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Dedeh Syaadah; Pembimbing: Nuning MK Masjkuri; Penguji: H E Kusdinar Achmad, Evi Martha, Wisnu Hidayat, Alih Germas
Abstrak:

Dalam rangka mewujudkan desa siaga, Propinsi Jawa Timur awal tahun 2007 melatih tenaga kesehatan Pos Kesehatan Desa (Poskcsdes) yang diselenggarakan di masing-masing kabupaten, dengan menggunakan standar berupa km-ikulzun hasil revisi dari kurikulum nasional yang diterbitkan Pusat Pendidikan dan Peiatihan SDM Kesehatan (Pusdiklat). Pelatihan yang dilaksanakan sebelum dilakukan Qualify Control sehingga belum diketahui penerapan standar oleh masing-masing angkatan Oleh karena itu penelitian ini bertujuan untuk mendapatkan gambaran hubungan penerapan standar pada faktor input dan proses terhadap hasil evaluasi peserta pelatihan tenaga kesehatan Poskesdes di Propinsi Jawa Timur. Desain penelitian berupa porong lintang pada 62 angkatan pelatihan tenaga kesehatan Poskesdes yang dilaksanakan di 19 kabupaten wilayah Propinsi Jawa Timur. Analisis data menggunakan kai kuadrat, anova dan regresi linear ganda. Hasil penelitian didapat bahwa baru 71% angkatan yang dapat menerapkan standar sesuai ketentuan pada faktor input, dan 61,3% yang dapat menerapkan standar sesuai ketentuan pada faktor proses. Faktor output (hasil evaluasi) yaitu berupa selisih rata-rata nilai post dan pre test per-angkatan mempunyai nilai mean (rata-rata) sebcsar 12,17, median (nilai tengah) sebesar I 1,23 dengan standar deviasi sebesar 5,52. Sedangkan nilai minimunmya 2,67 dan maksimumnya sebesar 24,97. Hasil analisis hubungan antara faktor inpuf dan proses terbukti signifikan (nilai p = 0,021) dengan OR = 3,75 berarti setiap angkatan yang mempunyai faktor input sesuai ketentuan mempunyai peluang 3,75 proses pelatihannya pun akan sesuai ketentuan. Hasil evaluasi (jaktor out 'put) tertinggi (16,18) diperoleh oleh angkatan yang faktor input dan prosesnya sesuai ketentuan. Variabel yang berpengaruh terhadap faktor out put (hasil cvaiasi) adalah metode pelatihan, dinamika kelompok, alat bantu dan peserta pelatihan. Hasil penelitian menyimpulkan bahwa rata-rata faktor out put berupa selisih antara nilai rata-rata post dan pre test meningkat pada setiap angkatan. Faktor input ada hubungannya dengan faktor proses. Hasil evaluasi tertinggi diperoleh pada angkatan yang faktor input dan prosesnya sesuai ketentuan. Variabel yang berpengaruh pada faktor out put adalah metode pelatihan, dinamika kelompok, alat bantu dan peserta pelatihan. Berhubung pt;serta pelatihan bervariasi, oleh karena itu disarankan agar metoda dan al::t bantu yane digunakan selain disesuaikan dengan tujuan pelatihan juga disesuaikan dengan dasar pendidikan peserta. Dir.as Kesehatan Kabupaten bendaknya menerapkan standar yang telah ditentukan. Dalam merevisi kurikulum seyogyanya Dinas Kesehatan Propinsi Jawa Timur melibatkan penanggung jawab program, dalam hal ini Pusdiklat sehingga diharapkan ada kesamaan persepsi dalam mewujudkan terlaksananya Poskesdes. Pusdiklat hendaknya menentukan ketentuan penggunaan kurikulum dengan standar nasional.


