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Background. Bogor regency is one of the regions in West Java with the highest reported TB burden in 2022, totaling 15,433 cases with a prevalence of 413 per 100,000 population. Indicating that TB prevalence reduction efforts in West Java remain suboptimal. Methods. This study employed Spearman correlation test and spatial overlay analysis on secondary data from 2022, covering 40 sub-districts in Bogor Regency. The analyzed variables included the proportion of healthcare workers, ratio of health facilities, BCG immunization coverage, proportion of poor population, low education levels, PHBS, malnourished children, population density, hygienic management of water and food, household waste management, and indoor air quality. Conclusion. The variable significantly associated with TB cases was the proportion of poor population (R = 0.492; P = 0.001) The spatial overlay analysis revealed that TB distribution tended to be higher in areas with a combination of high social and environmental vulnerability, such as Jonggol, Sukaraja, and Parung.
Pendahuluan Kementrian Kesehatan sedang berkomitmen untuk melakukan transformasi system Kesehatan guna meningkatkan layanan kesehatan yang lebih baik, merata, dan berkualitas bagi Masyarakat. Terdapat 6 pilar utama untuk menopang SKN. Melalui Keputusan Kemenkes RI No HK.0107/Menkes/11983/2022 ditaur mengenai penerapan sistem pemerintahan berbasis elektronik bidang kesehatan dan strategi transformasi digital kesehatan. Tetapi Kemenkes telah mempunyai banyak aplikasi pada setiap program. Pada Pada program KIA, ada 6 aplikasi yang terkait yaitu: e-Kohort, Komdat, EPPGBM, RME, ASIK dan SIP. E-Kohort dan EPPBGM merupakan aplikasi KIA yang mempunyai sasaran sama dan isian data yang sama. Sehingga perlu analisis untuk mengetahui gap pada kedua aplikasi tersebut. Tujuan Penelitian ini bertujuan untuk mengetahui Melakukan analisis secara komprehensif terhadap sistem pencatatan dan pelaporan KIA di E-Kohort dan EPPGBM di Jakarta Pusat. Metode Penelitian ini merupakan penelitian kualitatif menggunakan pendekatan Performance of Routine Information System Management (PRISM) Framework, dengan melihat pada aplikasi E-Kohort dan EPPBGM di Puskesmas didaerah Jakarta Pusat. Hasil dan Pembahasan Terjadinya perbedaan sasaran pada E-Kohort dan EPPBGM, yang mengakibatkan penjaringan permasalahan gizi di Ibu dan Anak juga tidak berjalan dengan baik. E-Kohort dan EPPBGM mempunyai isian data yang sama, meskipun E-Kohort lebih lengkap dibandingkan EPPBGM. Sehingga lebih efisien untuk dilakukan peleburan pada kedua aplikasi tersebut.
Introduction
The Ministry of Health is committed to transforming the national health system in order to provide better, more equitable, and higher-quality healthcare services for the population. There are six main pillars that support the National Health System (SKN). Through the Decree of the Minister of Health of the Republic of Indonesia No. HK.0107/Menkes/11983/2022, the implementation of an electronic-based government system in the health sector and a digital health transformation strategy has been regulated. However, the Ministry of Health currently operates numerous applications for each health program. In the Maternal and Child Health (MCH) program, there are six related applications: e-Kohort, Komdat, EPPGBM, RME, ASIK, and SIP. Among them, e-Kohort and EPPGBM are MCH applications that target the same population and collect similar data. This overlap necessitates an analysis to identify the gaps between the two systems.
Objective
This study aims to conduct a comprehensive analysis of the MCH recording and reporting systems in e-Kohort and EPPGBM in Central Jakarta.
Methods
This is a qualitative study using the Performance of Routine Information System Management (PRISM) framework, focusing on the use of e-Kohort and EPPGBM applications in community health centers (Puskesmas) located in Central Jakarta.
Results and Discussion
The study found inconsistencies in target populations between e-Kohort and EPPGBM, which have led to ineffective identification and management of maternal and child nutrition issues. Although both applications require similar data inputs, e-Kohort provides a more comprehensive dataset than EPPGBM. Therefore, integrating or merging the two systems would be a more efficient solution.
Pengembangan teknologi saat ini menjadikan telehealth turut berkontribusi pada inovasi pelatihan, edukasi, pendampingan, dan kolaborasi jarak jauh bagi tenaga kesehatan, salah satunya berupa teknologi telementoring. Telementoring (pendampingan jarak jauh) sudah banyak digunakan sebagai sarana pendampingan antara mentor dan mentee, yang berhasil mengatasi kendala geografis, keterbatasan waktu, tenaga, serta dapat meminimalisir biaya perjalanan (travelling). Penelitian ini bertujuan untuk menganalisis kebutuhan pengembangan telementoring Puskesmas di Kabupaten Bogor untuk kemudian dikembangkan sebuah prototipe sistem telementoring sebagai wujud sebuah inovasi pendampingan antara Dinas Kesehatan Kabupaten Bogor dan Puskesmas dan mengatasi masalah keterbatasan SDM Kesehatan di Kabupaten Bogor. Metode yang digunakan dalam pengembangan prototipe telementoring adalah User Centered Design (UCD) yang berfokus pada kebutuhan pengguna. Hasil penelitian diketahui bahwa Puskesmas Kabupaten Bogor dan Dinas Kesehatan Kabupaten Bogor membutuhkan telementoring sebagai sebuah tools pendampingan untuk meningkatkan interaksi, motivasi, edukasi, dan penguatan institusi Puskesmas, terutama pada Puskesmas yang memiliki jumlah tenaga kesehatan terbatas dan memiliki [encapaian program yang lemah. Dari hasil analisis kebutuhan juga diperoleh adanya peluang pengembangan fitur telementoring untuk mendukung penguatan Puskesmas. Berdasarkan hal tersebut, disusun suatu rancangan fitur telementoring berbasis web berbasis pada pengguna untuk Puskesmas di Kabupaten Bogor. Kata Kunci : telehealth. rancangan, prototipe, telementoring, Puskesmas, UCD.
Current technology development makes telehealth contribute to the innovation of training, education, mentoring, and long-distance collaboration for for health workers, telementong is kind of telehealth technology. Telementoring has been widely used as a mentoring facility between mentor and mentee, which is successfully overcome geographical constraints, limited time, energy, and so can minimize travel cost. This research aims to analyze the need of development of telementoring system for Puskesmas in Bogor Regency, then develop a prototype of telementoring system as a kind of innovation assistance between Bogor District Health Office and Puskesmas. Telementoring is expected to toovercome the limitations of health human resources in Bogor Regency and geographical constraints. The method used in the development of a telementoring prototype is User Centered Design (UCD), that focuses on user needs. The result of the research shows that Puskesmas in Bogor Regency and Bogor District Health Office require telementoring as an advisory tool to improve interaction, motivation, education for strengthening of Puskesmas institutionm especially for Puskesmas which have limited number of health personnel and have weak program attainment. From the result of requirement analysis also obtained the existence of opportunity for development telementoring system to support the strengthening Puskesmas. Based on this, a web based telementoring system based on user designed for Puskesmas in Bogor District was developed. Keywords : telehealth, design, prototype, telementoring, Puskesmas, UCD.
