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Meindyah Nilam Dwihanggrian; Pembimbing: Anhari Achadi; Penguji: Adang Bachtiar, Jaslis Ilyas, Siti Nurliah, Nina Febriany
Abstrak:
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Tesis ini membahas analisis manajemen program deteksi dini kanker payudara dan kanker leher rahim di Puskesmas Karang Kitri dan Puskesmas Pejuang Kota Bekasi 2022 pada kerangka logic model meliputi input, activities, output dan feedback. Penelitian ini merupakan penelitian kualitatif analitik deskriptif dengan desain studi kasus. Penelitian dilakukan di Puskesmas Karang Kitri dan Puskesmas Pejuang. Hasil penelitian membuktikan bahwa permasalahan pada input dan activities dapat menyebabkan output yang tidak baik diperkuat dengan adanya perbedaan manajemen program yang dilakukan oleh kedua Puskesmas. Perlunya kebijakan daerah, sdm yang terlatih, pembagian tugas dan kordinasi program di internal Puskesmas, anggaran, sarpras dan sistem informasi terintegrasi diperlukan untuk melakukan manajemen program deteksi dini kanker payudara dan kanker leher rahim, mulai dari perencanaan, sosialisasi promosi, pelaksanaan, pencatatan dan pelaporan, pembinaan dan pengawasan serta monitoring evaluasi. Sehingga peningkatan cakupan deteksi dini kanker payudara dan kanker leher rahim dapat tercapai.
This thesis discusses the analysis of the management program for early detection of breast cancer and cervical cancer in Puskesmas Karang Kitri and Puskesmas Pejuang Bekasi City 2022 in a logical framework model including input, activity, output and feedback. This research is a descriptive analytic qualitative research with a case study design. The research was conducted at the Karang Kitri Health Center and the Pejuang Health Center. The results of the study prove that problems with inputs and activities can lead to poor output which is strengthened by the differences in program management carried out by the two Community Health Centers. The need for regional policies, trained human resources, division of tasks and coordination of programs in the internal health center, budget, infrastructure and integrated information systems are needed to carry out the management of early detection programs for breast cancer and cervical cancer, starting from planning, outreach, promotion, implementation, recording and reporting. coaching and supervision as well as evaluation monitoring. Thus increasing the coverage of early detection of breast cancer and cervical cancer can be achieved.
T-6673
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Analisis Capaian Program Deteksi Dini Kanker Leher Rahim Di Puskesmas Kota Cilegon Tahun 2019 - 2022
Melisa Charoline Rembet; Pembimbing: Mardiati Nadjib; Penguji: Anhari Achadi, Wiku Bakti Bawono Adisasmito, Marwati, Nur Annisa Fauziyah
Abstrak:
Kanker leher rahim berada pada kedua tertinggi yaitu 9.2 per 100.000 penduduk, angka kematian rata-rata 9.0 per 100.000 penduduk. Cilegon belum mencapai target pemeriksaan IVA yang ditentukan, tahun 2019 sampai 2022 mencapai 0.99%; 1.78%, 2.05%, dan 2.35%, sehingga belum mencapai target nasional sebesar 80% dan target SPM kesehatan 100% dengan sasaran 71.139 orang. Tujuan penelitian untuk menganalisis capaian deteksi dini kanker leher rahim di Puskesmas Kota Cilegon 2019-2022. Jenis penelitian merupakan penelitian kualitatif dengan desain studi kasus, dilaksanakan pada bulan April – Mei 2023. Hasil penelitian dari sisi komponen hasil (capaian program) deteksi kanker leher rahim di Kota Cilegon periode 2019-2022 belum mencapai target SPM. Dari sisi komponen struktur, SDM, SOP, pendanaan dan sarana prasarana sudah tersedia, tetapi masih ada sedikit kendala pada ketidakseimbangnya jumlah SDM dan target. Dari sisi komponen proses, setiap puskesmas sudah menjalankan proses perencanaan, pelaksanaan, pencatatan, pelaporan, serta monitoring evaluasi sesuai dengan prosedur. Berbagai upaya telah dilakukan untuk memudahkan akses, sosialisasi aktif dilakukan, pendekatan inovatif serta kerjasama lintas program sudah dilakukan dan kerja sama lintas sektor belum menambahkan capaian deteksi dini kanker leher rahim di Puskesmas se-Kota Cilegon secara signifikan, hal ini disebabkan karena ketidaksamaan persepi tentang penghitungan target, belum maksimalnya kegiatan promosi dan advokasi, pendekatan komunikasi yang belum tepat, penggunaan media yang belum efektif, pemanfaatan yang belum maksimal potensi-potensi yang ada di Kota Cilegon sebagai kota industri, serta masyarakat yang takut diperiksa atau tidak tahu tentang pemeriksaan IVA