In order to achieve Village Alert, iu the early 2007 East Java Province trained health persvnnel of village health station in each district by using standard such as revision curricuium published by Health Training and Education Center. The training was conducted before quality control was applied so that the standard implementation was not recognized ytt in each class of graduation. The study was aimed to obtain the description of relation of standard application in input and process factors toward the evaluation result participants on health personnel training of health village station in East Java Provine. Study design was cross sectional among 62 classes of graduation of training of personnel village health station that conducted in 19 districts at East Java Province. The study used chi square, anova, and double linier regression analysis. The stuuy resulted that only 71% of graduation who can implement the standard based on the input stipulation, and 61.3% of them can implement the standard based on the process factor stipulation too. Out put factor (the result of evaluation) is the ratio of post value average and pre test per graduation, has mean about 12.17, median 11.23 and Deviation Standard is 5.52 while the minimum values is 2.67 and the maximum is 24.97. The analysis result of the relation between input and process factor has improved significantly (the value of p is 0.021) with Odd Ratio is 3.75. It means that every graduation who has input factor based on the stipulation has chance 3.75 and the process training will appropriate with the stipulation. The highest of out put factor is 16.8 it is gotten by the graduation whose input and process factor based on the stipulation. The variables of factor process which in influenced toward out put factor (evaluation result) are training method, dynamic group, instrument, and Master of Training (MOT) participation. The result of this result concludes that the average of output factor is the ratio between post value average and pre test is increasing in each graduation. There is a relation between input and process is according to the stipulation. The variables which influenced to out put factor are training method, dynamic group, instrument and MOT participation. Considering with the variety of training participants, it was recommended that the too! and method used should be appropriate with the training objectives and participants. The Health Office should apply the standard. In revising the curriculum, the Health Office cf East J1!va Province should involve program coordinator that is Health Training and Education Center in order to have the same perception in providing Village Health Station. Training and Education Center should determine the curriculum that in line with national standard as well as the criterion of location in conducting the training for Health Personnel of Village Health Station.

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T-2647
Depok : FKM-UI, 2007
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Dia Melisa Rafdi; Pembimbing: Dian Ayubi; Penguji: Rita Damayanti, Wachyu Sulistiadi, KM Taufiq, Rudi Ruhdiat
Abstrak: Infeksi COVID-19 pada tenaga kesehatan Puskesmas di Kabupaten Bekasi semakin meningkat. Infeksi COVID-19 pada tenaga kesehatan ini merupakan HAIs. HAIs dapat dicegah dengan penerapan PPI yang optimal. Kepatuhan Penerepan PPI COVID-19 dipengeruhi oleh berbagai faktor. Penelitian ini bertujuan untuk mengetahui gambaran dan faktor determinan yang berhubungan dengan kepatuhan pencegahan dan pengendalian infeksi (PPI) COVID-19 pada tenaga kesehatan di Puskesmas Kabupaten Bekasi Tahun 2020. Penelitian ini menggunakan desain ross sectional study dengan metode self-reported dengan mengisi kuesioner melalui googleform. Populasi adalah tenaga kesehatan di seluruh Puskesmas Kabupaten Bekasi. Sample sebanyak 190 orang dihitung melalui rumus uji beda dua proporsi dengan teknik Quota sampling. Berdasarkan analisis univariat diperoleh rata-rata nilai kepatuhan PPI COVID-19 pada tenaga kesehatan adalah 93.17 dari skala 100, dengan indikator kepatuhan tertinggi adalah kepatuhan mencuci tangan 93.4 dan kepatuhan terendah adalah kepatuhan disinfeksi 86. Hasil uji regresi logistik berganda menunjukan bahwa variable persepsi risiko dan ketersediaan sarana mempunyai hubungan yang signifikan dengan kepatuhan PPI COVID-19. Variable persepsi risiko merupakan variable dominan yang berhubungan dengan kepatuhan PPI COVID-19 ntervensi yang perlu dilakukan untuk meningkatkan kepatuhan penerapan PPI COVID-19 adalah dengan meningkatkan persepsi risiko tenaga kesehatan melalui komunikasi risiko
