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Anzelynastiti Nur Azizah; Pembimbing: Jaslis Ilyas; Penguji: Ede Surya Darmawan, Puput Oktamianti, Srihartinnovmi ; Anugrah Wiendyasari
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Kejadian henti jantung merupakan permasalahan besar bagi dunia kesehatan. Kejadian ini menjadi penyebab terbesar kematian di berbagai negara. Menurut data WHO (World Health Organization) tahun 2015, penyakit jantung merupakan penyebab kematian paling banyak di dunia. Berdasarkan uraian dalam rumusan masalah, dapat disusun pertanyaan penelitian sebagai berikut: Bagaimana kepuasan SDM di Balai Pelayanan Sosial Tresna Werdha (BPSTW) di Unit Budi Luhur setelah mengikuti pelatihan Basic Life Support (BLS), Apakah pelatihan BLS efektif dalam meningkatkan pengetahuan dan keterampilan SDM BPSTW. Yang bertujuan untuk Mengetahui tingkat kepuasan SDM BPSTW di Unit Budi Luhur terhadap pelatihan BLS serta mengetahui efektivitas pelatihan BLS dalam meningkatkan pengetahuan dan keterampilan SDM BPSTW di Unit Budi Luhur. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan studi pre-experimental serta model pre-test dan post-test pada satu kelompok untuk melihat efektivitas pelatihan Basic Life Support (BLS). hasil penelitian yang telah di analisis dan dibahas mengenai efektivitas pelatihan BLS pada SDM di BPSTW Dinsos DIY, diperoleh beberapa kesimpulan penelitian meliputi: Penilaian efektivitas pelatihan BLS menunjukkan bahwa peserta pelatihan BLS memiliki sikap yang positif dan puas terhadap pelatihan BLS yang diselenggarakan dengan menunjukkan rata-rata score hasil penilaian kepuasan adalah 4,24 (Puas) serta pelatihan yang dilakukan efektif karena menunjukkan adanya peningkatan nilai sebelum dan sesudah pelatihan.
Cardiac arrest is a big problem for the world of health. This incident is the biggest cause of death in various countries. According to WHO (World Health Organization) data in 2015, heart disease is the most common cause of death in the world. Based on the description in the problem formulation, research questions can be formulated as follows: What is the satisfaction of human resources at the Tresna Werdha Social Service Center (BPSTW) in the Budi Luhur Unit after attending Basic Life Support (BLS) training? Is BLS training effective in increasing the knowledge and skills of BPSTW HR?. The aim is to determine the level of satisfaction of BPSTW HR in the Budi Luhur Unit with BLS training and to determine the effectiveness of BLS training in increasing the knowledge and skills of BPSTW HR in the Budi Luhur Unit. This research is a quantitative study using pre-experimental studies as well as pre-test and post-test models in one group to see the effectiveness of Basic Life Support (BLS) training. The results of research that have been analyzed and discussed regarding the effectiveness of BLS training for human resources at BPSTW Dinsos DIY, several research conclusions were obtained including: The assessment of the effectiveness of BLS training shows that BLS training participants have a positive attitude and are satisfied with the BLS training which is held by showing that the average score of the satisfaction assessment results is 4.24 (Satisfied) and the training carried out is effective because it shows an increase in scores before and after training.
T-6864
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Noel Sita Rukmi; Pembimbing: Hafizzurachman; Penguji: Dumilah Ayuningtyas, Setiawaty, Emilia Amir
Abstrak:
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Upaya peningkatan mutu pelayanan ditetapkan dalam Undang-Undang No 44 tahun 2009 tentang akreditasi. Tahun 2013, Joint Commision Internasional (JCI) akan melakukan penilaian akreditasi secara internasional terhadap RSUP Fatmawati terutama mutu pelayanan patient safety. Sehingga perlu diadakan pelatihan basic life support sebagai salah satu syarat pemenuhan penilaian tersebut. Dimulai tahun 2012 terhadap para pegawai non medis, sehingga perlu dievaluasi kegiatan pelatihan tersebut.
Tujuan dari penelitian ini untuk mengetahui pengaruh langsung dan tidak langsung antara ketepatan metode pelatihan, kualitas materi pelatihan,kualitas instruktur pelatihan terhadap retensi materi pelatihan dan kompetensi pegawai non medis dalam melakukan bantuan hidup dasar / basic life support pascapelatihan Basic Life Support di RSUP Fatmawati tahun 2012. Metode penelitian ini menggunakan statistik analisis "Structural Equation Model (SEM) Partial Least Square (PLS)". Sampel sebanyak 100 responden pegawai non medis yang telah mengikuti pelatihan.