Cervical cancer ranks second highest at 9.2 per 100,000 population, with an average death rate of 9.0 per 100,000 population. Cilegon has not reached the designated target for IVA screenings, with percentages from 2019 to 2022 reaching 0.99%, 1.78%, 2.05%, and 2.35%, thus not achieving the national target of 80% and the health SPM target of 100%, with a target population of 71,139 individuals. The research objective is to analyze the achievement of early detection of cervical cancer at the Cilegon City Health Center from 2019 to 2022. The research design is qualitative with a case study design, conducted in April - May 2023. The research findings indicate that the program's achievement in detecting cervical cancer in Cilegon City from 2019 to 2022 has not reached the SPM target. In terms of structural components, human resources, standard operating procedures, funding, and infrastructure are already available, but there is still a slight obstacle due to the imbalance between the number of human resources and the target. In terms of process components, each health center has implemented planning, implementation, recording, reporting, and monitoring and evaluation processes according to procedures. Efforts have been made to facilitate access, actively promote awareness, employ innovative approaches, and foster cross-program cooperation, but cross-sector collaboration has not significantly improved the early detection of cervical cancer at the Cilegon City Health Center. This is due to discrepancies in perceptions of target calculation, suboptimal promotion and advocacy activities, inappropriate communication approaches, ineffective media usage, underutilization of potential resources in Cilegon as an industrial city, and a population that is either afraid of or unaware of IVA screenings.
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Cervical cancer ranks second highest at 9.2 per 100,000 population, with an average death rate of 9.0 per 100,000 population. Cilegon has not reached the designated target for IVA screenings, with percentages from 2019 to 2022 reaching 0.99%, 1.78%, 2.05%, and 2.35%, thus not achieving the national target of 80% and the health SPM target of 100%, with a target population of 71,139 individuals. The research objective is to analyze the achievement of early detection of cervical cancer at the Cilegon City Health Center from 2019 to 2022. The research design is qualitative with a case study design, conducted in April - May 2023. The research findings indicate that the program's achievement in detecting cervical cancer in Cilegon City from 2019 to 2022 has not reached the SPM target. In terms of structural components, human resources, standard operating procedures, funding, and infrastructure are already available, but there is still a slight obstacle due to the imbalance between the number of human resources and the target. In terms of process components, each health center has implemented planning, implementation, recording, reporting, and monitoring and evaluation processes according to procedures. Efforts have been made to facilitate access, actively promote awareness, employ innovative approaches, and foster cross-program cooperation, but cross-sector collaboration has not significantly improved the early detection of cervical cancer at the Cilegon City Health Center. This is due to discrepancies in perceptions of target calculation, suboptimal promotion and advocacy activities, inappropriate communication approaches, ineffective media usage, underutilization of potential resources in Cilegon as an industrial city, and a population that is either afraid of or unaware of IVA screenings.
