health risk assessment method, and spatial analysis for data analysis. The result of this study described that the contain of metil mercury of fish from Buyat and Ratatotok bay and the contain of metil mercury at downside of buyat and ratatotok river and water storage of PT.NMR became the potential risk to generate the adverse health effect for the people at study area. Bivariate analysis result some variables that connected to the Risk Qoutient such as metil mercury concentration of fish, fish diet and lived period_ The final model after co-linear test got the most significant variable to the RQ that is the concentration of metil mercury of fish. The recommended for community is to reduce the used of mercury and do not throw up the waste to the sea, river and ground. For the local government is to do some course or training about the health effect of mercury exposure and food diversification.

T-2319

Depok : FKM UI, 2006

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

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Analisis Retensi Dokter pada Puskesmas Kawasan Sangat Terpencil di Tahun 2024 Studi Kasus: Kabupaten Konawe Utara Provinsi Sulawesi Tenggara

Sondang Whita Kristina Tambun; Pembimbing: Masyitoh; Penguji: Dumilah Ayuningtyas, Prastuti Soewondo, RR. Endah Khristanti W.W

Abstrak:

Keberlangsungan pelayanan dokter di puskesmas kawasan sangat terpencil merupakan hal yang harus diupayakan dengan optimal dengan meningkatkan retensi dokter karena sulitnya melakukan rekrutmen dokter baru. Puskesmas kawasan sangat terpencil merupakan puskesmas tanpa dokter dengan proporsi terbesar karena tidak diminati. Provinsi Sulawesi Tenggara merupakan provinsi kelima tertinggi puskesmas tanpa dokter di Indonesia pada tahun 2022 padahal terdapat fakultas kedokteran di provinsi tersebut. Berdasarkan data SISDMK tahun 2020 hingga 2022 dokter tidak retensi berada di puskesmas kawasan sangat terpencil Kabupaten Konawe Utara padahal kabupaten ini memiliki kapasitas fiskal sangat tinggi, memberikan insentif dokter puskesmas dan memberikan bantuan biaya pendidikan termasuk ke fakultas kedokteran. Seluruh puskesmas kawasan sangat terpencil selanjutnya memiliki dokter tahun 2023 hingga 2024. Penelitian ini bertujuan menganalisis retensi dokter di puskesmas kawasan sangat terpencil di Kabupaten Konawe Utara Provinsi Sulawesi Tenggara di tahun 2024. Penelitian ini merupakan penelitian non eksperimental dengan pendekatan kualitatif. Pengumpulan data dilakukan dengan wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa faktor yang mempengaruhi dokter retensi di puskesmas kawasan sangat terpencil Kabupaten Konawe Utara adalah fakor individu (karakter petualang, dapat membawa anak yang belum berusia sekolah ke tempat penugasan, dapat berkomunikasi dengan keluarga melalui telepon seluler dan bisa mengakses kota sebulan sekali); faktor pekerjaan (hubungan baik dengan rekan kerja dan atasan, memiliki tim, insentif finansial yang sangat memadai); faktor lingkungan tempat tinggal (kondisi geografis yang bisa diadaptasi, respon yang baik dari masyarakat, dan kondisi keamanan yang kondusif); dan faktor sistem kesehatan (distribusi dokter terkait Program Penugasan Khusus). Strategi yang dilakukan untuk meningkatkan retensi dokter di puskesmas kawasan sangat terpencil di Kabupaten Konawe Utara dengan menyediakan tempat tinggal yang memadai, koordinasi untuk peningkatan sumber daya listrik, mengusulkan melalui Dana Desa untuk ketersediaan air bersih dan pembangunan kondisi jalan, memberikan peluang pekerjaan pasangan dokter, merekrut dokter di awal karir, mendukung pendidikan berkelanjutan, optimalisasi transportasi merujuk pasien, dukungan telehealth dan telemedicine, kebijakan afirmasi pemerintah kabupaten/ kota dengan kapasitas fiskal rendah atau sangat rendah dalam pemberian insentif dokter, kebijakan disinsentif pemerintah kabupaten yang tidak memenuhi kebutuhan dokter puskesmas, membangun puskesmas kawasan sangat terpencil sepaket dengan rumah dinas, melakukan wajib pengabdian program beasiswa pendidikan dokter dan mengembangkan sistem informasi kehadiran dokter.

