Abstrak: Skrining kesehatan merupakan salah satu program BPJS Kesehatan dalam upaya kendali biaya pelayanan kesehatan. Namun, pada tahun 2016 ketercapaian program masih mencapai 17% dari target. Penelitian ini bertujuan untuk mengetahui implementasi skrining kesehatan diabetes melitus tipe 2 dan hipertensi di BPJS Kesehatan Kantor Cabang Utama Jakarta Timur tahun 2017. Penelitian menggunakan metode kualitatif. Data dikumpulkan melalui observasi, telaah dokumen dan wawancara mendalam dengan informan di FKTP (Fasilitas Kesehatan Tingkat Pertama) dan BPJS Kesehatan. Hasil penelitian menunjukan bahwa adanya masalah dari sisi komunikasi, sumber daya, sikap implementor, struktur birokrasi dan implementasi kegiatan skrining kesehatan. Penulis menyarankan agar dilakukan upaya perbaikan pada sosialisasi skrining ke FKTP, perencanaan SDM yang matang, pembuatan SOP skrining di FKTP dan memaksimalkan pemanfaatan BPJS mobile skrining.
Kata Kunci: Implementasi, Skrining Kesehatan

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Health screening is one of the BPJS Kesehatan programs in order control health care costs. However, in 2016 the achievement program only reaches 17% of the target. The purpose of this research is to perceive the implementation of health screening for type 2 Diabtes Melitus and hypertension at BPJS Kesehatan, Branch Office, East Jakarta, 2017. This study used qualitative method, in which data was obtained from observation, document review, and in-depth interview with informants at Primary Care and BPJS Kesehatan. Research result indicate that there are issues regarding communication, resources, attitude of implementor, and implementation of health screening. Author suggests that improvement efforts are to be made regarding screening socialization toward Primary Care, human resource planning, screening Standard Operation Procedure (SOP) at Primary Care, and maximize the utilization of BPJS mobile screening.
Keyword: implementation, health screening

Abstrak: Deteksi dini atau screening merupakan salah satu strategi penting dalam tatalaksana diabetes melitus, skrining perlu dilakukan karena memiliki manfaat positif, antara lain dapat mendeteksi faktor resiko penyakit kronis.Tujuan penelitian ini adalah untuk mengetahui intensi pada golongan dewasa muda dalam melakukan screening penyakit diabetes wilayah kerja Puskesmas Bojonggede Kabupaten Bogor. Metode penelitian yang digunakan adalah cross sectional dengan populasi dewasa muda (usia 18 - 40 tahun) dengan pendekatan Theory of Planned Behavior. Hasil analisis menunjukkan variabel yang mempunyai hubungan signifikan dengan intensi yaitu sikap, norma subjektif dan perceived behavior control, sedangkan yang paling dominan adalah variabel sikap. Responden dengan sikap positif mempunyai peluang 7,34 kali untuk memiliki intensi melakukan skrining diabetes yang baik setelah dikontrol oleh variabel norma subjektif dan perceived behavior control.

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Early detection or screening is an important strategy in managing diabetes mellitus, screening needs to be done because it has positive benefits, including being able to detect risk factors for chronic disease. The purpose of this study was to determine the intention of young adults in carrying out screening diabetes in the working area of the Bojonggede Public Health Center, Bogor Regency. The research method used is cross sectional with the young adult population (age 18 -40 years) with the approach Theory of Planned Behavior. The results of the analysis show that the variables that have a significant relationship with intention are attitudes, subjective norms and perceived behavior control, while the most dominant is the physical variable. Respondents with a positive attitude have a 7.34 times chance of having the intention to do a good diabetes screening after being controlled by the variable subjective norms and perceived behavior control.

Abstrak: Changes in screening guidelines that imply suppression of procedures once recommended are always controversial because of the perception that benefits are being curtailed. Prior to 2012, cervical cancer screening guidelines issued by US-based expert bodies differed in several decision areas, making clinicians essentially cherry-pick among recommendations. To some extent, this approach to screening practices also served to shield clinicians from litigation. It implied starting screening earlier, doing it more frequently, and stopping later in life than necessary. This state of affairs changed in 2012, when the most influential professional groups updated their cervical screening guidelines, and recommendations became essentially unified. All groups recommended that women older than 65 years of age discontinue cervical cancer screening on the basis of evidence that screening benefits in this age group were minor and far outweighed by harms. The guidelines are very specific about the exceptions, which ensure acceptable safety. It is expected that the new guidelines will permit less wasteful cervical screening, while fostering the opportunity to direct resources towards ensuring adequate coverage of high-risk women.