Hasil analisis menunjukkan terdapat pengaruh Pengaruh Ketepatan Metode, Kualitas Materi, Kualitas Instruktur Pelatihan Terhadap Retensi Materi Pelatihan dan Kompetensi Pegawai Non Medis dengan derajat kepercayaan 95 %, kecuali variabel kualitas instruktur pelatihan terhadap kompetensi pegawai, memiliki tingkat kepercayaan mendekati 70 %.
Rekomendasi hasil penelitian lebih lanjut diarahkan kepada Direksi RSUP Fatmawati, Bagian Pendidikan dan Penelitian dan Bagian Sumber Daya Manusia.
Efforts to improve the healthcare quality is stated in the State Law No. 44 year 2009 concerning accreditation. In 2013, the Fatmawati hospital will be assessed by Joint Commission International (JCI) using international accreditation standard especially regarding patient safety quality. So it is necessary to conduct the basic life support training as a one of condition to fulfill the assessment. This training had been conducted from 2012 and implemented to the non-medical personnel, so the training needs to be evaluated.
The purpose of this study is to determine the direct and indirect influence between the precision of the method of training, training materials quality, training instructor quality on the retention of the training material and non-medical personnel competence in performing basic life support training in Fatmawati general hospital Basic Life Support year 2012. This study uses statistic methods of analysis "Structural Equation Model (SEM) Partial Least Square (PLS)". Using Sample from 100 non-medical personnel respondents who have been trained with the basic life support training.
The results show there are significant effect of Method precision, Material Quality, Materials Quality, Training Instructor Quality towards Training Material Retention Quality and Competency of the Non-Medical personnel with 95% confidence level, except for the training instructors quality variable to employee competence, have approached the 70% confidence level.
Further research recommendations are directed to the Fatmawati General Hospital Board of Directors, Education and Research Department and the Human Resources Department.
T-3901
Depok : FKM-UI, 2013
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dwi Jayanti; Pembimbing: Anhari Achadi; Penguji: Wahyu Sulistiadi, Dumilah Ayuningtyas, Ns. Sukihananto
Abstrak:
Struktur penduduk dunia baik di Indonesia maupun dunia telah bergeser menjadi berstruktur penduduk tua. Dikatakan sebagai struktur penduduk tua, jika populasi lansia di suatu negara lebih dari tujuh persen. Pada tahun 2018 terdapat 9,27 persen (sekitar 24,49 juta) lansia di Indonesia. Beralihnya struktur ini dikarenakan meningkatnya Usia Harapan Hidup (UHH). Jumlah lansia di perkotaan lebih banyak diandingkan di perdesaan. DKI Jakarta merupakan ibukota negara dan pusat pemeritahan. Hal ini menjadikan Jakarta sebagai perkotaan untuk memberikan contoh pelayanan kesehatan dan sosial yang baik bagi penduduknya termasuk lansia. Terdapat sejumlah 1225 lansia bertempat tinggal di Panti Sosial Tresna Werdha (PSTW) dan komunitas masyarakat. Tingginya jumlah lansia menjadi perhatian baik pemerintah dan masyarakat untuk memperhatikan masalah lansia. Pada institusi sosial ini, lansia, sebagai kelompok yang rentan mengalami perubahan baik secara fisik, psikologis, sosial dan lingkungan memungkinkan lansia untuk sulit beradaptasi dengan lingkungannya sehingga hal ini dapat mempengaruhi kualitas hidupnya. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup lansia menurut domain kualitas hidup World Health Organization Quality of Life-Bref (WHOQOL-Bref). Penelitian dilakukan dengan desain campuran, yakni penelitian kuantitatif dan kualitatif. Penyebaran kuesioner, wawancara mendalam, observasi, dan telaah dokumen dilakukan pada 80 responden lansia masingmasing 40 responden di Panti Sosial Tresna Werdha (PSTW) Budi Mulia 1 Cipayung dan Sasana Tresna Werdha (STW) Karya Bhakti RIA Pembangunan Cibubur. Hasil menunjukkan bahwa penggunaan obat, aktifitas fisik dan domain psikologis memiliki pengaruh terhadap kualitas hidup lansia dengan p value 0,04; 0,03 dan 0,034. Hasil penelitian menunjukkan tidak ada perbedaan kualitas hidup dan kepuasan akan kesehatan dan domain kualitas hidup antara responden PSTW dan STW. Penelitian ini diharapkan dapat menjadi masukan terkait peningkatan interaksi sosial, perbaikan kondisi lingkungan dengan pelaksanaan program dan pelatihan petugas. Diharapkan penelitian lebih lanjut terkait intervensi yang dapat meningkatkan kualitas hidup lansia di institusi sosial panti werdha.
