Ditemukan 35834 dokumen yang sesuai dengan query :: Simpan CSV
Kata kunci: implementasi KBK, angka kontak, rasio prolanis, rasio rujukan kasus non spesialistik
The increasing trend of health care costs has prompted the government to seek financing alternatives that can streamline funds without reducing the quality of services. One such system is the implementation of the commitment-based capitation consequence where the puskesmas is paid based on the number of registered participants who are responsible for its effectiveness monitoring by looking at the tendency of contact numbers (≥1500/00), prolanis ratio (≥50%), and non-specialist case referral ratio (<0.5%), so it is expected that moral hazard from the supply side can be prevented or minimized. This study aims to determine the factors associated with the implementation of Capitation Based on Service Commitment This research was conducted in DKI Jakarta area with Puskesmas as analysis unit, with sequential model mixed method (quan QUAL), qualitative data was taken by indeph interview method to key informant related to validate data which can not be validated by quantitative method. The results of two year implementation significantly increased the average contact rate in 2017 by 192.6 0/00 (target ≥150 0/00), and the average prolanis ratio of 44.9% (≥50%), and lowering the average non-specialist case referral ratio to 0.3% (target <5%). From multivariate analysis, variables modeling related to achievement of service commitment indicator were capitation value, human resources (adequacy of doctor, nurse, midwife, pharmacy) are significant influence dominanly to achievement indicator of service commitment (p value <0.05). Implementation of capitation compensation is positive enough to give an effect for all puskesmas efforts to achieve the indicator of service commitment, on the other side of the indication of moral hazard, so monitoring and evaluation is needed to create the quality service..
Keywords: implementation of capitation based on service commitment, communication contact, prolanis ratio, non-specialist case ratio
Berdasarkan data Puskesmas Kelurahan Kelapa Gading Timur I tahun 2010 diketahui pemberian ASI ekslusif pada bayi yang berada di wilayah kerja Puskesmas Kelapa Gading Timur I adalah 57%, sedangkan di puskesmas lainya yang masih berada dalam satu kecamatan dengan Puskesmas tersebut adalah 70.1%. Penelitian dilakukan untuk mengetahui faktor – faktor yang berhubungan dengan perilaku pemberian ASI ekslusif. Desain penelitian adalah potong lintang dengan besar sampel 95 orang ibu yang memiliki bayi berusia 6-24 bulan dan bertempat tinggal di wilayah kerja Puskesmas Kelapa Gading Timur I. Hasil penelitian menunjukan faktor – faktor yang berhubungan dengan perilaku pemberian ASI ekslusif adalah pengetahuan, pendidikan, dukungan keluarga, dukungan petugas tempat ibu memeriksakan persalinan,sikap. Pengetahuan ibu merupakan faktor yang paling dominan mempengaruhi perilaku pemberian ASI ekslusif di wilayah kerja Puskesmas Kelurahan Kelapa Gading Timur I. Bedasarkan hasil penelitian disarankan peningkatan pengetahuan ibu hamil dan bersalin, peningkatkan kualitas penyuluhan dan promosi pemberian ASI, peningkatan dukungan petugas, peningkatan pengetahuan petugas, pendidikan mengenai pemberian ASI ekslusif di sekolah, meningkatkan promosi melalui media cetak maupun elektronik, meningkatkan pelatihan petugas kesehatan, pemberdayaan kader, peningkatan pelayanan yang berkualitas, pengawasan terhadap pemasaran produk susu formula di masyarakat, promosi pemberian ASI ekslusif pada ibu bekerja, memberikan kesempatan ibu bekerja untuk tetap memberikan ASI ekslusif pada bayinya dan juga menggalakan kembali peran Rumah Sakit untuk mempromosikan pemberian ASI ekslusif pada ibu hamil dan bersalin. Kata kunci : ASI Ekslusif, perilaku, pengetahuan, dukungan petugas kesehatan, Puskesmas Kelapa Gading.
Based on data from the Puskesmas Kelurahan Kelapa Gading Timur I in 2010, there is only 57% of mother gave exclusive breastfeeding in the working area of Puskesmas Kelurahan Kelapa Gading Timur I, whereas in another health centers located in the same sub district the figure only 70,1%. The study was conducted to determine factors related to the behavior of exclusive breastfeeding. The study design was cross-sectional with a large sample of 95 mothers with babies aged 6-24 months and residing in the working area of Puskesmas Kelurahan Kelapa Gading Timur I. The results showed factors related to the behavior of exclusive breastfeeding are the knowledge of mother, education, job of mother, support from the family, support from health staff in ANC clinic and attitude of mother in giving breastfeeding. The knowledge of mother is the most dominant factor associated with the behavior of exclusive breastfeeding. This study suggested to increase the knowledge of mothers, increase the quality of education and promotion of breastfeeding, increase staff support, increase staff knowledge, education on breastfeeding exclusively at school, improve promotion through printed and electronic media, improve training of health workers, the empower cadres, improve of service quality, supervisory on the marketing of infant formula products in the community, promote about exclusive breastfeeding to working mothers, working mothers to give exclusive breastfeeding to their baby and also encourage the Hospital role in promoting exclusive breastfeeding during pregnancy and deliveries. Key words: Exclusive breastfeeding, behavior, knowledge, increase staff support, Puskesmas Kelurahan Kelapa Gading Timur I.
tujuan: penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian stunting pada balita 6-59 bulan di provinsi dki jakarta tahun 2016.
metode: penelitian kuantitatif dengan desain studi cross-sectional ini menggunakan data sekunder yaitu data pemantauan status gizi 2016. penelitian ini menggunakan sampel sejumlah 1562 balita untuk menganalisis 10 faktor risiko stunting.
hasil: penelitian ini menunjukkan bahwa prevalensi stunting dalam penelitian ini sebesar 21.1%. hasil analisis menunjukkan bahwa faktor yang berhubungan secara bermakna dengan kejadian stunting diantaranya adalah usia balita (por = 1.62, 95% ci = 1.23-2.12), jumlah balita dalam rumah tangga (por = 3.24, 95% ci = 1.08-9.71), dan pendidikan ibu (por = 1.52, 95% ci = 1.18-1.95).
kesimpulan: prevalensi stunting di provinsi dki jakarta dalam penelitian ini masih diatas 20% dan hanya ada tiga faktor risiko yang memiliki hubungan signifikan secara statistik dengan kejadian stunting.
kata kunci : stunting, gizi, balita.