Abstrak: Kanker serviks merupakan salah satu jenis kanker yang menjadi masalah kesehatan utama baik di dunia maupun di Indonesia. Salah satu upaya pencegahannya dengan melakukan skrining kanker serviks. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan perilaku wanita dalam melakukan skrining kanker serviks. Desain penelitian menggunakan studi cross sectional dengan jumlah sampel sebesar 128 responden. Hasil penelitian menunjukkan sebanyak 20,3% responden pernah melakukan skrining kanker serviks. Faktor paling dominan yang berhubungan dengan perilaku skrining kanker serviks adalah keterpaparan informasi dengan nilai p-value 0,0001 dan Odds Ratio sebesar 14,350. Penelitian ini merekomendasikan perlu ditingkatkan upaya penyampaian informasi tentang kanker serviks melalui berbagai media komunikasi.
Kata kunci : faktor, perilaku, skrining kanker serviks

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Cervical cancer is one of cancer diseases which ranks as a major health problem both in the world and in Indonesia. One of the efforts to prevent the disease is by undertaking cervical cancer screening. This study aims to determine the factors associated the women behavior in performing cervical cancer screening. Using cross sectional study, 128 respondents were asked to complete self-administered questionnaires. The results showed that 20.3% of respondents have had cervical cancer screening and exposure information was the most associating factor for women to undertake the screening (p-value of 0.0001 and odds ratio of 14.350). This study recommends increasing efforts in delivering information about cervical cancer through a variety of communication media.
Key words: factors, behavior, cervical cancer screening

Abstrak: Hipotiroid kongenital (HK) adalah kelainan bawaan yang dapat menimbulkandampak berupa retardasi mental permanen. Pemberian levothyroxine dengan dosistepat pada usia sedini mungkin, dapat mencegah gangguan pertumbuhan danperkembangan. Sayangnya, bayi baru lahir tidak menunjukkan gejala HK. Kalaupunada, berarti sudah ada gangguan pertumbuhan. Perlu skrining hipotiroid kongenital(SHK) untuk menemukan kasus bayi yang menderita HK.Meski sudah dilakukan sejak 2006, baru pada tahun 2014 dikeluarkan Permenkestentang pelaksanaan SHK di Indonesia. Penelitian evaluasi ekonomi program SHKtahun 2014-2015 ini mencakup analisis biaya skrining dan terapi dini, sedangkanoutcome didapat dari systematic review (SR). Asumsi dikembangkan berdasarkandata riil pasien skrining SHK di 2 laboratorium rujukan di Jakarta dan Bandung.Dari total 56.186 bayi yang melakukan skrining, diperoleh 24 pasien positifmenderita HK.Hasil SR menyatakan bahwa semakin dini onset terapi, semakin adekuat dosisinisiasi dan semakin kontinyu terapi dapat memberikan hasil yang baik. Hasiltersebut berupa pencegahan terhadap komplikasi HK lebih jauh dan perbaikan padapenyimpangan tumbuh kembang.Dari hasil penelitian, didapatkan informasi bahwa baru pada tahun kedua terlihatadanya keuntungan ekonomis SHK. Hal ini berhubungan dengan patologi gejala HKyang umumnya muncul pada usia 3-6 bulan. Orang tua baru mencari pertolonganmedis pada tahun kedua dan mengeluarkan lebih banyak biaya. Biaya skrining danterapi dini menjadi sepadan dibandingkan dengan kerugian yang dapat dicegahakibat gejala gangguan tumbuh kembang.Kata kunci:Skrining hipotiroid kongenital, biaya, luaran