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T-5754
Depok : FKM UI, 2019
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Stevani Dharma Yanti; Pembimbing: Wiku Bakti Bawono Adisasmito; Penguji: Dumilah Ayuningtyas, Prastuti Soewondo, Iin Dewi Astuty, Aldrin Neilwan P.
Abstrak:
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Electronic Medical Record (EMR) sebagai salah satu upaya pengelolaan satu data kesehatan berbasis individu masih belum terlaksana berdasarkan Peraturan Menteri Kesehatan 24/2022. Peraturan mewajibkan seluruh fasyankes menyelenggarakan rekam medis berbasis digital dan terintegrasi maksimal tanggal 31 Desember 2023. Hingga saat ini terdapat 2.000 dari 3.000 RS yang belum menyelenggarakan EMR sesuai peraturan. Salah satu penyebab adalah kurangnya kesiapan sumber daya manusia (SDM). Padahal EMR memudahkan beberapa kegiatan pelayanan hingga meningkatkan kualitas dan organisasi pelayanan kesehatan. Penelitian menggunakan teori FITT Framework dan manajemen perubahan oleh Kotter untuk menganalisis kesiapan SDM dan strategi untuk mempercepat implementasi EMR. Penelitian menggunakan metode kualitatif dengan jenis studi kasus. Informan penelitian ditentukan dengan metode purposive sampling terdiri dari manajemen rumah sakit, tenaga medis, tenaga kesehatan, dan pihak mitra penyelenggara EMR. Data yang dikumpulkan berupa data primer yaitu hasil pengumpulan data dan data sekunder melalui telaah dokumen. Hasil penelitian menunjukkan bahwa SDM di lokasi penelitian tidak siap terhadap kebutuhan, keterlibatan, penyediaan teknologi, dan ketersediaan kebijakan penyelenggaraan EMR. Ketidaksiapan SDM disebabkan kurang jelasnya regulasi, kurangnya dukungan dan komitmen manajemen terhadap perannya, dan kurangnya motivasi, komunikasi, koordinasi antar SDM. Kesimpulan penelitian adalah dibutuhkan penerapan manajemen perubahan secara bertahap bagi pihak terlibat untuk mempercepat implementasi EMR di lokasi penelitian.
Electronic Medical Record (EMR) as an effort to manage the entire individual-based health data is still not implemented based on The Regulation of Minister of Health 24/2022. Regulation requires all of health facilities to organize digital-based and integrated medical record by December 31st 2023. However, 2.000 out of 3.000 hospitals have not implemented EMR according to the regulation yet. One of the causes is a lack of human resources (HR) readiness. In fact, EMR can facilitate several service activities and improve the organizations and quality of health service. The study used the FITT Framework theory and Kotter’s change management to analyze the HR readiness and the strategies needed to accelerate the implementation. This study used a qualitative method with case study design. The informants of the study were determined using the purposive sampling method consisted of hospital management, medical personnel, health workers, and the organizing partner. The data collected is primary data from data collection and secondary data through document review. The study results showed that the HR at the research location is not ready for needs, engagement, providing technology and policy for impelementing EMR. The unreadiness of the HR is caused by the lack of clarity in the regulation, the lack of management support dan commitment to their role, and lack of motivation, communication, and coordination between the HR. The research conclusion is that implementing change management gradually is needed for the parties involved to accelerate the EMR implementation at the research location.
T-6863
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ekariana Yulistiawati; Pembimbing: Mieke Savitri; Penguji: Surya Ede Darmawan, Irwan Machjudin
S-5921
Depok : FKM-UI, 2010
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Nisa Fitriyanti; Pembimbing: Helen Andriani; Penguji: Ascobat Gani, Purnawan Junadi, Anhari Achadi, Nur Indah
Abstrak:
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Anemia masih menjadi masalah kesehatan utama pada remaja putri. Prevalensi anemia remaja putri di Kecamatan Muaragembong, Kabupaten Bekasi pada tahun 2022 mencapai 68,7% sehingga Puskesmas Muaragembong melakukan intervensi program inovasi dalam pemberian TTD remaja putri. Penelitian ini bertujuan untuk mengevaluasi efektivitas program penurunan anemia melalui pemberian TTD remaja putri di Puskesmas Muaragembong Kabupaten Bekasi tahun 2023. Penelitian menggunakan desain mixed method explanatory sequential. Penelitian kuantitatif dengan jenis studi cross sectional. Sampel yang digunakan sebanyak 150 remaja putri. Kadar hemoglobin (Hb) diukur menggunakan alat hemocue, status gizi dihitung menggunakan indeks massa tubuh (IMT), pola menstruasi, riwayat penyakit infeksi, perilaku CTPS, pola konsumsi pangan, konsumsi tablet tambah darah, tingkat pengetahuan remaja putri, tingkat pendidikan ibu dan tingkat pendapatan orang tua diperoleh melalui wawancara menggunakan kuesioner. Analisis data bivariat menggunakan uji chi square dan regresi logistik sederhana, multivariat menggunakan uji regresi logistik berganda. Penelitian kualitatif dilakukan melalui Rapid Assessment Procedure (RAP) untuk mengevaluasi efektivitas program menggunakan teori logic models dimana program akan dinilai dari sisi input, activity output serta outcome. Setelah dilakukan intervensi program terjadi penurunan prevalensi anemia remaja putri sebesar 62,15% menjadi 26%. Faktor-faktor yang berhubungan dengan anemia pada remaja putri diantaranya adalah status gizi, pola menstruasi, pola konsumsi pangan, perilaku CTPS dan konsumsi TTD dimana faktor yang paling dominan adalah pola menstruasi. Terdapat ketidaksesuaian dalam program pemberian TTD pada variable SDM, sarana, advokasi, sosialisasi, jejaring dan komunikasi, pemberian, pendatatan dan pelaporan.