T-6716
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Jihan Fitra Hara; Pembimbing: Puput Oktamianti; Penguji: Kurnia Sari, Suryadi, Selpi Pratiwi
Abstrak:
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Skrining secara dini dalam mendeteksi kanker serviks dalam meningkatkan perilaku sehat pada masyarakat, mengurangi faktor risiko kesehatan masyarakat, mendiagnosis dan mengobati kasus agar terjadi penurunan angka kesakitan, kecacatan dan kematian akibat penyakit kanker leher rahim atau serviks, Kementerian Kesehatan RI mengembangkan program pencegahan kanker serviks dengan Inspeksi Visual Asam Asetat (IVA tes). Pada tahun 2022 capaian pemeriksaan IVA test Puskesmas Tajur sebanyak 1550 WUS, Target sasaran selama 5 tahun Wanita Usia Subur (WUS) yang dilakukan pemeriksaan IVA yaitu 5704 WUS, sedangkan capaian Puskesmas Tajur dari tahun 2020-2022 adalah 4275 WUS yang sudah melakukan IVA. Capaian deteksi dini dengan IVA dilihat secara kumulatif setiap tahunnya, banyaknya tantangan dalam mencapai target IVA sehingga perlunya manajemen pelayanan untuk mencapai hasil yang diinginkan, dari unsur sistem dinilai input - proses – output. Tujuan penelitian ini adalah untuk mengetahui evaluasi pelaksanaan program deteksi dini kanker serviks dengan metode inspeksi visual asam asetat (IVA Test) di Puskesmas Tajur tahun 2022. Metode penelitian ini menggunakan studi deskriptif observasional dengan pendekatan kualitatif. Teknik pengumpulan data menggunakan wawancara mendalam, observasi dan telaah dokumen. Penelitian ini terdiri dari 2 Informan Utama, dan 8 Informan Triangulasi. Hasil pelaksanaan program deteksi dini kanker serviks dengan metode IVA Puskesmas Tajur masih belum maksimal. Unsur sistem Input, sumber daya pemeriksaan IVA dilakukan dengan bidan dan dokter belum pernah melakukan pemeriksaan IVA karena belum melakukan pelatihan IVA, kurangnya dana dalam pemeriksaan IVA, sarana dan prasarana IVA juga mengalami kendala dikarenakan kurangnya dana dalam pembelian alat untuk pemeriksaan IVA, sistem pelayanan puskesmas masih belum melakukan pelayanan IVA di luar gedung puskesmas sistem pelayanan dilakukan didalam gedung puskesmas, dan untuk unsur proses pada advokasi belum ada dukungan dari Kepala Kelurahan dan Kepala Kecamatan, Sosialisasi masih belum dilakukan setiap hari dan belum meratanya melakukan sosialisasi di wilayah Puskesmas Tajur, untuk proses Pra IVA, tindakan IVA dan Pasca IVA tidak masalah dalam pelaksanaan IVA. Unsur Output yaitu input, proses dan output didapatkan cakupan pemeriksaan IVA bertambah setiap tahunnya 1-3%. Saran meningkatkan perannya dalam pelaksanaan program deteksi dini kanker serviks dengan pemeriksaan IVA.
Early screening in detecting cervical cancer in increasing healthy behavior in the community, reducing public health risk factors, diagnosing and treating cases so that there is a reduction in morbidity, disability and death from cervical or cervical cancer, the Indonesian Ministry of Health developed a cervical cancer prevention program by Acetic Acid Visual Inspection (IVA test). In 2022 the results of the IVA test at the Tajur Health Center were 1550 WUS. The target for 5 years for Women of Reproductive Age (WUS) for IVA examinations was 5704 WUS, while the achievements of the Tajur Health Center from 2020-2022 were 4275 WUS who had already done IVA. The achievement of early detection with IVA is seen cumulatively every year, there are many challenges in achieving the IVA target so that service management is needed to achieve the desired results, from system elements assessed input - process - output. The purpose of this study was to determine the evaluation of the implementation of the cervical cancer early detection program using the visual acetic acid inspection method (IVA Test) at the Tajur Health Center in 2022. This research method uses a descriptive observational study with a qualitative approach. Data collection techniques using in-depth interviews, observation and document review. This study consisted of 2 main informants and 8 triangulation informants. The results of the implementation of the cervical cancer early detection program using the IVA method at the Tajur Health Center are still not optimal. Elements of the Input system, IVA examination resources carried out by midwives and doctors have never conducted VIA examinations because they have not conducted IVA training, lack of funds in VIA examinations, IVA facilities and infrastructure also experience problems due to lack of funds in purchasing equipment for IVA examinations, health center service system still not doing IVA services outside the puskesmas building the service system is carried out inside the puskesmas building, and for process elements in advocacy there is no support from the Kelurahan Head and the Kecamatan Head, Outreach is still not carried out every day and the socialization is not evenly distributed in the Tajur Puskesmas area, for the process Pre IVA, IVA actions and Post IVA are not a problem in implementing IVA. The output elements, namely input, process and output, show that IVA examination coverage increases 1-3% every year. Suggestions to increase its role in implementing cervical cancer early detection programs with IVA examinations.