COVID-19 infections among healthcare workers at Puskesmas in Bekasi Regency are increasing. This COVID-19 infection in healthcare workers is an HAIs. HAIs can be prevented by implementing optimal IPCs. Various factors affect the adoption of COVID19 IPCs. This study aims to obtain an overview and determinants related to compliance with the prevention and control of infection (IPC) COVID-19 among health workers at the Bekasi District Health Center in 2020. This study used a cross-sectional study design with a self-reported method by filling out a questionnaire via googleform. The population is healthcare workers in all Puskesmas in Bekasi District. A sample of 190 people was calculated by means of a two-proportion difference test formula with the Quota sampling technique. Based on univariate analysis, it was obtained that the average COVID-19 IPC compliance value for healthcare workers was 93.17 from 100 scales, with the highest compliance indicator being hand washing compliance 93.4 and the lowest compliance being disinfection compliance 86. The results of multiple logistic regression tests showed that the variable risk perception and availability of facilities has a significant relationship with COVID-19 IPC compliance. The risk perception variable is the dominant variable associated with PPI COVID-19 compliance The intervention that needs to be done to improve compliance the implementation of COVID-19 IPC is to increase the risk perception of health workers through risk communication
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T-6022
Depok : FKM-UI, 2020
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Nina Permani; Pembimbing: Anwar Hassan
T-1333
Depok : FKM UI, 2002
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Naila Falichatul Muannisa; Pembimbing: Wachyu Sulistiadi; Penguji: Dumilah Ayuningtyas, Evi Martha, Andri Mursita, Eti Rohati
Abstrak:
Penelitian ini membahas capaian Standar Pelayanan Minimal (SPM) layanan usia produktif sebelum dan sesudah penerapan kebijakan Integrasi Layanan Primer (ILP) di Kota Depok. Tujuan penelitian adalah menganalisis kontribusi komponen pendekatan Primary Health Care (pelayanan terintegrasi, pemberdayaan masyarakat, kolaborasi lintas sektor) serta komponen penggerak (kerangka kebijakan, sumber daya manusia, pendanaan, tata kelola, dan pemantauan–evaluasi) terhadap capaian SPM. Penelitian menggunakan pendekatan kualitatif dengan desain studi kasus pada enam Puskesmas, didukung analisis deskriptif capaian SPM tahun 2023–2025. Hasil penelitian menunjukkan bahwa implementasi ILP mendorong perubahan struktur layanan, peran kader yang lebih aktif, serta perluasan jejaring lintas sektor. Namun, capaian SPM menunjukkan variasi antar Puskesmas: beberapa wilayah mengalami peningkatan stabil, sementara lainnya menghadapi fluktuasi atau stagnasi. Faktor internal berupa kesiapan tata kelola, SDM, dan adaptasi digital, serta faktor eksternal berupa dukungan lintas sektor dan regulasi, terbukti sangat menentukan keberhasilan ILP. Dengan demikian, keberhasilan transformasi ILP memerlukan penguatan kebijakan operasional, pemerataan kapasitas SDM, serta kolaborasi multipihak agar peningkatan mutu layanan usia produktif dapat berkelanjutan.

This study examines the achievement of Minimum Service Standards (MSS) for productive-age health services before and after the implementation of the Integrated Primary Care (ILP) policy in Depok City. The research aims to analyze the contribution of selected Primary Health Care components—integrated services, community empowerment, and cross-sector collaboration—as well as enabling factors including policy frameworks, human resources, financing, governance, and monitoring–evaluation. A qualitative approach with an intrinsic case study design was employed across six Puskesmas, supported by descriptive analysis of MSS data from 2023–2025. The findings indicate that ILP implementation encouraged service restructuring, more active roles of health cadres, and the expansion of cross-sectoral partnerships. Nevertheless, MSS achievements varied: some areas recorded stable improvements, while others faced fluctuations or stagnation. Internal factors such as governance readiness, human resource capacity, and digital adaptation, along with external factors such as cross-sectoral support and regulatory alignment, were critical to ILP success. Therefore, the sustainability of ILP transformation requires strengthened operational policies, equitable human resource capacity building, and multi-stakeholder collaboration to ensure continuous improvement of productive-age health services.
