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Edy Gunawan; Pembimbing: Dian Ayubi; Penguji: Dien Anshari, Ella Nurlaella Hadi, Eko Wijiastuti, Iam Minerva
Abstrak:
Tingkat partisipasi masyarakat berkunjung ke posyandu di wilayah kerja Puskesmas Air Putih 18,2%. Cakupan tersebut dibawah cakupan Kota Samarinda 24,38% dan Provinsi Kaltim 39,81%. Kondisi tersebut membuat banyak balita yang ada tidak terpantau status gizinya. Penelitian ini bertujuan untuk mengetahui determinan perilaku kunjungan Posyandu pada ibu balita. Penelitian ini menggunakan desain cross sectional, pengumpulan data dilakukan melalui kunjungan rumah dengan pengisian kuesioner secara mandiri oleh responden. Sampel penelitian berjumlah 139 Ibu balita yang dipilih secara acak pada 13 Posyandu. Analisis multivariat menggunakan regresi logistik berganda. Hasil penelitian menunjukkan sebanyak 74,8% Ibu balita memiliki kunjungan rutin ke Posyandu. Faktor yang berhubungan signifikan terhadap perilaku kunjungan ke Posyandu pada ibu balita adalah pekerjaan (p=0,08), pengetahuan (p=0,001), dan sikap (p=0,005). Pengetahuan merupakan faktor yang paling dominan pada penelitian ini, Ibu balita dengan pengetahuan tinggi memiliki peluang 4,5 kali lebih besar melakukan kunjungan rutin ke Posyandu setelah dikontrol variabel pekerjaan dan sikap. Saran bagi Tim Pokjanal Posyandu Kota Samarinda agar melakukan evaluasi capaian D/S dan mengusulkan anggaran Probebaya untuk sosialisasi pentingnya kunjungan rutin ke Posyandu setiap bulan.
The level of community participation in visiting posyandu in the working area of the Puskesmas Air Putih is 18.2%. This coverage is below the coverage of Samarinda City 24.38% and East Kalimantan Province 39.81%. This condition makes many children under five whose nutritional status is not monitored. This study aims to determine the behavioral determinants of Posyandu visits to Toddler mothers. This study used a cross-sectional design, data collection was carried out through home visits by filling out the questionnaires independently by the respondents. The research sample was 139 Toddler mothers who were randomly selected at 13 Posyandu. Multivariate analysis using multiple logistic regression. The results showed that 74.8% of Toddler mothers had regular visits to Posyandu. Factors that were significantly related to the behavior of visiting Posyandu on Toddler mothers were work (p=0.08), knowledge (p=0.001), and attitude (p=0.005). Knowledge is the most dominant factor in this study. Mothers with high knowledge have a 4.5 times greater chance of making routine visits to Posyandu after controlling for work and attitude variables. Suggestions for the Samarinda City Posyandu Pokjanal Team to evaluate D/S achievements and propose a Probebaya budget for socializing the importance of routine visits to Posyandu every month.
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The level of community participation in visiting posyandu in the working area of the Puskesmas Air Putih is 18.2%. This coverage is below the coverage of Samarinda City 24.38% and East Kalimantan Province 39.81%. This condition makes many children under five whose nutritional status is not monitored. This study aims to determine the behavioral determinants of Posyandu visits to Toddler mothers. This study used a cross-sectional design, data collection was carried out through home visits by filling out the questionnaires independently by the respondents. The research sample was 139 Toddler mothers who were randomly selected at 13 Posyandu. Multivariate analysis using multiple logistic regression. The results showed that 74.8% of Toddler mothers had regular visits to Posyandu. Factors that were significantly related to the behavior of visiting Posyandu on Toddler mothers were work (p=0.08), knowledge (p=0.001), and attitude (p=0.005). Knowledge is the most dominant factor in this study. Mothers with high knowledge have a 4.5 times greater chance of making routine visits to Posyandu after controlling for work and attitude variables. Suggestions for the Samarinda City Posyandu Pokjanal Team to evaluate D/S achievements and propose a Probebaya budget for socializing the importance of routine visits to Posyandu every month.