T-6757
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Wulansari; Pembimbing: Budi Hidayat; Penguji: Pujiyanto, Juri Hendrajadi, Arihni Suprapti
Abstrak:
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Puskesmas dituntut untuk memberikan pelayanan kesehatan kepada masyarakat dan perorangan yang paripurna, adil, merata, dan berkualitas. Agar Puskesmas berkinerja optimal dan memuaskan masyarakat, diperlukan Manajemen Puskesmas untuk menjaga mutu melalui pengaturan sumber daya secara efektif, efisien, termasuk menjaga kualitas proses pengelolaannya. Belum semua puskesmas di Indonesia menerapkan manajemen puskesmas sesuai ketentuan Permenkes 44 tahun 2016. Di Kota Depok, baru 1 puskesmas yang memberikan pelayanan bermutu sesuai standar (terakreditasi paripurna) dan masih terdapat 12 Puskesmas dengan tata kelola cukup dan kurang. Tata Kelola puskesmas dan akreditasi sangat terkait dengan penerapan manajemen puskesmas. Disisi lain, cakupan pelatihan Manajemen Puskesmas sudah 100%. Penilaian akreditasi dan PKP di Puskesmas, tidak otomatis merefleksikan output dari puskesmas. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan manajemen puskesmas pasca pelatihan Manajemen Puskesmas di Puskesmas X dan Y Kota Depok Tahun 2022, ditinjau dari sisi Input, Proses dan Output serta penerapan RTL pasca pelatihan di instansi masing-masing. Metode kualitatif dengan pendekatan Rapid Assessment Procedure telah digunakan dalam penelitian ini. Peneliti menggunakan wawancara mendalam dan telaah dokumen untuk menjawab empat tujuan penelitian. Wawancara telah dilakukan informan kunci di Puskesmas terakreditasi madya, informan utama dan pendukung. Telaah dokumen dilakukan terhadap data sekunder Puskesmas serta Dinas Kesehatan. Hasil penelitian pada komponen input didapatkan bahwa faktor SDM, sumber pembiayaan, data dan SK tim belum terpenuhi secara optimal pada Puskesmas berkinerja cukup. Pada komponen proses, tahap P1 masih ada yang belum dilaksanakan sesuai pedoman, tahap P2 dilaksanakan belum sesuai agenda dan P3 pengawasan internal belum berjalan optimal serta belum memanfaatkan teknologi serta inovasi. Pada komponen Output, sebagian kecil Dokumen P1 dan P2 belum sesuai pedoman serta Rencana Tindak Lanjut Pelatihan belum seluruhnya diimplementasikan di Puskesmas karena beberapa kendala. Penerapan Manajemen Puskesmas Pasca Pelatihan Manajemen Puskesmas sangat dipengaruhi oleh komponen Input (SDM, sumber pembiayaan, tim efektif) serta Proses (P1, P2, Pengawasan dan Pengendalian). Pada akhirnya penelitian ini memberikan rekomendasi untuk melaksanakan upaya optimalisasi penerapan manajemen puskesmas di Puskesmas, mendorong terciptanya inovasi puskesmas, serta memformulasi ulang form rencana tindak lanjut pelatihan.
Health centers are required to provide health services to the community and individuals that are complete, fair, equitable, and of high quality. In order for Puskesmas to perform optimally and satisfy the community, Puskesmas Management is needed to maintain quality through effective and efficient resource management, including maintaining the quality of the management process. Not all health centers in Indonesia have implemented health center management according to the provisions of Permenkes 44 of 2016. In Depok City, only 1 health center provides quality services according to standards (fully accredited) and there are still 12 health centers with sufficient and insufficient governance. PHC governance and accreditation are closely related to the implementation of PHC management. On the other hand, the coverage of Puskesmas Management training is 100%. Assessment of accreditation and PKP at Puskesmas, does not automatically reflect the output of the puskesmas. This study aims to determine how the implementation of puskesmas management after Puskesmas Management training at Puskesmas X and Y, Depok City in 2022, in terms of Input, Process and Output as well as the implementation of RTL after training in their respective agencies. The qualitative method with the Rapid Assessment Procedure approach has been used in this study. Researchers used in-depth interviews and document review to answer the four research objectives. Interviews have been conducted with key informants at intermediate accredited health centers, main and supporting informants. Document review was conducted on secondary data from the Puskesmas and the Health Office. The results of the research on the input component found that the factors of human resources, financial resources, data and team decree have not been fulfilled optimally in moderately performing health centers. In the process component, there are still P1 stages that have not been implemented according to guidelines, P2 stages have not been implemented according to the agenda and P3 internal supervision has not run optimally and has not utilized technology and innovation. In the Output component, a small part of the P1 and P2 documents have not been in accordance with the guidelines and the Training Follow-Up Plan has not been fully implemented at the Puskesmas due to several obstacles. The implementation of Puskesmas Management after Puskesmas Management Training is strongly influenced by the Input component (HR, financial resources, effective team) and Process (P1, P2, Supervision and Control). The implementation of Puskesmas Management after Puskesmas Management Training is strongly influenced by the Input component (HR, financial resources, effective team) and Process (P1, P2, Supervision and Control).In the end, this study provides recommendations for carrying out efforts to optimize the implementation of puskesmas management at Puskesmas, encourage the creation of puskesmas innovations, and reformulate the training follow-up plan form.
