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Putri Octavia Sari; Pembimbing: Mardiati Nadjib; Penguji: Purnawan Junadi, Sutikno, Taufik
Abstrak:
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Imunisasi adalah salah satu tindakan yang dapat mencegah penyebaran penyakit dan terbukti sangat efektif. Salah satu indikator untuk menliai kinerja pelaksanaan program imunisasi adalah pencapaian Universal Child Immunization (UCI). Pada tahun 2021 Provinsi Lampung mengalami penurunan pencapaian imunisasi dasar lengkap yaitu sebesar 87,3%. Hal ini juga diikuti dengan penurunan cakupan desa/kelurahan UCI di Provinsi Lampung sebesar 68,9%. Bila dilihat berdasarkan distribusi cakupan UCI Kabupaten/Kota, Kabupaten Lampung Tengah merupakan wilayah yang memiliki cakupan desa/kelurahan UCI terendah pada tahun 2021 yaitu 20,4%. Penelitian ini bertujuan untuk mengetahui tentang manajemen program imunisasi dalam upaya pencapaian desa/kelurahan UCI pada tahun 2019-2022. Metode penelitian yang dilakukan yaitu pendekatan kualitatif dan kuantitatif. Penelitian ini dilaksanakan di 2 puskesmas dengan membandingkan antara Puskesmas dengan pencapaian desa/kelurahan UCI tertinggi dan Puskesmas dengan pencapaian desa/kelurahan UCI terendah. Hasil penelitian ini menunjukan bahwa pada aspek struktur, layanan kesehatan imunisasi dasar dilakukan di kedua puskesmas sesuai dengan SOP, tenaga kesehatan dalam program imunisasi dengan jumlah SDM kesehatan sudah mencukupi walaupun masih ada beberapa kendala, ketersediaan produk medis, vaksin dan teknologi mengalami beberapa kendala, pembiayaan operasional untuk program imunisasi berasal dari APBD dan BOK pembiayaan yang ada di kedua puskesmas tidak mengalami masalah, kepemimpinan pada kedua puskesmas tidak ada perbedaan. Pada aspek proses manajemen puskesmas P1,P2,P3 kedua puskesmas tidak ada perbedaan secara signifikan, Puskesmas Poncowarno memiliki inovasi pada saat pelaksanaan program imunisasi pada masa pandemi COVID-19 untuk mencapai target program imunisasi. Capaian Program Desa/Kelurahan UCI Puskesmas Wates tahun 2019-2022 berfluktuatif. Pada tahun 2021 terjadi penurunan signifikan capaian program desa/kelurahan UCI pada tahun 2021 yaitu sebesar 0%. Capaian Program Desa/Kelurahan UCI pada Puskesmas Poncowarno pada tahun 2021 dengan capaian sebesar 100%. Kata kunci: Universal Child Immunization, Imunisasi, Manajemen Program Puskesmas.
Immunization is one of the actions that can prevent the spread of disease and has proven to be very effective. One of the indicators to assess the performance of the implementation of the immunization program is the achievement of Universal Child Immunization (UCI). In 2021, Lampung Province will experience a decrease in the achievement of complete basic immunization, which is 87.3%. This was also followed by a decrease in the coverage of UCI villages/kelurahan in Lampung Province by 68.9%. When viewed based on the distribution of district/city UCI coverage, Central Lampung Regency is the area that has the lowest UCI village/kelurahan coverage in 2021, namely 20.4%. This study aims to find out about the management of the immunization program in an effort to achieve UCI villages/wards in 2019-2022. The research method used is a qualitative and quantitative approach. This research was conducted in 2 puskesmas by comparing the puskesmas with the highest UCI village/kelurahan achievement and the puskesmas with the lowest UCI village/kelurahan achievement. The results of this study indicate that in the structural aspect, basic immunization health services are carried out in both puskesmas according to SOP, health workers in the immunization program with sufficient number of health human resources although there are still some obstacles, the availability of medical products, vaccines and technology is experiencing several constraints, financing operational for the immunization program came from the APBD and BOK, the funding in the two puskesmas did not experience problems, the leadership in the two puskesmas was no different. There is no significant difference in the management process aspects of the P1, P2, P3 puskesmas for the two puskesmas. The Poncowarno Health Center had innovations when implementing the immunization program during the COVID-19 pandemic to achieve the target of the immunization program. The achievements of the UCI Village/Kelurahan Program at the Wates Health Center in 2019-2022 have fluctuated. In 2021 there will be a significant reduction in the achievements of the UCI village/kelurahan program in 2021, namely 0%. Achievement of the UCI Village/Kelurahan Program at the Poncowarno Health Center in 2021 with the highest achievement of 100%. Keywords: Universal Child Immunization, Immunization, Community Health Center Program Management
