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Cakupan Imunisasi Dasar Lengkap (IDL) di Kabupaten Lebak tahun 2023 terjadi ketidakmerataan, dimana (39,5%) 17 Puskesmas di wilayah kerja Dinas Kesehatan Kabupaten Lebak tidak mencapai target cakupan Imunisasi Dasar Lengkap (IDL) dari target Nasional yaitu sebesar 100%.
Penelitian menggunakan pendekatan kualitatif dengan desain studi kasus yang dilaksanakan di dua puskesmas dengan cakupan Imunisasi Dasar Lengkap (IDL) tertinggi dan terendah di Kabupaten Lebak. Jumlah informan dalam penelitian ini yaitu enam informan. Pengumpulan data dilakukan dengan wawancara mendalam dan observasi melalui telaah dokumen, kemudian dilakukan analisis data kualitatif.
Penelitian menunjukkan bahwa cakupan Imunisasi Dasar Lengkap (IDL) berkaitan dengan pelayanan kesehatan, sumber daya manusia, logistik vaksin, pembiayaan, pencatatan pelaporan, penggerakan pelaksanaan serta pengawasan pengendalian penilaian. Sehingga dapat disimpulkan kinerja program imunisasi terhadap cakupan Imunisasi Dasar Lengkap (IDL) di Kabupaten Lebak tahun 2023 masih menghadapi beberapa tantangan utama yang berdampak pada ketidakmerataan cakupan Imunisasi Dasar Lengkap (IDL).
The coverage of Complete Basic Immunization (CBI) in Lebak Regency in 2023 was uneven, where (39.5%) 17 Health Centers in the working area of the Lebak Regency Health Office did not achieve the target of Complete Basic Immunization (CBI) coverage from the National target of 100%. The study used a qualitative approach with a case study design carried out in two health centers with the highest and lowest Complete Basic Immunization (CBI) coverage in Lebak Regency. The number of informants in this study was six informants. Data collection was carried out through in-depth interviews and observations through document review, then qualitative data analysis was carried out. The study shows that the coverage of Complete Basic Immunization (CBI) is related to health services, human resources, vaccine logistics, financing, reporting records, implementation mobilization and supervision of assessment control. So it can be concluded that the performance of the immunization program on the coverage of Complete Basic Immunization (CBI) in Lebak Regency in 2023 still faces several major challenges that have an impact on the uneven coverage of Complete Basic Immunization (CBI).
Health Law Number 36 of 2009 states that every child deserved in basic immunizationaccording the provisions to prevent the occurrence of diseases that can be avoided throughimmunization. The government is also required to provide a complete basic immunizationto every baby and child. In 2017, Depok became outbreak with 12 cases suspectdiphtheria and 1 person died. The city of Depok is an area with high transmission potentialfor communicable diseases due to high population and high mobility. Complete BasicImmunization (IDL) is one of the old immunization policy implemented but has not metthe expected success. Complete Basic Immunization Program is one of the oldimmunization policy programs implemented but has not met the expected success. Theimplementation analysis is intended to see how the implementation of the complete basicimmunization program at the Puskesmas. This research is a qualitative research with in-depth interview technique and related document study which using the policyimplementation theory of Van Meter and Van Horn based on 6 (six) variables. The resultsobtained that the standard and objective have not been fully achieved. Resources areconstrained by incentive indicators that have not been felt optimally in supporting theoptimal implementation of complete basic immunization in Puskesmas. Inter-organizational communication is good. Characteristic of implementing agencies areconstrained by human resource constraints. Disposition of implementors supported, butstill found some implementers who are not orderly. Economic and political conditions aregood, but social condition are not yet supportive. Conclusion found that implementationof complete basic immunization in Depok still has constraints in each variable and needto be done process of fulfillment of less variable. The recommendation of this research isthe success of implementation will be achieved if the improvement of deficiency, bothfrom the side of standard and objective, policy resources, interorganizationalcommunication, characteristic of implementing agencies, disposition of implementors,and social, economy, political condition. Barriers to existing programs can be overcomeby optimizing the Puskesmas's authority as a regional coach.
Tugas dan tanggung jawab dari tenaga analis kesehatan, mengembangkan prosedur untuk mengambil dan memproses spesimen, melaksanakan uji analitik terhadap reagen dan spesimen, mengoperasikan dan memelihara peralatan/instrumen laboratorium, mengevaluasi data laboratorium untuk memastikan akurasi dan prosedur pengendalian mutu dan mengembangkan pemecahan masalah yang berkaitan dengan data hasil uji, mengevaluasi teknik, instrumen, dan prosedur baru untuk menentukan manfaat kepraktisannya, membantu klinisi dalam pemanfaatan data laboratorium secara efektif dan efisien untuk menginterpretasikan hasil uji laboratorium, merencanakan, mengatur, melaksanakan, dan mengevaluasi kegiatan laboratorium, membimbing dan membina tenaga kesehatan lain dalam bidang teknik kelaboratoriuman, merancang dan melaksanakan penelitian dalam bidang laboratorium kesehatan.(Permenkes Nomor 42 Tahun 2015.pdf, t.t.)Tujuan penelitian untuk melihat gambaran ketersediaan tenaga ATLM dan upaya pemenuhan tenaga ATLM. Penelitian ini menggunakan metode penelitian kualitatif dengan desain studi kasus Analisis Ketersediaan tenaga ATLM dan upaya pemenuhan Tenaga Ahli Teknologi Laboratorium Medik (Atlm) Puskesmas di Kabupaten Lebak Provinsi Banten Tahun 2023. Desain ini bertujuan untuk mempelajari secara mendalam tentang kejadian yang terjadi dalam konteks tertentu. Dengan menggunakan berbagai bukti, penelitian ini akan menggali informasi yang detail dan lengkap mengenai suatu kasus. Studi kasus memungkinkan peneliti untuk mengeksplorasi kejadian dengan mendalam, terbatas pada lokasi dan waktu tertentu, dan menyajikan informasi secara deskriptif. Hasil didapatkan dari 43 Puskesmas di level Kabupaten ada 28 Puskesmas yang belum memiliki tenaga ATLM sehingga belum memenuhi kesesuaian standar PMK 43 tahun 2019, hanya 15 Puskesmas yang memiliki tenaga ATLM dan baru 7 Puskesmas yang memiliki tenaga yang lengkap yakni 9 jenis tenaga. Perencanaan yang baik terhadap ketersediaan dan upaya pemenuhan tenaga diharapkan mampu menjadi salah satu solusi untuk pemenuhan tenaga ATLM.