T-6797
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nathania Angela Setiawan; Pembimbing: Vetty Yulianty Permanasari; Penguji: Mardiati Nadjib, Ery Setiawan
Abstrak:
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Kanker payudara (30,8%) dan leher rahim (17,2%) merupakan penyebab utama kematian kanker pada perempuan Indonesia (Globocan 2022). Meski dapat disembuhkan jika terdeteksi dini, 70% kasus baru ditemukan pada stadium lanjut. Perubahan struktur Puskesmas menjadi Integrasi Layanan Primer (ILP) melalui Kepmenkes HK.01.07/Menkes/2015/2023 membutuhkan penghitungan biaya satuan yang akurat untuk layanan skrining. Penelitian ini menghitung biaya aktual skrining SADANIS dan IVA/HPV-DNA di Puskesmas Tebet (percontohan ILP) menggunakan metode Activity-Based Costing (ABC) dan alat Prasana ThinkWell. Data dikumpulkan April- Juni 2025. Hasil menunjukkan biaya satuan SADANIS Rp6.540 dan IVA/HPV-DNA Rp66.465 per pasien, dengan komponen terbesar berasal dari bahan medis habis pakai dan SDMK. Selisih ditemukan antara biaya aktual dan normatif akibat perbedaan daftar alat dan asumsi upah. Temuan ini merekomendasikan: penggunaan data aktual untuk penyusunan anggaran ILP; optimalisasi klaim BPJS skrining IVA (Permenkes 3/2023); dan integrasi skrining dalam program pemeriksaan gratis untuk meningkatkan cakupan.
Breast (30.8%) and cervical cancer (17.2%) are leading causes of cancer deaths among Indonesian women (Globocan 2022). Despite high treatability when detected early, 70% of cases are diagnosed at advanced stages. The 2023 transformation of community health centers (Puskesmas) into Integrated Primary Services (ILP) under Ministerial Decree HK.01.07/Menkes/2015/2023 requires accurate unit cost calculations for screening services. This study analyzes actual costs of SADANIS and IVA/HPV-DNA screening at Tebet Puskesmas, an ILP pilot for Jakarta, using Activity-Based Costing (ABC) and ThinkWell's Prasana tool (April-June 2025 data). Results show unit costs of IDR 6,540 for SADANIS and IDR 66,465 for IVA/HPV-DNA per patient, with medical consumables and human resources as major cost drivers. A gap between actual and normative costs reflects differences in equipment lists and wage assumptions. Key recommendations include: adopting actual cost data for ILP budgeting; optimizing IVA screening claims under BPJS tariff schemes (MoH Regulation 3/2023); and integrating screenings into free health check-up programs to improve coverage.
Breast (30.8%) and cervical cancer (17.2%) are leading causes of cancer deaths among Indonesian women (Globocan 2022). Despite high treatability when detected early, 70% of cases are diagnosed at advanced stages. The 2023 transformation of community health centers (Puskesmas) into Integrated Primary Services (ILP) under Ministerial Decree HK.01.07/Menkes/2015/2023 requires accurate unit cost calculations for screening services. This study analyzes actual costs of SADANIS and IVA/HPV-DNA screening at Tebet Puskesmas, an ILP pilot for Jakarta, using Activity-Based Costing (ABC) and ThinkWell's Prasana tool (April-June 2025 data). Results show unit costs of IDR 6,540 for SADANIS and IDR 66,465 for IVA/HPV-DNA per patient, with medical consumables and human resources as major cost drivers. A gap between actual and normative costs reflects differences in equipment lists and wage assumptions. Key recommendations include: adopting actual cost data for ILP budgeting; optimizing IVA screening claims under BPJS tariff schemes (MoH Regulation 3/2023); and integrating screenings into free health check-up programs to improve coverage.