Anemia is still a major health problem among adolescent girls. The prevalence of anemia among adolescent girls in Muaragembong District, Bekasi Regency in 2022 reached 68.7% so that the Muaragembong Health Center conducted an innovation program intervention in TTD supplementation for adolescent girls. This study aims to evaluate the effectiveness of the anemia reduction program through TTD supplementation for adolescent girls at the Muaragembong Health Center, Bekasi Regency in 2023. The study used mixed method explanatory sequential design. Quantitative research with a cross-sectional study type. The sample used was 150 adolescent girls. Hemoglobin (Hb) levels were measured using a hemocue device, nutritional status was calculated using body mass index (BMI), menstrual patterns, history of infectious diseases, CTPS behavior, food consumption patterns, consumption of iron tablets, level of knowledge of adolescent girls, maternal education level and parental income level were obtained through interviews using questionnaires. Bivariate data analysis used the chi square test and simple logistic regression, multivariate using multiple logistic regression tests. Qualitative research is conducted through the Rapid Assessment Procedure (RAP) to evaluate the effectiveness of the program using the logic models theory where the program will be assessed from the input, activity output and outcome aspects After the program intervention, there was a decrease in the prevalence of anemia in adolescent girls by 62.15% to 26%. Factors related to anemia in adolescent girls include nutritional status, menstrual patterns, food consumption patterns, CTPS behavior and TTD consumption where the most dominant factor is the menstrual pattern. There are discrepancies in the TTD provision program in the variables of human resource, facilities, advocacy, socialization, networking and communication, provision, data collection and reporting.
T-7177
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dia Anggraini; Pembimbing: Ede Surya Darmawan; Penguji: Vetty Yulianty Permanasari, Puput Oktamianti, Imam Syahbandi, Yana Supiana
Abstrak:
Puskesmas pada era JKN ini memegang peranan penting sebagai FasilitasKesehatan Tingkat Pertama penapis rujukan. Sebagai pintu gerbang pelayanankesehatan dasar, puskesmas memiliki tanggung jawab untuk menyelesaikankasus-kasus medis non spesialistik secara tuntas. Penelitian ini bertujuan untukmelihat efektivitas puskesmas yang diwakili oleh nilai rujukan apabiladihubungkan dengan ketersediaan sumber daya puskesmas dan kepemimpinanmanajerial. Metode penelitian adalah metode potong lintang dengan pendekatankuantitatif kepada 25 puskesmas di Kota Tangerang Selatan. Dari hasil penelitiandidapatkan bahwa sumber daya yang dimiliki puskesmas belum memenuhistandar yang telah ditetapkan kecuali untuk obat. Ketersediaan alat/teknologi danbahan penunjang medis berkisar pada level 60-79%. Sedangkan aspekkepemimpinan manajerial yang harus disoroti adalah pengawasan KepalaPuskesmas, pendelegasian tugas dan komunikasi antara pimpinan dan staf. Dari25 puskesmas, terdapat 7 puskesmas dengan kategori efektivitas baik dimana nilairujukan < 15%.Kata kunci : Efektivitas, pelayanan kesehatan, puskesmas
Primary Health Center (Puskesmas) in the era of JKN plays an important role asFirst level Health Facilities filters refferal. As a gatekeeper, Primary Health Centerhave a responsibility to resolve cases of non-specialist medical thoroughly. Thisstudy aims to analyze the effectiveness of the Primary Health Center arerepresented by the refference value when linked with the availability of resourcesand Primary Health Center managerial leadership. This research was crosssectional design with quantitative approach. Sampling was collected by purposivesampling method to 25 puskesmas in South Tangerang. The results showed thatthe resources of Primary Health Center do not meet the standards that have beenset except for the drug. The availability of tools/technology and medical supportmaterial ranges level from 60-79%. While aspects of leadership managerialshould be highlighted is supervision, jobs delegation and communication betweenleaders and staff. From 25 Primary Health Center, there are 7 Primary HealthCenters with good effectiveness category which the reference value < 15%.Key word : Effectiveness, health service, primary health center (Puskesmas).
