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Nurul Hidayah; Pembimbing: Adang Bachtiar; Penguji: Purnawan Junadi, Wachyu Sulistiadi, Tri Erri Astoeti
Abstrak:
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Depkes Rl menyatakan bahwa penyakit pulpa dan kerusakan tulang periapikal masih menjadi masalah, karena dari pantauan penyakit gigi dan mulut psnderita yang berkunjung ke rumah sakit menunjukkan bahwa kaxics gigi sebanyak l7,22% dan penyakit pulpa serta periapikal sebanyak 38,83%. Hal ini tidakjauh berbeda dengan data dari Dinas Kesehatan Kota Tangerang tahun 2006 bahwa dari kasus penyakit gigi dan mulut di Kota Tangerang penyakit pulpa dan nekrosis periapikal scbanyak 39,4%. Tenaga kesehatan dalam melakukan tugasnya berkewajiban untuk mcmatuhi standar profesi dan menghomnati hak pasien. Dalam situasi apapun tenaga dolcter, selaku tenaga kesehatan pofesional, merupakan tenaga inti yang bertanggung jawab atas pelayanan medis yang dilakukannya. Dalam pelaksanaan pelayanan kesehatan di Puskesmas, dokter gigi diharapkan dapat bekerja secara profesional dalam memberikan pelayanan gigi dan mulut kepada masyarakat untuk memelihara kesehatan maupun pengobatan gigi. Bcrdasarkan hal tersebut, maka penulis berminat untuk meneliti tentang faktor-faktor yang mempengaruhi kepatuhan dokter gigi terhadap standar pelayanan medis pcngobatan nekrosis pulpa di Puskesmas Kota Tangerang. Penelitian ini menganalisis hubungan sejumlah faktor-faktor intemal yang terdiri dari umur, jenis kelamin, Iama kcuja, pengetahuan, pelatihan, pcrsepsi, motivasi dan sikap, serta sejumlah thktor-faktor ekstemal yang terdiri dari sax-ana, komitmen pimpinan dan beban kerja yang dinilai mempengamhi kepatuhan dokter gigi terhadap standar pelayanan medis pengobatan nekrosis pulpa. Penelitian ini termasuk penelitian kuantitatif yang dirancang dengan metode cross sectional. Data yang digunakan adalah data sekunder dan data primer yang diperoleh dari observasi dan penyebaran kuisioner kepada responden yaitu sebanyak 35 doktcr gigi di Puskesmas yang ada di Kota Tangerang. Penelitian ini mcnggunakan analisis univariat, bivariat dan multivariat. Hasil analisis membuktikan bahwa pada faktor intemal hanya variabel masa kexja dan motivasi, sedangkan pada faktor ekstemal hanya variabel beban kerja yang mempunyai hubungan signifikan dengan kepatuhan dokter gigi terhadap standar pelayanan medis pengobatan nekrosis pulpa. Pada analisis multivariat variabel independen yang mcmiiiki hubungun paiing dominan dengan kepatuhan adalah motivasi. Dari hasil penelitian ini disarankan kepada Dinas Kesehatan Kota Tangerang untuk memotivasi dokter gigi agar mematuhi standar yang sudah ada dengan cara memberikan perhatian dan penghargaan kepada dokter gigi yang sudah melaksanakan standar pelayanan medis dengan baik. Seiain itu, perlu menambah personil dokter gigi untuk beberapa Puskesmas yang beban ke|janya relatif oukup tinggi sehingga beban kerja dokter gigi tidak terlalu tinggi dan dapat mematuhi standar pelayanan medis. Disamping itu, Dinas Kesehatan perlu memerhatiknn faktor sarana yang ada di tiap-tiap Puskesmas sebagai upaya memberikan rangsangan bagi dokter gigi umuk dapat belcexja dengan baik dan dapat mematuhi standar yang ada.