S-12013
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Fitria Kusumawati Wulandari; Pembimbing: Anhari Achadi; Penguji: Wachyu Sulistiadi, Vetty Yulianty Permanasari, Purwati, Dewi Trisia Putri
Abstrak:
Konsep pelayanan kesehatan primer pada era Jaminan Kesehatan Nasional (JKN)dikembangkan dengan penguatan pelayanan primer, salah satunya denganoptimalisasi peran pelayanan primer sebagai gatekeeper dengan konsep managedcare. Pada konsep managed care, suksesnya sistem gatekeeper salah satunyadinilai dari angka kunjungan dan angka rujukan ke Fasilitas Kesehatan TingkatLanjutan (FKTL). Penelitian ini bertujuan untuk mengetahui karakteristik danpersepsi pengguna pelayanan terhadap pemanfaatan Puskesmas sebagaigatekeeper di dua Puskesmas Kota Bekasi. Penelitian menggunakan desain crosssectional dan pengumpulan data melalui pengisian 208 kuesioner pada pasienpeserta JKN di Dua Puskesmas Kota Bekasi dengan metode pengambilan sampelsecara stratified purposive sampling dimana sampel diambil dari Puskesmasdengan nilai rujukan tertinggi dan Puskesmas dengan nilai rujukan terendah diKota Bekasi dengan jumlah sampel dibagi sama besar. Hasil penelitianmenunjukkan rata-rata skor pemanfaatan Puskesmas sebagai gatekeeper adalah52.25 (SD 4.87, 95% CI 51.58-52.92), namun angka rujukan masih tinggi di atas15%. Pekerjaan, persepsi terhadap sikap petugas kesehatan, dan lama berobatberhubungan dengan pemanfaatan Puskesmas sebagai gatekeeper. Persepsiterhadap sikap petugas kesehatan merupakan faktor dominan yang mempengaruhipemanfaatan Puskesmas sebagai gatekeeper. Sikap petugas kesehatanmempengaruhi pemanfaatan kembali layanan di Puskesmas dan mempengaruhipemanfaatan Puskesmas sebagai gatekeeper khususnya terkait continuity care.Penerapan konsep gatekeeper dengan baik dapat meningkatkan pemanfaatanPuskesmas dan menekan angka rujukan ke FKTL.Kata Kunci : Pemanfaatan Puskesmas, Gatekeeper, Persepsi terhadap petugaskesehatan.
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T-4753
Depok : FKM-UI, 2016
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Risa Morina; Pembimbing: Sandi Iljanto; Penguji: Vetty Yulianty Permanasari, Eli Zabet
S-6831
Depok : FKM-UI, 2011
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Karan Damarekha; Pembimbing: Hendrik Manarang Taurany; Penguji: Anhari Achadi, Nunu Agustina
S-6416
Depok : FKM-UI, 2011
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Sari Nur Arofah; Pembimbing: Helen Andriani; Penguji: Adang Bachtiar, Anhari Achadi, Mugiya Wardhani, Tiara Lutfie
Abstrak:
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Pemantauan tumbuh kembang adalah proses pengamatan tumbuh kembang anak melalui pengukuran antropometri secara berkala dibandingkan dengan standar untuk mengukur pertumbuhan yang cukup dan mengidentifikasi secara dini ganguan pertumbuhan. Pemantauan pertumbuhan balita bertujuan untuk memastikan setiap anak berkembang sesuai dengan jalur tumbuh kembang anak yang sehat sehingga dapat menjadi langkah deteksi dini gangguan tumbuh kembang pada anak, termasuk stunting. Pelaksanaan pemantauan pertumbuhan balita di Kota Tangerang telah dilaksanakan sesuai dengan amanat dalam Peraturan Presiden No 72 Tahun 2021 tentang Percepatan Penurunan Stunting. Pemantauan pertumbuhan balita di Kota Tangerang dimulai dari posyandu dengan memanfaatkan aplikasi SiData untuk pencatatan hasil pengukuran sebagai feeder e-PPGBM. Manajemen pemantauan balita dalam surveilas gizi di Kota Tangerang ditinjau menggunakan teori evaluasi Model CIPP dari stufflebeam yang menganalisa dari komponen konteks, input, proses dan produk. Penelitian ini merupakan penelitian kualitatif deskriptif. Metode penelitian menggunakan wawancara mendalam, focuss group discussion (FGD) dan observasi dokumen. Pemilihan informan ditentukan menggunakan purpose sampling. Informan dalam penelitian ini dipilih karena terlibat langsung dan mendukung pelaksanaan kegiatan sedangkan peserta FGD merupakan kader posyandu. Data yang dikumpulkan adalah data primer berupa hasil wawancara mendalam dan FGD sedangkan data sekunder diperoleh melalui observasi dokumen. Penelitian ini menggambarkan