T-6781
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ami Kesumaningtyas; Pembimbing: Hendra; Penguji: Robiana Modjo, Ridwan Zahdi Syaaf, Syahrul Efendi, Nur Ani
Abstrak:
Di Indonesia masih banyak terdapat usaha informal yang belum memilliki aksesmendapatkan pelayanan kesehatan kerja. Permasalahan program kesehatan kerjaseringkali terjadi dikarenakan pergantian dokter puskesmas, kurangnyapengetahuan dari petugas dan kader kesehatan kerja. Di Kabupaten PesawaranPropinsi Lampung terdapat empat puskesmas yang menjadi percontohan programupaya kesehatan kerja dimana sudah diberikan pelatihan kepada dokter danpemegang program tentang kesehatan kerja serta sudah pernah dilakukanbimbingan teknis serta monitoring. Akan tetapi, program upaya kesehatan kerja dipuskesmas belum berjalan. Penelitian ini bertujuan mengetahui kendala apa sajayang ada dalam implementasi program upaya kesehatan kerja pada tahapperencanaan, pelaksanaan dan juga evaluasi.Penelitian ini bersifat kualitatif dengan menggunakan fungsi manajemenmenggunakan metode wawancara mendalam dan telaah dokumen. Informandalam penelitian ini adalah Kepala Dinas Kesehatan Kabupaten Pesawaran,Kepala Seksi Kesehatan Khusus dan Matra, Kepala Puskesmas, Pemegangprogram dan perwakilan dari sasaran. Hasil dari penelitian ini yaitu programupaya kesehatan kerja belum menjadi prioritas dikarenakan bukan merupakanprogram pokok di puskesmas namun ada juga yang mengemukakan bahwa tidakada perbedaan antara program prioritas dan program pengembangan. Masihkurangnya pengetahuan, jumlah sumber daya manusia yang terlibat dalamprogram upaya kesehatan kerja. Dari segi anggaran, program upaya kesehatnankerja memiliki alokasi anggaran baik sehingga program upaya kesehatan kerjamasih terintegrasi dengan program kesehatan lain.Selain itu, program upaya kesehatan kerja juga tidak didukung oleh peralatanyang memadai serta tidak ada rencana kerja. Dan juga keterlibatan sasaran yangkurang aktif serta kondisi lingkungan yang tidak mendukung dari sisi keamanan.Penelitian ini menyimpulkan bahwa program upaya kesehatan kerja di KabupatenPesawaran belum menjadi prioritas dikarenakan masuk kedalam programpengembangan dan belum diukung adanya sumber daya manusia yang memadai,tidak ada alokasi anggaran, tidak ada peralatan serta rencana kerja, keterlibatanmasyarakat masih kurang aktif serta lingkungan yang kurang mendukung.Oleh karena itu, program upaya kesehatan kerja perlu dimasukkan dalam rencanakerja baik itu di dinas kesehatan dan puskesmas. serta adanya alokasi anggaranuntuk program serta peningkatan kualitas sumber daya manusia dan juga peralatanyang menunjang program serta di butuhkan kerjasama lintas sektor untuk lebihmemaksimalkan implementasi program upaya kesehatan kerja di puskesmas.Kata kunci: upaya kesehatan kerja, kesehatan kerja di puskesmas, kebijakan,manajemen program, puskesmas
In indonesia there are still many informal businesses who have not have accessoccupational health services. Occupational health problems program oftenoccurred due to the doctor puskesmas, the lack of knowledge of officers and kaderoccupational health. In Pesawaran District, there are the four be pilot programshealth effort work where already provided training to medical doctors and holderprogramme about occupational health and is has been done technical training andmonitoring.But, program health effort work at puskesmas not run. This study aimsto identify the constraints all that is for the implementation of program healtheffort work in the planning stages, the implementation and also evaluating.This research qualitative by using function management uses the method in-depthinterviews and review of documentation .Informants in this research was head ofdistrict health pesawaran , head of specific health and matra , the head ofpuskesmas , holders the program and representatives of the target .The result ofthis research namely the program health effort work had not been priority becausenot is a program basic puskesmas but some are suggested that there is nodifference between priority programs and development program .There is a lackof knowledge , the number of human resources involved in the program healtheffort work .On the budgeting side , program efforts kesehatnan work are budgetallocation good and the health effort work still integrated with other healthprogram .In addition , health effort program work also are not supported by properequipment and had no work plan .And also the involvement of a target that is lessactive as well as environmental conditions that not in favor of security side .Thisresearch concluded that the program working health effort in kabupatenpesawaran had not been a priority because entered into a program to develop andhas not diukung the presence of human resources sufficient , there was no budgetallocation , there is no equipment and the work plan , the involvement of thecommunity is still less active as well as the environment less supportive .In addition , health effort program work also are not supported by properequipment and had no work plan .And also the involvement of a target that is lessactive as well as environmental conditions that not in favor of security side .Thisresearch concluded that the program working health effort in kabupatenpesawaran had not been a priority because entered into a program to develop andhas not diukung the presence of human resources sufficient , there was no budgetallocation , there is no equipment and the work plan , the involvement of thecommunity is still less active as well as the environment less supportive .Hence ,health effort program work will need to be included in the work plan whether it isin health department and public health center . And the existence of the budgetallocation for the program as well as improving the quality of human resourcesand also that support equipment of the program and need cooperation cross-sectors to be more maximize the implementation of health effort program work inpublic health .Key words: Occupational Health Service, Occupational Health in Public HealthCenter, Policy, Management Programmes, Public Health Centers.
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In indonesia there are still many informal businesses who have not have accessoccupational health services. Occupational health problems program oftenoccurred due to the doctor puskesmas, the lack of knowledge of officers and kaderoccupational health. In Pesawaran District, there are the four be pilot programshealth effort work where already provided training to medical doctors and holderprogramme about occupational health and is has been done technical training andmonitoring.But, program health effort work at puskesmas not run. This study aimsto identify the constraints all that is for the implementation of program healtheffort work in the planning stages, the implementation and also evaluating.This research qualitative by using function management uses the method in-depthinterviews and review of documentation .Informants in this research was head ofdistrict health pesawaran , head of specific health and matra , the head ofpuskesmas , holders the program and representatives of the target .The result ofthis research namely the program health effort work had not been priority becausenot is a program basic puskesmas but some are suggested that there is nodifference between priority programs and development program .There is a lackof knowledge , the number of human resources involved in the program healtheffort work .On the budgeting side , program efforts kesehatnan work are budgetallocation good and the health effort work still integrated with other healthprogram .In addition , health effort program work also are not supported by properequipment and had no work plan .And also the involvement of a target that is lessactive as well as environmental conditions that not in favor of security side .Thisresearch concluded that the program working health effort in kabupatenpesawaran had not been a priority because entered into a program to develop andhas not diukung the presence of human resources sufficient , there was no budgetallocation , there is no equipment and the work plan , the involvement of thecommunity is still less active as well as the environment less supportive .In addition , health effort program work also are not supported by properequipment and had no work plan .And also the involvement of a target that is lessactive as well as environmental conditions that not in favor of security side .Thisresearch concluded that the program working health effort in kabupatenpesawaran had not been a priority because entered into a program to develop andhas not diukung the presence of human resources sufficient , there was no budgetallocation , there is no equipment and the work plan , the involvement of thecommunity is still less active as well as the environment less supportive .Hence ,health effort program work will need to be included in the work plan whether it isin health department and public health center . And the existence of the budgetallocation for the program as well as improving the quality of human resourcesand also that support equipment of the program and need cooperation cross-sectors to be more maximize the implementation of health effort program work inpublic health .Key words: Occupational Health Service, Occupational Health in Public HealthCenter, Policy, Management Programmes, Public Health Centers.
T-4742
Depok : FKM-UI, 2016
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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