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T-7439
Depok : FKM-UI, 2025
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Melly Juwitasari; Pembimbing: Agustin Kusumayanti; Penguji: Mieke Savitri, Dian Ayubi, Ratna Kirana, Ratna Yunita
T-3429
Depok : FKM-UI, 2011
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Verdhany Puspitasari; Pembimbing: Sabarinah B. Prasetyo; Penguji: Rita Damayanti, Yuyun Widyaningsih, Supri Astuti
T-3928
Depok : FKM UI, 2013
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Muhammad Amin; Pembimbing: Sabarinah; Penguji: Besral, Sutanto Priyo Hastono, Trimulyaningsih, Neni Nurjanah
Abstrak:
Standar Pelayanan Minimal (SPM) pelayanan usia produktif merupakan hak dasar yang harus dipenuhi oleh pemerintah daerah kab/kota terhadap penduduk usia 15-59 tahun agar mendapatkan pelayanan kesehatan sesuai standar berupa edukasi dan skrining kesehatan. Dengan status akreditasi puskesmas yang sudah diraih dan manajemen puskesmas yang sudah dilaksanakan, capaian SPM pelayanan kesehatan pada usia produktif puskesmas di Kota Cirebon masih jauh dari target yang diharapkan. Tujuan penelitian untuk mengetahui efek status akreditasi dan manajemen puskesmas terhadap capaian SPM pelayanan kesehatan pada usia produktif puskesmas di Kota Cirebon. Jenis penelitian adalah gabungan penelitian kuantitatif dan kualitatif dengan desain penelitian convergent mixed methods. Penelitian kuantitatif menggunakan desain penelitian crossectional sedangkan penelitian kualitatif menggunakan jenis penelitian studi kasus. Populasi penelitian adalah seluruh puskesmas di Kota Cirebon. Sampel penelitian adalah 22 puskesmas (total sampling) di Kota Cirebon. Informan utama penelitian adalah kepala puskesmas dan pelaksana program penyakit tidak menular (PTM) puskesmas. Analisis statistik menggunakan uji annova one way, uji korelasi dan uji regresi linier sederhana sedangkan analisis kualitatif menggunakan analisis isi (content analysis). Hasil penelitian menunjukkan status akreditasi puskesmas tidak berefek terhadap capaian SPM pelayanan kesehatan pada usia produktif, sedangkan semua variabel aspek manajemen puskesmas berkorelasi cukup kuat dan kuat kecuali variabel fokus pelanggan. Diperlukan penerapan manajemen puskesmas yang berkualitas dan dukungan dinas kesehatan agar SPM pelayanan kesehatan pada usia produktif dapat tercapai.

The minimum service standard (SPM) for productive age services is a basic right that must be fulfilled by the district/city government for residents aged 15-59 years in order to get health services according to standards in the form of education and health screening. With the accreditation status of the public health center that has been achieved and the management of the public health center that has been implemented, the achievement of the SPM for health services at the productive age of the public health center in Cirebon City is still far from the expected target. The aim of the study was to determine the effect of the accreditation status and the management of the public health center on the achievement of the SPM for health services at the productive age of the puskesmas in Cirebon City. This type of research is a combination of quantitative and qualitative research with a convergent mixed methods research design. Quantitative research uses a cross-sectional research design, while qualitative research uses a case study. The research population was all public health centers in Cirebon City. The research sample was 22 public health centers (total sampling) in Cirebon City. The main informants of the study were the head of the public health center and the manager of the non-communicable disease (PTM) program at the puskesmas. Statistical analysis used annova one way test, correlation test and simple linear regression test, while qualitative analysis used content analysis. The results showed that the accreditation status of the public health center had no effect on the achievement of SPM for health services at productive age, while all aspects of the management of the puskesmas had a strong correlation except for the customer focus variable. It is necessary to implement quality health center management and the support of the health office so that the SPM for health services at productive age can be achieved.
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T-6628
Depok : FKM-UI, 2023
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Carlos Dja`afara; Pembimbing: Engkus Kusdinar Achmad
T-897
Depok : FKM UI, 2001
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Maria Elizabeth; Pembimbing: Anwar Hasan; Penguji: Dian Ayubi, Besral, Hartanto, HAYG Wibisono
T-2664
Depok : FKM-UI, 2007
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Library Automation and Digital Archive