Duties and responsibilities of health analyst personnel, develop procedures for taking and processing specimens, carry out analytical tests on reagents and specimens, operate and maintain laboratory equipment/instruments, evaluate laboratory data to ensure accuracy and quality control procedures and develop solutions to problems related to test result data, evaluating new techniques, instruments and procedures to determine their practical benefits, assisting clinicians in utilizing laboratory data effectively and efficiently to interpret laboratory test results, planning, organizing, implementing and evaluating laboratory activities, guiding and coaching other health workers in the field of laboratory engineering, designing and carrying out research in the field of health laboratories. (Permenkes Number 42 of 2015.pdf, t.t.) The aim of the research is to see a picture of the availability of ATLM personnel and efforts to fulfill ATLM personnel. This research uses a qualitative research method with a case study design, analysis of the availability of ATLM personnel and efforts to fulfill medical laboratory technology experts (ATLM) for health centers in Lebak Regency, Banten Province in 2023. This design aims to study in depth about events that occur in a certain context. By using various evidence, this research will dig up detailed and complete information about a case. Case studies allow researchers to explore events in depth, are limited to a specific location and time, and present information descriptively. The results obtained from 43 Community Health Centers at the Regency level, there are 28 Community Health Centers that do not have ATLM staff so they do not meet the 2019 PMK 43 standards, only 15 Community Health Centers have ATLM staff and only 7 Community Health Centers have complete staff, namely 9 types of staff. It is hoped that good planning regarding the availability and efforts to fulfill personnel can be one of the solutions for fulfilling ATLM personnel.
Improving maternal and child health is a global issue. Expanding access to immunization is very important in achieving the Sustainable Development Goals (SDGs). Based on the 2018 Riskesdas data, the target of achieving complete basic immunization in East Java Province decreased from 2013 of 74.5% to 69.16% in 2018 while incomplete immunization increased to 26.27% from the previous year 2013 only 21.8 %. The purpose of this study was to determine the factors associated with the use of basic immunization in East Java Province. The research method used is quantitative with cross sectional design using secondary data from Riskesdas 2018 with the unit of analysis for babies aged 12-23 months with mother respondents as many as 1,245 respondents. The results of this study indicate that respondents who use basic immunization are 64.2% and those who are less use are 35.8%. Respondents are said to be using it if the immunization is complete and it is in the under-utilized category if the immunization received is incomplete and does not get immunized at all. In the bivariate analysis, it was found that ownership of the MCH booklet, access to health facilities and place of delivery had a significant relationship with the utilization of basic immunization health services in East Java. This is because these three factors have quite a lot of respondents on complete immunization status and are said to have succeeded in utilizing basic immunization health services in East Java. Suggestions to the East Java Provincial Health Office, especially health workers, should maximize the provision of information about the use and benefits of immunization in the MCH book so that it is conveyed properly, providing information to pregnant women to choose a place of delivery that meets accreditation standards so that the services of mothers and babies received maximally and increase the ease of access to comprehensive and quality health services so that they can be accessed by all people
Tesis ini membahas pemanfaatan pelayanan kesehatan imunisasi dasar di Provinsi Sumatera Selatan dengan menggunakan data sekunder Riskesdas 2007 dan Susenas 2007. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan imunisasi dasar di Provinsi Sumatera Selatan tahun 2007. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Hasil penelitian menemukan bahwa waktu tempuh ke fasilitas UKBM merupakan faktor yang paling berhubungan dengan pemanfaatan pelayanan kesehatan imunisasi dasar di Provinsi Sumatera Selatan Tahun 2007. Hasil penelitian menyarankan bahwa untuk meningkatkan cakupan pelayanan kesehatan imunisasi dasar diperlukan optimalisasi manajemen posyandu. Kata kunci: Imunisasi Dasar, Pelayanan Kesehatan, UKBM
The focus of this study is the utilization of basic immunization services in South Sumatera Province using secondary data Riskesdas 2007 and Susenas 2007. The purpose of this study is to know the factors relating to the utilization of basic immunization services in South Sumatera Province. This research is a quantitative research methode with cross sectional design. This study found that the access time to the Community Based Health Efforts (UKBM) facility is the dominant factor in the utilization of basic immunization services in South Sumatera Province in 2007. The researcher suggests that Posyandu management as one of the UKBM should be optimized to increase the basic immunization coverage. Key words: Basic Immunization, Health Service, Community Based Health Efforts (UKBM)