Depkes RI state that pulp disease and periapical bone damage still become problems, because 'fiom monitoring of tooth and mouth disease, patient that visited hospital shows tooth caries is 17.22% and pulp disease and periapical is 38.83%. It was not significantly different with Health Depanment Tangcrang City at 2006 that pulp and periapical nccroscs fiom tooth and mouth cases in Tangerang City are 39.4%. Health staff in conducting their task obliged to obey profession standard and respecting patients’ right. ln any situation, doctor as professional health staf£ is the core that responsible for medical service he gave. in conducting health service in Puskesmas, dentist hoped to work professionally in giving tooth and mouth services to public for maintaining health and tooth medication. Based on it, writer interested to research factors that affecting dentist compliance toward medical service standard of necroses pulp medication in Puskesmas Tangerang City. This research is analyzing relation of some intemal factors that consist of age, gender, work length, knowiedge, training, perception, motivation and attitude; also some extemal factors that consist of medium, leadership commitment and work responsibility that assessed affecting dentist obedient toward medical service standard of pulp necroses medication. This research is quantitative research designed by cross sectional method. Data used is secondary data and primary data that obtained from distributing questioner to 35 dentists in Puskwmas Tangerang City. This research is using analysis of univariate, bivariate and multivariate. Analysis result shows that intemal factors were only work length and motivation, while extemal factors was only work responsibility has significant relation with dentist compliance toward medical service standard of pulp necroses medication. On multivariate analysis of independent variable that has the most dominant relation with compliance is motivation. From this research suggested to Health Department Tangerang City to motivate dentist so that comply with available standard by giving attention and appreciation to dentist that already implementing good medical service standard. Besides, Health Department requires paying attention toward available medium factor in each Puskesmas as effort to encourage dentist work better and comply with available standard.
B-1009
Depok : FKM-UI, 2007
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nia Murniati; Pembimbing: Agustin Kusumayati; Penguji: Amila Megraini, Tri Erri Astoeti, Komalasari
T-2755
Depok : FKM-UI, 2007
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Rasyidi Amri; Pembimbing: Yayuk Hartriyanti, Dumilah Ayuningtyas; Penguji: Adang Bachtiar, Maksum, Tjutjun, Tri Erri Astoeti
Abstrak:
Latar Belakang dan Tujuan: Dinas Kesehatan Kota Pagar Alam pada era otonomi daerah sekarang ini membutuhkan suatu rencana strategis Sumber Daya Manusia (SDM) Kesehatan yang diharapkan selaras dengan Visi-Misi Dinas Kesehatan dalam kurun waktu 2006 – 2010. Hal inilah yang merupakan dasar serta tujuan penelitian ini. Metode: Untuk dapat menyusun rencana strategis SDM Kesehatan di Dinkes Kota Pagar Alam, dilakukan penelitian operasional dengan Analisa kualitatif dan kuantitatif. Penyusunan strategi dilakukan melalui beberapa tahap. Tahap pertama (Input Stage) terdiri analisis lingkungan eksternal dan internal SDM Kesehatan Dinkes Kota Pagar Alam melalui Consensus Decision Making Group (CDMG). Pada tahap kedua (Matching Stage), CDMG melakukan analisis dengan Internal-Eksternal Matrix dan SWOT Matrix. Pada tahap ketiga (Decision Stage) analisis dilakukan dengan menggunakan QSPM untuk menentukan strategi terbaik. Hasil: Hasil penelitian, pada pemilihan alternatif strategi dengan berdasarkan IE Matrix, diketahui posisi SDM Dinkes Kota Pagar Alam berada pada sel V yang artinya berada pada posisi Hold and Maintenance (bertahan dan pemeliharaan) dimana strategi yang dianjurkan terdiri dari Market Penetration (Penetrasi Pasar) dan Product Development (Pengembangan Produk). Kesepakatan pada pertemuan CDMG bahwa faktor eksternal yang menjadi peluang yakni adanya peningkatan tingkat pendidikan penduduk Kota Pagar Alam, berlakunya otonomi daerah dan perangkat hukumnya, adanya pengembangan jaringan informasi, adanya komitmen / dukungan dari Pemerintah kota dalam upaya pengembangan SDM kesehatan. Faktor eksternal yang menjadi ancaman adalah : PAD Kota Pagar Alam yang rendah, suplai SDM yang terlalu sedikit setiap tahunnya, penyakit infeksi masih tinggi, sarana pendidikan kesehatan belum ada. Sedangkan faktor lingkungan internal yang menjadi kekuatan adalam motivasi dan pengabdian SDMK yang cukup tinggi, adanya peningkatan SDMK yang mengikuti pendidikan lanjutan dan diklat, rendahnya pengurangan SDMK dan kemudahan izin melanjutkan pendidikan. Untuk