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Congenital hypothyroidism (CH) is a congenital disorder that can have an impact inthe form of permanent mental retardation. Giving the right dose of levothyroxine atthe earliest possible age, can prevent the disruption of growth and development.Newborns do not show symptoms of CH, and unfortunately the symptoms appear inthe late period and in many cases it shows growth disorders. The congenitalhypothyroidism screening (CHS) program has been implemented to find infant caseswith CH, and followed up with treatment.Although it has been made since 2006, Minister of Health just issued the regulationin 2014 on the implementation of CHS in Indonesia. This economic evaluation of theCHS program in 2014-2015 was done using cost analysis, while outcome obtainedfrom the systematic review (SR). The assumptions used in the analysis weredeveloped based on real data from a CHS screening program in two referrallaboratories in Jakarta and Bandung. Out of 56.186 screened babies, 24 babies werefound as CH positive cases.The result of the SR revealed that the earlier onset of initiation therapy, the moreadequate dose and the more continuous therapy given to the patient, the better resultwill be achieved. It will prevent the patients from severe complications of CH andwill improve the quality of thegrowth and development..The study found that the economic benefit is achieved in the second year of CHtreatment, since the pathological symptoms generally appear at the age of 3-6 monthand parents seek care in the second year. Consequently, cost to treat patients willincrease. The cost of screening and early treatment was found worthy as compared toeconomic loss resulting from growth disorders.Key words:Congenital Hypothyroid screening, cost, outcome

Abstrak: Kasus penyalahgunaan maupun ketergantungan NAPZA akibat gangguan jiwa atau sebaliknya merupakan masalah kesehatan jiwa. Para ahli mengatakan bahwa jika seseorang yang memiliki gangguan jiwa namun tidak terdiagnosis akan mengarah kepada penyalahgunaan NAPZA. Begitu pula mereka yang memiliki risiko tinggi gangguan jiwa akibat pengaruh genetik, lingkungan, masalah sosial dan lainnya akan mendorong mereka ke arah penyalahgunaan NAPZA Laporan BNN menyebutkan bahwa hingga akhir November 2015, jumlah penyalahguna di Indonesia mengalami peningkatan yang signifikan dari 4,2 juta jiwa menjadi 5,9 juta jiwa. Sedangkan penyalahguna yang melakukan program rehabilitasi sebagai upaya pengobatan tercatat baru mencapai 100 ribu jiwa. Berdasarkan hal tersebut, pemerintah perlu membuat suatu upaya pencegahan dan pengendalian penyalahgunaan NAPZA dengan membentuk masyarakat yang memiliki ketahanan dan kekebalan terhadap penyalahgunaan NAPZA. Upaya tersebut adalah melakukan skrining penggunaan zat. Skrining ini bertujuan untuk menggali informasi pasien terkait keterlibatannya dengan penggunaan NAPZA. Skrining dapat membantu petugas kesehatan untuk mencatat dan melaporkan kasus penyalahgunaan zat di wilayah Puskesmas. Penelitian ini bertujuan untuk membangun sistem informasi skrining NAPZA untuk kesehatan jiwa. Penelitian ini menggunakan skrining dengan metode ASSIST. Sistem ini memberikan informasi yang berguna bagi pasien untuk meningkatkan status kesehatannya dan memberikan gambaran kasus penyalahgunaan NAPZA yang berguna bagi Puskesmas untuk menentukan langkah yang tepat melaksanakan pencegahan dan pengendalian penyalahgunaan NAPZA di wilayah kerja Puskesmas. Kata kunci: penyalahgunaan, NAPZA, skrining, ASSIST Cases of drug abuse or dependence due to mental or otherwise are mental health problems. Similarly, those who have high risk of mental disorders due to genetic, environmental, social and other influences will push them to drug abuse. The National Drugs Agency report says that by the end of November 2015, the number of drugs abuser in Indonesia has increased significantly from 4.2 million people to 5.9 million people. Drugs abuser who perform the rehabilitation program only reached 100.000 people. Based on this, the government needs to make an effort to prevention and control of drug abuse by forming a society that has resilience and immunity against drug abuse. The effort is to screen for substance use. This screening aims to explore patient information related to their involvement with drug use. Screening can help health workers to record and report substance abuse cases in the public health center area. This study aims to build a system of drug screening information for mental health. This research used screening with ASSIST method. The drugs screening information system provides useful information for people to improve their health status and provides an illustration of drug abuse cases that are useful for public health center to determine appropriate measures to implement prevention and control of drug abuse in public health center working areas. Key words: drugs user, drugs, screening, ASSIST

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