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Primary Health Center (Puskesmas) in the era of JKN plays an important role asFirst level Health Facilities filters refferal. As a gatekeeper, Primary Health Centerhave a responsibility to resolve cases of non-specialist medical thoroughly. Thisstudy aims to analyze the effectiveness of the Primary Health Center arerepresented by the refference value when linked with the availability of resourcesand Primary Health Center managerial leadership. This research was crosssectional design with quantitative approach. Sampling was collected by purposivesampling method to 25 puskesmas in South Tangerang. The results showed thatthe resources of Primary Health Center do not meet the standards that have beenset except for the drug. The availability of tools/technology and medical supportmaterial ranges level from 60-79%. While aspects of leadership managerialshould be highlighted is supervision, jobs delegation and communication betweenleaders and staff. From 25 Primary Health Center, there are 7 Primary HealthCenters with good effectiveness category which the reference value < 15%.Key word : Effectiveness, health service, primary health center (Puskesmas).
T-4573
Depok : FKM-UI, 2016
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Eugenius Rada Masri; Pembimbing: Hasbullah Thabrany; Penguji: Anhari Achadi, Mariani Subrata, Adeline Lebuan
Abstrak:
Kondisi geografis dan akses yang sulit masih menjadi kendala dalamefektifitas pelayanan kesehatan ibu dan anak di NTT yang menyebabkan munculnyamasalah 3T dan tingginya AKI dan AKB. Jalan keluar yang ditempuh antara lainadalah Revolusi KIA NTT dengan penyediaan rumah tunggu kelahiran (RTK).Tujuan dari penelitian ini adalah mengetahui efektivitas pemanfaatan RTKoleh ibu hamil di Manggarai Barat NTT tahun 2016. Pemanfaatan rumah tungguberhubungan faktor predisposisi (predisposing factors), faktor pemungkin (enablingfactors) dan faktor penguat (reinforcing factors).Metode penelitian ini adalah Mixed Method Research dengan desaineksplanatoris. Penelitian ini mengambil jumlah sampel survey sebanyak 100responden dengan metode multistage random sampling jumlah respondenwawancara mendalam 29 responden. Analisis data menggunakan program StatisticalProduct and Service Solutions (SPSS) program Nvivo 11 Plus. Analisis kuantittatifmenggunakan metode Chi Square Test.Hasil penelitian terdapat 19% ibu hamil menggunakan RTK di ManggaraiBarat tahun 2016. Wawancara mendalam menunjukkan bahwa keberadaan RTKberdampak positif bagi banyak ibu hamil dari geografis sulit dan ibu hamil yangberesiko tinggi.
Hasil analisis kuantitaf dari faktor predisposisi (predisposing factors)menunjukkan bahwa umur (p=0.38), pendidikan (p=0.301), pengetahuan (p=0.201),pekerjaan (p=0.68), kondisi ekonomi (p=0.592), sikap (p=0.452) dan faktor sosialbudaya tidak mempunyai hubungan yang bermakna dengan pemanfaatan RTK diManggarai Barat. Faktor ketersediaan sarana dan tenaga kesehatan mempunyaihubungan bermakna (p=0.038) serta ketersediaan sarana transportasi juga bermakna(P=0.04). Faktor ketersediaan kendaraaan dijelaskan oleh faktor jarak dan faktorgeografis. Faktor-faktor penguat (reinforcing factors) seperti keluarga (p=0.201), masyarakat (p=1), tenaga kesehatan (p=0.26) dan pemerintah (p=0.345) tidak bermakna terhadap pemanfaatan RTK di Manggarai Barat tahun 2016.