pelaksanaan pemantauan pertumbuhan balita dalam pelaksanaan surveilans gizi di Kota Tangerang yang menganalisa dari komponen konteks (latar belakang, masalah dan sumber daya), komponen input (strategi dan implementasi), komponen proses (pengembangan dan implementasi) dan komponen produk (dampak, efektifitas dan keberlanjutan). Pelaksanaan pemantauan pertumbuhan balita di Kota Tangerang dilaksanakan dengan dukungan sumber daya, anggaran dan memanfaatkan digitalisasi aplikasi SiData sebagai alat bantu pencatatan dan pelaporan serta keterlibatan beberapa pihak. Namun pelaksanaan pemantauan pertumbuhan balita masih terdapat beberapa kendala antara lain belum optimalnya koordinasi, monitoring dan dukungan beberapa pihak di wilayah setempat. Belum tercapainya hasil cakupan di e-PPGBM melalui SiData tidak dapat digunakan untuk mengambil suatu keputusan jika data pengukuran belum mencapai 100%. Regulasi dan SOP di Tingkat Kota yang mengatur pembagian tugas dan fungsi pemanfaatan aplikasi SiData diperlukan agar pelaksanaan pemantauan pertumbuhan balita dapat berjalan optima
Growth monitoring is the process of observing a child's growth and development through regular anthropometric measurements compared to standards to measure adequate growth and early identification of growth disorders. Monitoring the growth of toddlers aims to ensure that each child develops according to a child's healthy growth and development path so that it can be a step in early detection of growth and development disorders in children, including stunting. Monitoring the growth of toddlers in Tangerang City has been carried out in accordance with the mandate in Presidential Regulation No. 72 of 2021 concerning the Acceleration of Reducing Stunting. Monitoring the growth of toddlers in Tangerang City starts from the posyandu by using the SiData application to record measurement results as an e-PPGBM feeder. The management of monitoring toddlers in nutritional surveillance in Tangerang City is reviewed using the CIPP Model evaluation theory from Stufflebeam which analyzes the components of context, input, process and product. This research is descriptive qualitative research. The research method uses in-depth interviews, focus group discussions (FGD) and document observation. The selection of informants was determined using purpose sampling. The informants in this research were chosen because they were directly involved and supported the implementation of activities, while the FGD participants were posyandu cadres. The data collected was primary data in the form of in-depth interviews and FGDs, while secondary data was obtained through document observation. This research describes the implementation of monitoring toddler growth in the implementation of nutritional surveillance in Tangerang City which analyzes the context component (background, problems and resources), the input component (strategy and implementation), the process component (development and implementation) and the product component (impact, effectiveness and sustainability). Monitoring the growth of toddlers in Tangerang City is carried out with the support of resources, budget and utilizing the digitization of the SiData application as a recording and reporting tool as well as the involvement of several parties. However, the implementation of monitoring the growth of toddlers still has several obstacles, including lack of optimal coordination, monitoring and support from several parties in the local area. If coverage results have not been achieved in e-PPGBM via SiData, it cannot be used to make a decision if the measurement data has not reached 100%. Regulations and SOPs at the City Level that regulate the division of tasks and functions for using the SiData application are needed so that monitoring the growth of toddlers can run optimally.
T-7156
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Atrie Fitriah Pribadi; Pembimbing: Ede Surya Darmawan; Penguji: Pujiyanto, Vetty Yulianty Permanasari, Nurjamil, Punto Dewo
T-5287
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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