faktor kelemahan yakni kompetensi SDMK masih rendah, belum adanya Protap/SOP, belum ada pos anggaran tersendiri untuk pengembangan SDMK, anggaran masih terbatas. Strategi terpilih Market Penetration prioritasnya adalah meningkatkan profesionalisme SDMK yang ada, memberikan kesempatan yang luas untuk meningkatkan pendidikan, mengembangkan fungsi jaringan informasi, menjalin kerjasama dengan sarana pendidikan profesi kesehatan yang ada. Untuk strategi product development prioritasnya adalah mengoptimalkan SDMK yang ada, menyiapkan SDM yang berbasis kesehatan lingkungan, meningkatkan advokasi ke pihak pengambil kebijakan, mengusulkan adanya pos anggaran tersendiri untuk pengembangan SDMK, membuat Protap / SOP. Kesimpulan: Dalam upaya mewujudkan tujuan jangka panjang dibutuhkan komitmen yang tinggi, mampu menggalang kerjasama dan menjalin komunikasi yang baik terhadap sektor yang berperan dalam pengambilan kebijakan. Sedangkan saran yang dapat diberikan adalah agar Renstra pengembangan SDM Kesehatan ini dapat disosialisasikan kepada semua staf pada pertemuan rutin atau khusus. Kemudian dapat menindaklanjuti strategi operasional yang telah dibuat oleh peneliti. Agar dapat sejalan dengan Visi-Misi Dinas Kesehatan Kota Pagar Alam maka dibutuhkan pemantauan terhadap pelaksanaan kegiatan Kata Kunci: Renstra, SDMK, Dinkes, Penetrasi Pasar, Pengembangan Produk
Background and Objective: Public Health Service of Pagar Alam Town at autonomous era of area this time require a strategic plan of expected Human Resource Health in harmony with Vision Mission Public Health Service in range of time 2006 - 2010. This matter is base and also the target of this research. Methods: To be able to compile strategic plan of Human Resource Health in Pagar Alam Town, conducted by research of operational with Analysis Qualitative and Quantitative. Compilation of strategy through some phases. First phase (Input Stage) compose environmental analysis of external and internal Human Resource Health of Public Health Service of Pagar Alam Town pass/through Consensus Decision Making Group (CDMG). At phase both (Matching Stage), CDMG do analyze Internally - External Matrix and SWOT Matrix. At third phase (Decision Stage) analyze conducted by using QSPM to determine best strategy. Results: Result Research, at election of strategy alternative by pursuant to IE Matrix, known by position of Human Resource Public Health Service of Pagar Alam Town reside in cell of V with the meaning residing in on course Hold and Maintenance where suggested to strategy consist of Market Penetration and Product Development. As according to agreement at meeting of CDMG that factor of external becoming opportunity namely the existence of improvement of level education people of Pagar Alam Town, applying of it area autonomy and peripheral of his law, existence of development of information network, existence of commitment / support of Government of town in the effort development of Human Resource health. External factor becoming threat is : low PAD of Pagar Alam Town, supply of Human Resource too a few every year, disease of infection still high, medium education of health there is no. While internal environmental factor which become strength is motivation and devotion of SDMK the high enough, existence of improvement of SDMK following second education and training, low of reduction of SDMK and amenity of permit continue education. For the factor of weakness namely interest of SDMK still lower, there is no Protap/SOP, there is no separate budget post for the development of SDMK, budget still limited. Chosen strategy of Market Penetration priority is to improve professionalism of SDMK existing, giving wide of opportunity to improve to education, developing information network function, braiding cooperation with medium education of existing health profession. For the strategy of priority development product of is optimal of Existing SDMK, preparing SDM being based on health of environment, improving advocate to party taker of policy, proposing the existence of separate budget post for the development of SDMK, making Protap/SOP. Conclusions: In the effort realizing required by long-range target of commitment the highness, can look after cooperation and braid communications which do well by sector which play a part in intake of policy. While suggestion able to be given is to be Renstra development of this Human Resource Health can be socialized to all staff at meeting of routine or special. Then operational strategy follow-up can which have been made by researcher. To be earning in line with Vision Mission Public Health Service of Pagar Alam Town hence required by monitoring to execution of activity. Keywords: Strategic Plan, Human Resource Health, Public Health Service, Market Penetration, Product Development.