Bad goegraphic condition and bad access to health facility still remain to bethe big problem in effectivity of maternity care in NTT Province, Indonesia. The badaccess to the facility causes the problems of 3 Lates (Tiga Terlambat) and still highof MMR and IMR. One of the wayouts of the problems is the revoluiton of Motherdan Infant Health care in NTT since 2009 with providing maternity waiting houses(MWH) near facility of health care.The aim of the study is to determine the effectivity of using maternity waitinghouses in district of Manggarai Barat, Province of NTT, in 2016. The use of MWHlink to the factors of: predisposing factors, enabling factors and reinforcing factors.This research uses Mixed Method Research with explanatory design. Totalsurvey samples are 100 respondents using multistage random sampling method andtotal indepth interview samples are 29 respondents. The analisys of data using thesoft ware program of Statistical Product and Service Solutions (SPSS) and Nvivo 11Plus.The result of the survey is 19% pregnant women used MWH in ManggaraiBarat in 2016. Indepth Interview shows the fact that the use of MWH have a positiveimpact for many pregnant women from the villages with bad geographic conditionsand the pregnant women with high risk maternity. The quantitative analysis showingthe result that the predisposing factors: age (p=0.38), education (p=0.301),knowledge (p=0.201), work (p=0.68), socio-economic condition (p=0.592), attitude(p=0.452) and socio-cultural factors had no significant relation with the use of MWHin Manggarai Barat in 2016. The factors of heath facility and healt care provider(p=0.038) and the presence of transportation facility (car or vehicles) (p=0.04) havesignificat relation with the use of MWH. The reinforcing factors: family (p=0.201),public figures (p=1), health care provider (p=0.26) and government (p=0.345) had nosignificant relationship with the use of MWH in Manggarai Barat, 2016.
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Hasil analisis kuantitaf dari faktor predisposisi (predisposing factors)menunjukkan bahwa umur (p=0.38), pendidikan (p=0.301), pengetahuan (p=0.201),pekerjaan (p=0.68), kondisi ekonomi (p=0.592), sikap (p=0.452) dan faktor sosialbudaya tidak mempunyai hubungan yang bermakna dengan pemanfaatan RTK diManggarai Barat. Faktor ketersediaan sarana dan tenaga kesehatan mempunyaihubungan bermakna (p=0.038) serta ketersediaan sarana transportasi juga bermakna(P=0.04). Faktor ketersediaan kendaraaan dijelaskan oleh faktor jarak dan faktorgeografis. Faktor-faktor penguat (reinforcing factors) seperti keluarga (p=0.201), masyarakat (p=1), tenaga kesehatan (p=0.26) dan pemerintah (p=0.345) tidak bermakna terhadap pemanfaatan RTK di Manggarai Barat tahun 2016.
Bad goegraphic condition and bad access to health facility still remain to bethe big problem in effectivity of maternity care in NTT Province, Indonesia. The badaccess to the facility causes the problems of 3 Lates (Tiga Terlambat) and still highof MMR and IMR. One of the wayouts of the problems is the revoluiton of Motherdan Infant Health care in NTT since 2009 with providing maternity waiting houses(MWH) near facility of health care.The aim of the study is to determine the effectivity of using maternity waitinghouses in district of Manggarai Barat, Province of NTT, in 2016. The use of MWHlink to the factors of: predisposing factors, enabling factors and reinforcing factors.This research uses Mixed Method Research with explanatory design. Totalsurvey samples are 100 respondents using multistage random sampling method andtotal indepth interview samples are 29 respondents. The analisys of data using thesoft ware program of Statistical Product and Service Solutions (SPSS) and Nvivo 11Plus.The result of the survey is 19% pregnant women used MWH in ManggaraiBarat in 2016. Indepth Interview shows the fact that the use of MWH have a positiveimpact for many pregnant women from the villages with bad geographic conditionsand the pregnant women with high risk maternity. The quantitative analysis showingthe result that the predisposing factors: age (p=0.38), education (p=0.301),knowledge (p=0.201), work (p=0.68), socio-economic condition (p=0.592), attitude(p=0.452) and socio-cultural factors had no significant relation with the use of MWHin Manggarai Barat in 2016. The factors of heath facility and healt care provider(p=0.038) and the presence of transportation facility (car or vehicles) (p=0.04) havesignificat relation with the use of MWH. The reinforcing factors: family (p=0.201),public figures (p=1), health care provider (p=0.26) and government (p=0.345) had nosignificant relationship with the use of MWH in Manggarai Barat, 2016.