T-6725
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Edy Gunawan; Pembimbing: Mardiati Nadjib; Penguji: Adang Bachtiar, Purnawan Junadi, Desak Gede Christina, Lies Nugrohowati
Abstrak:
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Latar Belakang: Pemerintah sejak tahun 2022 telah mendorong seluruh rumah sakit di Indonesia untuk menerapkan RME guna memberikan layanan kesehatan yang lebih baik melalui digitalisasi sistem kesehatan. Penerapan RME di unit rawat inap MRCCC Siloam Hospitals Semanggi telah berjalan sekitar 6 bulan sejak awal tahun 2023. Penelitian ini bertujuan untuk melakukan evaluasi formatif terhadap penerapan RME di unit tersebut melalui parameter kepuasan dan cakupan penggunaan RME serta penelusuran faktor-faktor individu dan organisasi yang berperan. Metode: Kuesioner daring dibagikan kepada 140 dokter dan perawat di unit rawat inap yang terpilih melalui simple random sampling. Kuesioner memuat pertanyaan mengenai data demografis, pengukuran kepuasan yang diadaptasi dari End User Computing Satisfaction (EUCS), dan cakupan penggunaan RME. Wawancara mendalam dilakukan kepada 7 informan terpilih (direktur utama, direktur medis, direktur keperawatan, 2 dokter, dan 2 perawat). Analisis data kuantitatif dilakukan di SPSS 25 menggunakan uji T tidak berpasangan dan One-way ANOVA. Analisis konten dilakukan pada hasil wawancara mendalam. Hasil: Rerata skor kepuasan responden penelitian ini adalah 3,43 ± 0,88 sementara cakupan penggunaan mencapai 74,7%. Aspek RME yang mendapatkan skor kepuasan terendah adalah kemudahan penggunaan yang sesuai dengan hasil wawancara mendalam, yaitu banyaknya pengeklikan yang harus dilakukan. Manajemen rumah sakit telah berupaya meningkatkan kualitas dan kuantitas infrastruktur meskipun masih terdapat ruang untuk perbaikan ke depannya. Simpulan: Implementasi RME di unit rawat inap MRCCC Siloam Hospitals Semanggi tahun 2023 cukup berhasil di tingkat individu, namun belum di tingkat organisasi. Diperlukan perbaikan sistem RME dan peningkatan sumber daya IT guna meningkatkan keberhasilan implementasi RME di unit tersebut.
Background: The implementation of EMR at the inpatient units in MRCCC Siloam Hospitals Semanggi has been going on for around 6 months since the beginning of 2023. This study aimed to conduct a formative evaluation of the implementation using parameters such as users’ satisfaction and adoption of EMR, as well as individual and organizational factors which influenced the outcome. Method: Online questionnaire was given out to 140 doctors and nurses at inpatient units, selected through simple random sampling method. The questionnaire contained demographic characteristics, agreement statements about satisfaction adapted from EUCS (End User Computing Satisfaction), and question about EMR adoption. In-depth interviews were conducted with 7 chosen informants (general director, medical director, nursing director, 2 doctors, and 2 nurses). Quantitative data analysis was conducted in SPSS 25 using unpaired T-test or One-way ANOVA. Qualitative data was analysed using content analysis. Results: The mean satisfaction score of the respondents was 3,43 ± 0,88 while the overall adoption rate was 74,7%. Ease of use received the lowest satisfaction score, which was supported by findings from the interviews, i.e. the system required too many clicks. The hospital managers had attempted to improve the quality and quantity of infrastructure although there was still room for improvement. Conclusion: The implementation of EMR at the inpatient units in MRCCC Siloam Hospitals Semanggi was successful at the individual level, but unsuccessful at the organizational level. It would be beneficial to make constant improvements on the EMR itself and increase the number of staff at the IT department.
B-2340
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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