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Background and Objective: Public Health Service of Pagar Alam Town at autonomous era of area this time require a strategic plan of expected Human Resource Health in harmony with Vision Mission Public Health Service in range of time 2006 - 2010. This matter is base and also the target of this research. Methods: To be able to compile strategic plan of Human Resource Health in Pagar Alam Town, conducted by research of operational with Analysis Qualitative and Quantitative. Compilation of strategy through some phases. First phase (Input Stage) compose environmental analysis of external and internal Human Resource Health of Public Health Service of Pagar Alam Town pass/through Consensus Decision Making Group (CDMG). At phase both (Matching Stage), CDMG do analyze Internally - External Matrix and SWOT Matrix. At third phase (Decision Stage) analyze conducted by using QSPM to determine best strategy. Results: Result Research, at election of strategy alternative by pursuant to IE Matrix, known by position of Human Resource Public Health Service of Pagar Alam Town reside in cell of V with the meaning residing in on course Hold and Maintenance where suggested to strategy consist of Market Penetration and Product Development. As according to agreement at meeting of CDMG that factor of external becoming opportunity namely the existence of improvement of level education people of Pagar Alam Town, applying of it area autonomy and peripheral of his law, existence of development of information network, existence of commitment / support of Government of town in the effort development of Human Resource health. External factor becoming threat is : low PAD of Pagar Alam Town, supply of Human Resource too a few every year, disease of infection still high, medium education of health there is no. While internal environmental factor which become strength is motivation and devotion of SDMK the high enough, existence of improvement of SDMK following second education and training, low of reduction of SDMK and amenity of permit continue education. For the factor of weakness namely interest of SDMK still lower, there is no Protap/SOP, there is no separate budget post for the development of SDMK, budget still limited. Chosen strategy of Market Penetration priority is to improve professionalism of SDMK existing, giving wide of opportunity to improve to education, developing information network function, braiding cooperation with medium education of existing health profession. For the strategy of priority development product of is optimal of Existing SDMK, preparing SDM being based on health of environment, improving advocate to party taker of policy, proposing the existence of separate budget post for the development of SDMK, making Protap/SOP. Conclusions: In the effort realizing required by long-range target of commitment the highness, can look after cooperation and braid communications which do well by sector which play a part in intake of policy. While suggestion able to be given is to be Renstra development of this Human Resource Health can be socialized to all staff at meeting of routine or special. Then operational strategy follow-up can which have been made by researcher. To be earning in line with Vision Mission Public Health Service of Pagar Alam Town hence required by monitoring to execution of activity. Keywords: Strategic Plan, Human Resource Health, Public Health Service, Market Penetration, Product Development.
T-2122
Depok : FKM-UI, 2005
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Rasyidi Amri; Pembimbing: Yayuk Hartriyanti, Dumilah Ayuningtyas; Penguji: Adang Bachtiar, Maksum, Tjutjun, Tri Erri Astoeti
Abstrak:
Latar Belakang dan Tujuan: Dinas Kesehatan Kota Pagar Alam pada era otonomi daerah sekarang ini membutuhkan suatu rencana strategis Sumber Daya Manusia (SDM) Kesehatan yang diharapkan selaras dengan Visi-Misi Dinas Kesehatan dalam kurun waktu 2006 – 2010. Hal inilah yang merupakan dasar serta tujuan penelitian ini. Metode: Untuk dapat menyusun rencana strategis SDM Kesehatan di Dinkes Kota Pagar Alam, dilakukan penelitian operasional dengan Analisa kualitatif dan kuantitatif. Penyusunan strategi dilakukan melalui beberapa tahap. Tahap pertama (Input Stage) terdiri analisis lingkungan eksternal dan internal SDM Kesehatan Dinkes Kota Pagar Alam melalui Consensus Decision Making Group (CDMG). Pada tahap kedua (Matching Stage), CDMG melakukan analisis dengan Internal-Eksternal Matrix dan SWOT Matrix. Pada tahap ketiga (Decision Stage) analisis dilakukan dengan menggunakan QSPM untuk menentukan strategi terbaik. Hasil: Hasil penelitian, pada pemilihan alternatif strategi dengan berdasarkan IE Matrix, diketahui posisi SDM Dinkes Kota Pagar Alam berada pada sel V yang artinya berada pada posisi Hold and Maintenance (bertahan dan pemeliharaan) dimana strategi yang dianjurkan terdiri dari Market Penetration (Penetrasi Pasar) dan Product Development (Pengembangan Produk). Kesepakatan pada pertemuan CDMG bahwa faktor eksternal yang menjadi peluang yakni adanya peningkatan tingkat pendidikan penduduk Kota Pagar Alam, berlakunya otonomi daerah dan perangkat hukumnya, adanya pengembangan jaringan informasi, adanya komitmen / dukungan dari Pemerintah kota dalam upaya