T-5255
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Husnah Maryati; Pembimbing: Vetty Yullianty Permanasari; Penguji: Dumilah Ayuningtyas, Adang Bachtiar, Ratna Yunita, Muhani
Abstrak:
Data Kematian Bayi di Kota Bogor mengalami peningkatan dari 26menjadi 62 kasus pada tahun 2013. Posyandu merupakan salah satu salah satuwadah dalam masyarakat yang menjalankan program kesehatan dimana salah satutujuannya adalah melaksanakan kegiatan untuk mempercepat penurunan angkakematian ibu dan bayi. Permasalahan pada posyandu di Kota Bogor adalah jumlahkader aktif yang terus menurun kemudian kaderisasi untuk kader sendiri kurangmaksimal, belum berfungsinya pokja dan pokjanal posyandu. Hasil perhitunganlaporan kematian bayi tahun 2013 dan 2014 mendapatkan bahwa lebih dariseparuh (55% dan 52,7%) posyandu yang wilayah kerjanya mengalami kasuskematian bayi adalah posyandu yang tingkat perkembangannya pratama danmadya. Penelitian ini ingin melihat bagaimana efektivitas UKBM Posyandumelalui faktor kepemimpinan (komunikasi, kompetensi), fungsi manajemen(perencanaan, pengorganisasian, pelaksanaan dan pengendalian), lingkungan kerja(dukungan sistem, ketersediaan sarana penunjang dan insentif) serta karakteristikresponden (klasifikasi posyandu, umur, lama menjabat dan pekerjaan). Penelitianini menggunakan unit analisis posyandu dan sebagai respondennya adalah ketuakader posyandu sebanyak 70 posyandu. Rancangan penelitian menggunakanpendekatan cross sectional metode kuantitatif. Uji yang digunakan korelasiregresi untuk melihat hubungan faktor kepemimpinan, fungsi manajemen,lingkungan kerja dan karakteristik responden terhadap efektivitas posyandu.Analisis regresi linier ganda digunakan untuk melihat faktor yang palingmenentukan efektivitas posyandu. Hasil analisis menunjukkan bahwa adahubungan faktor kepemimpinan, fungsi manajemen, lingkungan kerja dankarakteristik responden terhadap efektivitas posyandu. Hubungan berpola positifyang artinya semakin baik faktor kepemimpinan, fungsi manajemen, lingkungankerja dan karakteristik responden semakin efektif posyandu. Tidak ada hubunganfaktor kepemimpinan (kompetensi), karakteristik responden (klasifikasi posyandu,lama menjabat ketua posyandu) terhadap efektivitas posyandu. Peningkatanintervensi kompetensi dan pengorganisasian akan meningkatkan efektivitasposyandu dengan mengontrol variabel umur dan pekerjaan.Kata Kunci : Efektivitas Posyandu, Kepemimpinan (komunikasi, kompetensi),fungsi manajemen (perencanaan, pengorganisasian, pelaksanaandan pengendalian) dan lingkungan kerja (dukungan sistem,ketersediaan sarana penunjang dan insentif) dan karakteristikresponden (umur, pekerjaan), saling berhubungan
Data infant mortality in the city of Bogor has increased from 26 to 62 cases in2013. IHC is one of one of the containers in a society that runs the health programwhere one of his goals is to carry out activities to accelerate the reduction inmaternal and infant mortality. Problems on the Posyandu in Bogor is the numberof active cadres who continued to decline then regeneration for their own cadresless than the maximum, not the functioning of working groups and PokjanalPosyandu. Report the results of the calculation of infant mortality in 2013 and2014 found that more than half (55% and 52.7%) Posyandu whose jurisdictionexperienced cases of infant mortality is Posyandu Pratama and middle level ofdevelopment. This study wanted to see how the effectiveness UKBM Posyanduthrough leadership factors (communication, competence), the functions ofmanagement (planning, organizing, implementation and control) and workingenvironment (support system, the availability of supporting infrastructure andincentives). This study uses the unit of analysis is the Posyandu and as chairmanof the cadre's respondents were 70 Posyandu. The design of the study using crosssectional quantitative methods. Correlation regression test used to see therelationship between leadership, management functions and working environmenton the effectiveness of the Posyandu. Multiple linear regression analysis was usedto look at the factors which most determine the effectiveness of the Posyandu. Theanalysis shows that there is a correlation between leadership (communications),management functions (planning, organizing, implementation and control) andworking environment (support system, the availability of supporting infrastructureand incentives) on the effectiveness of Posyandu. Patterned positive relationshipmeans the better the leadership factor (communications), management functions(planning, organizing, implementation and control) and working environment(support system, the availability of supporting infrastructure and incentives) moreeffective Posyandu. There is no correlation between leadership (competence) onthe effectiveness of Posyandu. Determinants of the efectiveness of Posyandu isorganising and controlling. Improved organization and control interventions willimprove the effectiveness of Posyandu.Keywords : Effectiveness Posyandu, Leadership (communication,competence), the functions of management (planning, organizing,implementation and control) and working environment (supportsystem, the availability of supporting infrastructure and incentives),interconnected