The continuity of doctor services in very remote public health centers must be optimally pursued by increasing doctor retention due to the difficulty of recruiting new doctors. Very remote public health centers have the largest proportion of public health centers without doctors because they are not in demand. Sulawesi Selatan Province has the fifth highest number of public health centers without doctors in Indonesia in 2022, even though there is a medical faculty in the province. Based on SISDMK data from 2020 to 2022, doctors are not retained in very remote public health centers in Konawe Utara Regency even though this district has a very high fiscal capacity, provides incentives for public health center doctors, and provides tuition assistance to medical faculties. All very remote public health centers then have doctors from 2023 to 2024. This study aims to analyze doctor retention in very remote public health centers in Konawe Utara District, Sulawesi Selatan Province in 2024. This research is a non-experimental study with a qualitative approach. Data collection was conducted by in-depth interviews and document review. The results showed that the factors affecting the retention of doctors in very remote health public centers in Konawe Utara Regency are individual factors (adventurous character, can bring children who are not yet school age to the place of assignment, can communicate with family via cellular phone and can access the city once a month); work factors (good relationships with colleagues and had of the public health center, having a team, adequate financial incentives); environmental factors (adaptable geographical conditions, good response from the community, and conducive security conditions); and health system factors (distribution of doctors related to the Penugasan Khusus Tenaga Kesehatan Program). Strategies to improve the retention of doctors in very remote area health centers in Konawe Utara Regency by providing adequate housing, coordinating the improvement of electricity resources, proposing through the Dana Desa for the availability of clean water and the construction of road conditions, providing job opportunities for doctors' spouses, recruiting doctors early in their careers, supporting continuing education, optimizing transportation to refer patients, supporting telehealth and telemedicine, affirmative policies for district governments with low or very low fiscal capacity in providing doctor incentives, disincentive policies for district governments that do not meet the needs of community health center doctors, building very remote area public health centers in combination with official houses, conducting compulsory dedication of doctor education scholarship programs and developing doctor attendance information systems.

T-6953

Depok : FKM-UI, 2024

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

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Hubungan Akses Media Informasi Dengan Penggunaan Metode Kontrasepsi Jangka Panjang Pada Wanita Usia Subur di Indonesia (Analisis Data SDKI Tahun 2017)

Alfiah Rahma; Pembimbing: Budi Hartono; Penguji: Laila Fitria, Sabarinah, Maria Gayatri ; Dini Dachlia

Abstrak:

Indonesia terus mengalami perkembangan yang dinamis. Indonesia merupakan negara ke 4 penduduk terbanyak di dunia yaitu 275 juta jiwa. Keluarga Berencana adalah upaya pengendalian jumlah anak yang dilahirkan, jarak dan umur lahir yang ideal. Metode Kontrasepsi Jangka Panjang (MKJP) merupakan metode yang dinilai paling efektif mencegah kehamilan. Angka penggunaan metode kontrasepsi jangka panjang (MKJP) di Indonesia pada tahun 2017 sebesar 13,4%. Provinsi Banten memiliki tingkat kesertaan MKJP terendah sebesar 7,4% diikuti oleh provinsi Aceh 7,7%. Beberapa provinsi juga mengalami penurunan penggunaan MKJP, seperti provinsi riau pada tahun 2017 8,3% sedangkan tahun 2012 sebesar 8,5%, Provinsi Daerah Istimewa Yogyakarta tahun 2017 18,6% pada tahun 2012 21,1%. Media informasi kesehatan adalah untuk meningkatkan kesadaran akan suatu penyebab atau topik dengan menyebarkan data dan informasi yang relevan kepada khalayak luas. Penggunaan internet di rumah mencapai 78,18% pada tahun 2020. Tujuan dari penelitian ini untuk mengetahui hubungan akses media informasi dengan penggunaan metode kontraseosi jangka panjangpada wanita usia subur di Indonesia. Penelitian ini menggunakan desain cross sectional dengan sampel wanita usia subur berstatus kawin dan menggunakan metode kontrasepsi jangka panjang yang terpilih menjadi responden dalam SDKI tahun 2017 serta memenuhi kriteria inklusi dan eksklusi sebanyak 18.263 responden. Hasil penelitian menunjukkan bahwa ada hubungan antara akses media informasi dengan penggunaan metode kontrasepsi jangka panjang (p value <0,001). Wanita usia subur yang akses media informasi sebanyak 3.188 responden (25,5%) memiliki kemungkinan untuk menggunakan MKJP 1,2 kali (95% CI: 1,1-1,8) lebih tinggi dibandingkan dengan wanita usia subur yang tidak akses media informasi.

Indonesia continues to experience dynamic development. Indonesia is the 4th most populous country in the world, namely 275 million people. Family planning is an effort to control the number of children born, spacing and ideal birth ages. The Long Term Contraceptive Method (MKJP) is the method that is considered the most effective in preventing pregnancy. The rate of use of long-term contraceptive methods (MKJP) in Indonesia in 2017 was 13.4%. Banten province has the lowest MKJP participation rate at 7.4% followed by Aceh province at 7.7%. Several provinces also experienced a decrease in the use of MKJP, such as Riau Province in 2017 8.3% while in 2012 it was 8.5%, Yogyakarta Special Region Province in 2017 18.6% and in 2012 21.1%. Health information media is to increase awareness of a cause or topic by disseminating relevant data and information to a wide audience. Internet use at home reached 78.18% in 2020. The aim of this research was to determine the relationship between access to information media and the use of long-term contraception methods among women of childbearing age in Indonesia. This study used a cross-sectional design with a sample of women of reproductive age who were married and used long-term contraceptive methods who were selected as respondents in the 2017 IDHS and met the inclusion and exclusion criteria of 18,263 respondents. The research results show that there is a relationship between access to information media and the use of long-term contraceptive methods (p value <0.001). Women of childbearing age who had access to information media as many as 3,188 respondents (25.5%) were 1.2 times more likely to use MKJP (95% CI: 1.1-1.8) compared to women of childbearing age who did not have access to information media.

T-7131

Depok : FKM UI, 2024

S2 - Tesis Pusat Informasi Kesehatan Masyarakat

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