pengembangan SDM kesehatan. Faktor eksternal yang menjadi ancaman adalah : PAD Kota Pagar Alam yang rendah, suplai SDM yang terlalu sedikit setiap tahunnya, penyakit infeksi masih tinggi, sarana pendidikan kesehatan belum ada. Sedangkan faktor lingkungan internal yang menjadi kekuatan adalam motivasi dan pengabdian SDMK yang cukup tinggi, adanya peningkatan SDMK yang mengikuti pendidikan lanjutan dan diklat, rendahnya pengurangan SDMK dan kemudahan izin melanjutkan pendidikan. Untuk faktor kelemahan yakni kompetensi SDMK masih rendah, belum adanya Protap/SOP, belum ada pos anggaran tersendiri untuk pengembangan SDMK, anggaran masih terbatas. Strategi terpilih Market Penetration prioritasnya adalah meningkatkan profesionalisme SDMK yang ada, memberikan kesempatan yang luas untuk meningkatkan pendidikan, mengembangkan fungsi jaringan informasi, menjalin kerjasama dengan sarana pendidikan profesi kesehatan yang ada. Untuk strategi product development prioritasnya adalah mengoptimalkan SDMK yang ada, menyiapkan SDM yang berbasis kesehatan lingkungan, meningkatkan advokasi ke pihak pengambil kebijakan, mengusulkan adanya pos anggaran tersendiri untuk pengembangan SDMK, membuat Protap / SOP. Kesimpulan: Dalam upaya mewujudkan tujuan jangka panjang dibutuhkan komitmen yang tinggi, mampu menggalang kerjasama dan menjalin komunikasi yang baik terhadap sektor yang berperan dalam pengambilan kebijakan. Sedangkan saran yang dapat diberikan adalah agar Renstra pengembangan SDM Kesehatan ini dapat disosialisasikan kepada semua staf pada pertemuan rutin atau khusus. Kemudian dapat menindaklanjuti strategi operasional yang telah dibuat oleh peneliti. Agar dapat sejalan dengan Visi-Misi Dinas Kesehatan Kota Pagar Alam maka dibutuhkan pemantauan terhadap pelaksanaan kegiatan Kata Kunci: Renstra, SDMK, Dinkes, Penetrasi Pasar, Pengembangan Produk
Background and Objective: Public Health Service of Pagar Alam Town at autonomous era of area this time require a strategic plan of expected Human Resource Health in harmony with Vision Mission Public Health Service in range of time 2006 - 2010. This matter is base and also the target of this research. Methods: To be able to compile strategic plan of Human Resource Health in Pagar Alam Town, conducted by research of operational with Analysis Qualitative and Quantitative. Compilation of strategy through some phases. First phase (Input Stage) compose environmental analysis of external and internal Human Resource Health of Public Health Service of Pagar Alam Town pass/through Consensus Decision Making Group (CDMG). At phase both (Matching Stage), CDMG do analyze Internally - External Matrix and SWOT Matrix. At third phase (Decision Stage) analyze conducted by using QSPM to determine best strategy. Results: Result Research, at election of strategy alternative by pursuant to IE Matrix, known by position of Human Resource Public Health Service of Pagar Alam Town reside in cell of V with the meaning residing in on course Hold and Maintenance where suggested to strategy consist of Market Penetration and Product Development. As according to agreement at meeting of CDMG that factor of external becoming opportunity namely the existence of improvement of level education people of Pagar Alam Town, applying of it area autonomy and peripheral of his law, existence of development of information network, existence of commitment / support of Government of town in the effort development of Human Resource health. External factor becoming threat is : low PAD of Pagar Alam Town, supply of Human Resource too a few every year, disease of infection still high, medium education of health there is no. While internal environmental factor which become strength is motivation and devotion of SDMK the high enough, existence of improvement of SDMK following second education and training, low of reduction of SDMK and amenity of permit continue education. For the factor of weakness namely interest of SDMK still lower, there is no Protap/SOP, there is no separate budget post for the development of SDMK, budget still limited. Chosen strategy of Market Penetration priority is to improve professionalism of SDMK existing, giving wide of opportunity to improve to education, developing information network function, braiding cooperation with medium education of existing health profession. For the strategy of priority development product of is optimal of Existing SDMK, preparing SDM being based on health of environment, improving advocate to party taker of policy, proposing the existence of separate budget post for the development of SDMK, making Protap/SOP. Conclusions: In the effort realizing required by long-range target of commitment the highness, can look after cooperation and braid communications which do well by sector which play a part in intake of policy. While suggestion able to be given is to be Renstra development of this Human Resource Health can be socialized to all staff at meeting of routine or special. Then operational strategy follow-up can which have been made by researcher. To be earning in line with Vision Mission Public Health Service of Pagar Alam Town hence required by monitoring to execution of activity. Keywords: Strategic Plan, Human Resource Health, Public Health Service, Market Penetration, Product Development.