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Data infant mortality in the city of Bogor has increased from 26 to 62 cases in2013. IHC is one of one of the containers in a society that runs the health programwhere one of his goals is to carry out activities to accelerate the reduction inmaternal and infant mortality. Problems on the Posyandu in Bogor is the numberof active cadres who continued to decline then regeneration for their own cadresless than the maximum, not the functioning of working groups and PokjanalPosyandu. Report the results of the calculation of infant mortality in 2013 and2014 found that more than half (55% and 52.7%) Posyandu whose jurisdictionexperienced cases of infant mortality is Posyandu Pratama and middle level ofdevelopment. This study wanted to see how the effectiveness UKBM Posyanduthrough leadership factors (communication, competence), the functions ofmanagement (planning, organizing, implementation and control) and workingenvironment (support system, the availability of supporting infrastructure andincentives). This study uses the unit of analysis is the Posyandu and as chairmanof the cadre's respondents were 70 Posyandu. The design of the study using crosssectional quantitative methods. Correlation regression test used to see therelationship between leadership, management functions and working environmenton the effectiveness of the Posyandu. Multiple linear regression analysis was usedto look at the factors which most determine the effectiveness of the Posyandu. Theanalysis shows that there is a correlation between leadership (communications),management functions (planning, organizing, implementation and control) andworking environment (support system, the availability of supporting infrastructureand incentives) on the effectiveness of Posyandu. Patterned positive relationshipmeans the better the leadership factor (communications), management functions(planning, organizing, implementation and control) and working environment(support system, the availability of supporting infrastructure and incentives) moreeffective Posyandu. There is no correlation between leadership (competence) onthe effectiveness of Posyandu. Determinants of the efectiveness of Posyandu isorganising and controlling. Improved organization and control interventions willimprove the effectiveness of Posyandu.Keywords : Effectiveness Posyandu, Leadership (communication,competence), the functions of management (planning, organizing,implementation and control) and working environment (supportsystem, the availability of supporting infrastructure and incentives),interconnected
T-4329
Depok : FKM-UI, 2015
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Meidina Sari Sinaga; Pembimbing: Anhari Achadi; Penguji: Atik Nurwahyuni, Ede Surya Darmawan, Jojor Simamora, Ruth DJ Pakpahan
Abstrak:
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Kualitas pelayanan kesehatan di rumah sakit berpengaruh terhadap kepuasan pasien. Tujuan penelitian ini adalah untuk mengetahui kepuasan pasien berdasarkan penilaian kualitas dari pelayanan Instalasi Rawat Jalan pada pasien pengguna BPJS di RSUD dr. Djasamen Pematang Siantar, dengan menggunakan metode SERVQUAL. Penelitian juga melakukan Importance Performance Analysis, untuk mengetahui elemen kualitas pelayanan ditinjau dari sudut pandang pasien menurut kenyataan dan harapannya yang dapat dipakai sebagai dasar oleh manajemen untuk meningkatkan kualitas pelayanan guna meningkatkan kepuasan pasien. Penelitian ini adalah penelitian kuantitatif, dengan desain observasional, dengan pendekatan cross sectional. Data diambil dari 262 pasien sebagai responden yang diberikan kepada pasien dari sembilan klinik di Instalasi Rawat Jalan RSUD dr. Djasamen Saragih Pematang Siantar. Hasil SERVQUAL diketahui bahwa pelayanan yang memuaskan berada pada dimensi assurance dan responsiveness, sedangkan kepuasan yang paling rendah adalah dimensi reliability. Hasil IPA diketahui pada kuadran A, merupakan prioritas utama (high priority) yang perlu ditingkatkan pelayanannya sehingga perlu mendapat perhatian, terdapat tiga jenis pelayanan yaitu waktu tunggu untuk mendapatkan pelayanan di poliklinik, waktu tunggu untuk pendaftaran, waktu tunggu untuk mendapatkan obat; Atribut pada kuadran C, atribut jasa tersebut perlu mendapat perhatian (low priority) antara lain : kondisi ruang tunggu, sikap petugas apotik dalam menyampaikan informasi obat, menerima masukan dari pasien, keramahan petugas dalam melayani pasien
This research aims to determine patient satisfaction based on the quality assessment of outpatient installation services for BPJS patient users at RSUD Dr. Djasamen Pematang Siantar, using the SERVQUAL method. The study also conducted an Importance Performance Analysis to find out the elements of service quality from the patient's point of view according to the reality and expectations, which can be used as a basis for management to improve service quality to increase patient satisfaction. This research is a quantitative study, with an observational design, with a cross-sectional approach. Data were collected from 262 patients as respondents who were patients from nine clinics at the outpatient facility of RSUD dr. Djasamen Saragih Pematang Siantar. The SERVQUAL results show that satisfactory service is in the dimensions of assurance and responsiveness, while the lowest satisfaction is in the dimension of reliability. The results of IPA are known to be in quadrant A, which is a top priority (high priority) whose service needs to be improved so that it needs attention, there are three types of services namely waiting time to get service at the polyclinic, waiting time for registration, waiting time to get medicine; attributes in quadrant C, these service attributes need attention (low priority), including waiting room conditions, the attitude of pharmacy staff in conveying drug information, receiving input from patients, entertaining staff in serving patients.
T-6770
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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