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Kata Kunci : Evaluasi, Eliminasi malaria
Malaria Elimination is an effort to stop local malaria transmission in a certain geographical area. The effort of malaria elimination can be monitored by using Annual Parasite Incidence (API) indicator. The usefulness of API is to recognize the malaria incidence in a certain area within one year. The decrease of API is more valuable if it is followed by the increase of Annual Blood Examination Rate (ABER). Thus the decrease of ABER does not mean the decrease of malaria incidence. Besides ABER, Slide Positivity Rate (SPR) is also used to see the magnitude of infection level on a certain population. The SPR digit is more valuable if ABER is high. The Department of Health has made stages in eliminating malaria. They are pre elimination, elimination, and alimination and maintenance. In pre elimination stage, one of the conditions which has to be fullfiled is all health service units have been able to examine a case microscopically and all clinical patients of malaria in a health service unit have sufficient blood and the SPR is 5%. The SPR target has to be accoplished due to the function to see the magnitude of infection level in a certain population. In Musi Rawas Regency from years API has a decrase (0.15%) in 2016, but if it is investigated per districts. SPR has a change fluctuativelly and ABER remains low. This shows there is a problem which is not solved yet in order to eliminate malaria in Musi Rawas Regency. In the implementation program of malaria elimination, evaluation is a must to implement the malaria elimination in Musi Rawas Regency in 2020 so that the obstacles of human resource of the implementation of malaria elimination in Musi Rawas Regency reviews can be detected in 2018.
Keyword: evaluation,malaria elimination
This thesis discusses about the evaluation of the suitability of the clinical pathway application of clinical pathway diarrhea in infants, with the aim of obtaining the results of an evaluation of the implementation of Clinical Pathway diarrhea in infants and the calculation of unit cost in cases of diarrhea in infants in Bhakti Rahayu General Hospital Denpasar. The research design used is the mix method, namely quantitative and qualitative research designs. The study was conducted in May 2019 to June 2020. The results obtained are still getting some variations in the services provided to patients so that the total cost of action in accordance with clinical pathway is Rp. 675,281, - with the real cost of services provided at Rp. 1,045,212 , - which means there is still a difference of Rp. 369,931, -.
The performance of the current Posyandu program is not optimal. One of the problems that it faced is the lack of skills the cadres possessed. This is further exacerbated by the condition of COVID-19 which stopped the activities of Posyandu. Guidance is one way that can be done to increase the performance of Posyandu. One of the guidances carried out during the pandemic is guidance through the New Normal Posyandu program. This research aims to describe the evaluation of the implementation in NNP-supported Posyandu at selected Posyandu in Cisalak Village in 2022. This research uses the qualitative-descriptive method to describe input (human resources, cadres training, organizational structure, facilities and infrastructures, funding, and schedules of implementation), process (preparation, application of health protocols, weighing, plotting, counselling, recording and reporting, evaluation discussion, and home visit), and output (D/S and N/D? indicator) in three Posyandus (with Posyandu X and Y as supported Posyandu, and Posyandu Z as control group). Data collection was done through in-depth interviews, focus group discussion, observation, and documents review. Key-informant in this research was one Public Health Center Nutritionist, one person from Village?s Family Welfare Education Program, and one NNP program representative. Main-informant was head from each Posyandu, fifteen cadres in three Posyandus, and the supporting informant were twelve mothers of toddlers in three Posyandus. Research was done in X, Y, and Z Posyandu in Cisalak Village. The results showed that Posyandu guidance program by NNP can help two supported Posyandus to increase quality of the counseling from cadres to the community through provided training program. Program can also help Posyandu to conduct monthly activities and increase the quality of facilities and infrastructures of Posyandu. However, the quality of counseling in supported Posyandus are considered not optimal for all Posyandus.