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Background and Objective: Public Health Service of Pagar Alam Town at autonomous era of area this time require a strategic plan of expected Human Resource Health in harmony with Vision Mission Public Health Service in range of time 2006 - 2010. This matter is base and also the target of this research. Methods: To be able to compile strategic plan of Human Resource Health in Pagar Alam Town, conducted by research of operational with Analysis Qualitative and Quantitative. Compilation of strategy through some phases. First phase (Input Stage) compose environmental analysis of external and internal Human Resource Health of Public Health Service of Pagar Alam Town pass/through Consensus Decision Making Group (CDMG). At phase both (Matching Stage), CDMG do analyze Internally - External Matrix and SWOT Matrix. At third phase (Decision Stage) analyze conducted by using QSPM to determine best strategy. Results: Result Research, at election of strategy alternative by pursuant to IE Matrix, known by position of Human Resource Public Health Service of Pagar Alam Town reside in cell of V with the meaning residing in on course Hold and Maintenance where suggested to strategy consist of Market Penetration and Product Development. As according to agreement at meeting of CDMG that factor of external becoming opportunity namely the existence of improvement of level education people of Pagar Alam Town, applying of it area autonomy and peripheral of his law, existence of development of information network, existence of commitment / support of Government of town in the effort development of Human Resource health. External factor becoming threat is : low PAD of Pagar Alam Town, supply of Human Resource too a few every year, disease of infection still high, medium education of health there is no. While internal environmental factor which become strength is motivation and devotion of SDMK the high enough, existence of improvement of SDMK following second education and training, low of reduction of SDMK and amenity of permit continue education. For the factor of weakness namely interest of SDMK still lower, there is no Protap/SOP, there is no separate budget post for the development of SDMK, budget still limited. Chosen strategy of Market Penetration priority is to improve professionalism of SDMK existing, giving wide of opportunity to improve to education, developing information network function, braiding cooperation with medium education of existing health profession. For the strategy of priority development product of is optimal of Existing SDMK, preparing SDM being based on health of environment, improving advocate to party taker of policy, proposing the existence of separate budget post for the development of SDMK, making Protap/SOP. Conclusions: In the effort realizing required by long-range target of commitment the highness, can look after cooperation and braid communications which do well by sector which play a part in intake of policy. While suggestion able to be given is to be Renstra development of this Human Resource Health can be socialized to all staff at meeting of routine or special. Then operational strategy follow-up can which have been made by researcher. To be earning in line with Vision Mission Public Health Service of Pagar Alam Town hence required by monitoring to execution of activity. Keywords: Strategic Plan, Human Resource Health, Public Health Service, Market Penetration, Product Development.
T-2133
Depok : FKM-UI, 2005
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Ardinal; Pembimbing: Robiana Modjo; Penguji: Adang Bachtiar, Anwar Hasan, Tri Erri Astoeti, Dartini
Abstrak:
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Dalam Peraturan Presiden nomor 7 tahun 2005 tentang Rencana Pembangunan Jangka Menengah Nasional (RPJMN) tahun 2004?2009 yang memuat 10 program, yang diamanatkan kepada Departemen Kesehatan salah satunya adalah program lingkungan sehat yang dalam pelaksanaannya telah disusun Rencana strategis Departemen Kesehatan tahun 2005?2009 termasuk indikatornya (Depkes RI, 2007). Salah satu kegiatan Program lingkungan sehat adalah penyediaan air bersih dan sanitasi dasar. Program penyehatan air bersih dilaksanakan untuk pemenuhan akses masyarakat terhadap air bersih, tidak hanya untuk pemenuhan segi jumlah/debit, namun kualitas/mutu air bersih yang dikonsumsi oleh masyarakat juga harus menjadi prioritas. Untuk itu diperlukan kerja keras dari pemegang program penyehatan air, khususnya sanitarian puskesmas sebagai ujung tombak pelaksanaan progran tersebut di tingkat puskesmas. Penelitian ini dilakukan dari bulan Maret sampai Mei 2007 di Kabupaten Solok. Tujuan dari penelitian ini adalah didapatkannya gambaran kinerja petugas Sanitasi Puskesmas dan faktor-faktor yang berperan pada kinerja petugas sanitasi puskesmas dalam pelaksanaan program penyehatan air di Kabupaten Solok Tahun 2007. Penelitian ini menggunakan pendekatan kualitatif melalui wawancara mendalam, Diskusi Kelompok Terarah dan observasi, dengan informan Sanitarian puskesmas dilanjutkan triangulasi sumber dengan Kepala Puskesmas dan Kepala Bidang PL & PKM Dinas Kesehatan Kabupaten Solok. Rendahnya kinerja sanitarian puskesmas dalam pelaksanaan program penyehatan air bersih dilihat dari Cakupan IS rendah, Penyuluhan Kurang, Pembinaan Pokmair Kurang, Pengawasan air Kurang , Sistem informasi program tidak jalan. Faktor yang berperan dalam kinerja sanitarian tersebut adalah; kemampuan dan keterampilan sanitarian yang kurang terasah, supervisi baik dari Kabupaten maupun Kapala Puskesmas kurang; pelatihan sanitarian frekwensi yang kurang serta tidak sesuai kebutuhan, motivasi sanitarian yang rendah, imbalan dan dana operasional kurang, adanya beban kerja tambahan, sarana dan prasarana tidak memadai, kurang prioritas program oleh Kepala Puskesmas, akses sebagian wilayah kerja yang tidak lancar terutama untuk kecamatan terisolir, serta kebijakan Dinas Kesehatan terutama kebijakan anggaran yang belum memprioritaskan anggaran program kesehatan lingkungan atau program air bersih. Saran yang dapat diberikan dari penelitian ini adalah agar kebijakan Dinas Kesehatan Kabupaten Solok pada program penyehatan air pelaksanaanya diintegrasikan dengan kegiatan puskesmas luar gedung dengan didukung tersedianya sarana dan prasarana, alokasi dana opersional sesuai dengan kebutuhan; Pengembangan Sistem Informasi Kesehatan; Pelaksanaan supervisi yang berkesinambungan, Pelatihan sanitarian sesuai dengan kebutuhan kerja di lapangan, pembuatan petunjuk pelaksanaan dan petunjuk teknis program sesuai kebutuhan sanitarian, pelatihan untuk meningkatkan kemampuan dan keterampilan, pengadaan sarana dan prasaran sanitarian, merancang program pemberian reward bagi sanitarian teladan.
