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Indonesia teritory geographically is a disaster-prone area. In the event of a disasterthere will usually be certain infectious diseases that arise and have increasedbeyond normal limits in communities affected by the disaster. In the end it can becategorized as a public health emergency. Community is the first to directly dealwith the threat and disaster. Preparedness in community will determines the sizeof the impact of disasters on communities. Indonesia as a developing country haveurban and rural areas that different from the aspect of development, governmentand geography. The potential difference aspects certainly affect the possibility ofdifferences also in terms of community preparedness in the face of public healthemergencies and disasters. The purpose of this study was to determine aboutcommunity preparedness in urban and rural communities in Indonesia, which inthis study took a sample in Kampung Makasar-East Jakarta and Desa Campaka-Cianjur that were selected based on the consideration that the two regions areequally harmful for any problems public health emergencies both in terms ofdisaster as well as an increase in cases of the disease. This study uses acombination of quantitative methods (descriptive analysis data based on anassessment of the preparedness of community that combines elements of DesaSiaga Aktif and Desa Tangguh Bencana) and qualitative methods (in-depthinterviews, review of documents). The results of this study reveal that there areany differences in preparedness in rural and urban communities. In urban areas,the percentage of community preparedness is 62.3%, while in rural areas is 41.3%.Almost all of 20 indicators meet in existence and also vary between rural andurban areas. Points are still lacking is the implementation and performanceindicators were not as expected as it should be. The cause of the most strikingdifference between the results of the structural differences in rural and urbanareas, accessibility, funding and knowledge society. It is necessary for thesupervise of the stakeholders (in this research are health centers, the governmentin rural and urban)Keywords: community preparedness, public health emergency, rural, urban.
Produktivitas dokter gigi sangat krusial dalam pemberian layanan kesehatan gigi kepada pasien. Dokter gigi juga harus menjalankan peran lain di pusksemas. Dokter gigi harus dapat menjawab tantangan ini dengan tetap mempertahankan produktivitasnya. Penelitian ini mengukur produktivitas dokter gigi di kecamatan Palmerah, Jakarta Barat. Rasio produktivitas dihitung dengan determinan dari dua faktor individu (jenis kelamin, umur, masa kerja, pelatihan, kehadiran dan status pegawai) dan organisasi (Jumlah Kunjungan pasien, Jumlah dental unit, tunjangan kinerja dan kepesertaan JKN). Menggunakan metode observasional analitik dengan desain cross sectional. Pengukuran produktivitas menggunakan metode Ilyas, dengan penghitungan jumlah kunjungan pasien dibagi dengan hari kerja dokter gigi di tahun 2023. Jumlah kunjungan pasien dan kepesertaan menjadi faktor tingginya produktivitas dokter gigi sedangkan faktor umur, jenis kelamin, masa kerja, pelatihan, jumlah dental unit dan tunjangan kinerja tidak ditemukan korelasi yang signifikan. Untuk produktivitas tertinggi di angka 13,25 dan terendah di angka 0,61, dengan rerata nilai 6,68. Produktivitas dokter gigi PNS sebesar 3,81 kurang dari setengah rasio Non PNS yang mencapai 8,48. Gap produktivitas ini merupakan konsekuensi rangkap jabatan fungsional dokter gigi PNS dan tugas strukturalnya. Untuk menjalankan dua fungsi ini secara seimbang, disarankan untuk membuat standar minimal jumlah pasien gigi harian dan pengukuran produktivitas dokter gigi secara periodik.
The productivity of dentists is crucial in providing dental health services to patients. Dentists also have other roles to play in community health centers. Dentists must be able to respond to these challenges while maintaining their productivity. This study measures the productivity of dentists in the Palmerah district, West Jakarta. Productivity ratios are calculated based on determinants from two individual factors (gender, age, length of service, training, attendance, and employment status) and organizational factors (number of patient visits, number of dental units, performance benefits, and participation in national health insurance). The study uses an analytical observational method with a cross-sectional design. The measurement of productivity uses the Ilyas method, by calculating the number of patient visits divided by the number of working days of the dentist in 2023. The number of patient visits and participation are factors contributing to the high productivity of dentists, while factors such as age, gender, length of service, training, the number of dental units, and performance allowances were not found to have a significant correlation. The highest productivity is at 13.25 and the lowest at 0.61 with an average value of 6.68. Civil servant dentist productivity is at 3.81, less then of non-civil servant dentists with 8.48. This gap is a consequence of the multiple functional roles and structural duties especially for civil servant dentists. To balance these two roles, it is recommended to establish minimum standards for daily dental patient numbers and periodically measure dentist productivity.
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.