President Regulation No 7 in 2005 concerning National Development Planning at Middle Period (RPJMN) of 2004-2009 which conclude 10 programs that are instructed to Health Department. One of them is health environment program which its accomplishment arranged a strategic planning of Health Department at period of 2005- 2009 including its indicator (Health Department of Indonesian Republic, 2007). One of health environment program activity is preparing hygienic water and basic sanitation. Healthy program of hygienic water is accomplished to fulfill public access to hygienic water, not only a quantity supplied, but quality of hygienic water which is consumed by public must become a priority. Therefore, it needs a hard work from water healthy program holder, especially for sanitation officer at primary health care as leader of this program accomplishment at primary health care level. This study was conducted from March until May 2007 at district of Solok. This study aim is to get describing of sanitation officer performance at primary health care and the factors which related to sanitation officer performance at primary health care on accomplishment of water healthy program at district of Solok in 2007. This study used a qualitative method by in depth interview, directed group discussion and observation, informant is sanitation officer at primary health care, and then source triangulation with a leader of primary health care and leader of PL and PKM of Health Service Department at district of Solok. Low performance of sanitation officer at primary health care on accomplishment healthy program of hygienic water if it was seen from low IS coverage, less counseling, less training of Pokmair, less monitoring of water, information system program is not functioned. The factors which are important on sanitation officer performance such as : less ability and skill of sanitation officer, less supervision of district and primary health care leader, less training frequency of sanitation officer and the need is not available, low motivation of sanitation officer, less reward and operational fund, many extra jobs, facility and basic facility are not adequate, less program priority by leader of primary health care, work area access is not good especially for isolated district, and Health Service Department policy especially for budget policy which does not prioritized budget of development health program or hygienic water program. It was suggested to Health Service Department policy at district of Solok on water healthy program in order its accomplishment is integrated with primary health care activity out of building by supporting of available facility and basic facility, operational fund allocation is available with the need, health information system development, accomplishment of continuity supervision, sanitation officer training is available with job need at work area, making of accomplishment guide and program technique guide are available with sanitation officer need, training to improve ability and skill, levying facility and basic facility of sanitation officer, arranging reward program for expert sanitation officer.
T-2540
Depok : FKM UI, 2007
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Budi Hartono; Promotor: AMal C. Sjaaf; Kopromotor: Purnawan Djunadi, Adang Bachtiar; Penguji: Anhari Achadi, Tri Erri Astoeti, Sowarta Kosen, Ronnie Rivany
D-248
Depok : FKM-UI, 2011
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Goalbertus; Pembimbing: Ella Nurlaella Hadi; Penguji: Dien Anshari, Anshari, Sylvia Detri Elvira, Tri Erri Astoeti, Laksmi Dwiati
Abstrak:
COVID-19 merupakan penyakit yang disebabkan SARS-COV2. Pada bulan Mei 2020, Kecamatan Cibinong merupakan ke-4 terbanyak kasus terkonfirmasi COVID-19 yakni 18 kasus dengan kematian 16,6%. Kecamatan cibinong merupakan daerah pusat pemerintahan dengan interaksi soisal yang tinggi. Tempat yang strategis dengan fasilitas umum dengan pemenuhan kebutuhan primer salah satunya adalah pasar. Tujuan dari penelitian ini mengetahui faktor-faktor yang berhubungan dengan kepatuhan pedagang menjalani protokol kesehatan untuk mencegah penyebaran COVID-19 di Pasar Cibinong. Penelitian ini dilakukan melalui pendekatan kuantitatif desain studi cross sectional, sampel dalam penelitian ini berjumlah 110 pedagang secara acak. Pengumpulan data dilakukan melalui pengisian kuesioner online, data di analisis menggunakan uji chi-squere. Hasil penelitian menunjukan bahwa pengetahuan, persepsi kerentanan, persepsi keseriusan, persepsi hambatan dan isyarat dalam bertindak merupakan variabel memiliki hubungan bermakna dengan kepatuhan pedagang dalam menjalani protokol kesehatan di pasar. Untuk mengoptimalkan kepatuhan pedagang akan COVID-19 disarankan meningkatkan pengetahuan akan COVID-19 dan protokol kesehatan di pasar dengan pemberdayaan pedagang melalui pembentukan kader pencegahan COVID-19 dan system keamanan keliling, penyebaran informasi terkait dapat melalui group online paguyuban pedagang pasar, SMS LBA Serta pemenuhan fasilitas cuci tangan.
COVID-19 is a disease caused by SARS-CoV2. In May 2020, Cibinong District was the 4th most confirmed case of COVID-19. It was reported 18 cases with 16.6% mortality. Cibinong is central government area with high social interaction. One of place with public facilities to fulfill primary needs is the market. The purpose of this study was to determine the factors related to merchant compliance with health protocols to prevent the spread of COVID-19 at Cibinong Market. This si crossectional research, the sample in this study is 110 traders taken using random. Data was collected through filling out an online questionnaire, the data was analyzed using the chi-square test. The results showed that knowledge, perceived vulnerability, perceived seriousness, perceived barriers and cues in action were variables that had a significant relationship with traders' compliance with health protocols in the market. To optimize trader compliance with COVID-19, it is recommended to increase knowledge of COVID-19 and health protocols in the market by empowering traders through the formation of COVID-19 prevention cadres and mobile security systems, dissemination of related information can be through the online group of market traders, SMS LBA as well as the fulfillment of hand washing facilities
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COVID-19 is a disease caused by SARS-CoV2. In May 2020, Cibinong District was the 4th most confirmed case of COVID-19. It was reported 18 cases with 16.6% mortality. Cibinong is central government area with high social interaction. One of place with public facilities to fulfill primary needs is the market. The purpose of this study was to determine the factors related to merchant compliance with health protocols to prevent the spread of COVID-19 at Cibinong Market. This si crossectional research, the sample in this study is 110 traders taken using random. Data was collected through filling out an online questionnaire, the data was analyzed using the chi-square test. The results showed that knowledge, perceived vulnerability, perceived seriousness, perceived barriers and cues in action were variables that had a significant relationship with traders' compliance with health protocols in the market. To optimize trader compliance with COVID-19, it is recommended to increase knowledge of COVID-19 and health protocols in the market by empowering traders through the formation of COVID-19 prevention cadres and mobile security systems, dissemination of related information can be through the online group of market traders, SMS LBA as well as the fulfillment of hand washing facilities
T-6245
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Muri Maftuchan; Promotor: Indang Trihandini; Kopromotor: Nuryahati Adnan, Ella Nurlaella Hadi; Penguji: Hadi Pratomo, Anton Rahardjo, Tri Erri Astoeti, Magdarina D. Agtini, Indirawati Tjahja
Abstrak:
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Sebagian besar anak Indonesia masih belum menggosok gigi sebelum tidur dan sesudah sarapan. Edukasi model peer grup terbukti mampu meningkatkan kebersihan gigi pada anak sekolah. Penelitian ini ditujukan untuk mengetahui perubahan skor pengetahuan, sikap dan kebersihan gigi mulut pada anak usia 8 - 11 tahun pada kelompok yang diberikan edukasi oleh dokter kecil di Tangerang Selatan. Desain yang diginakan dalam penelitian ini adalah kuasi eksperimen pada 143 responden anak dari kelas 3,4 dan 5 di dua sekolah dasar pemerintah. Pada kelompok intervensi 15 anak dipilih sebagai dokter kecil dan ditugaskan memberikan edukasi sedangkan kelompok kontrol tidak . Data pengetahuan dan sikap diambil dikumpulkan menggunakan kuesioner yang diisi oleh sendiri oleh responden sedangkan data kebersihan gigi berupa OHIS dan PHP dikumpulkan melalui pemeriksaan intraoral oleh examiner. Data Diolah dengan t test dependen dan independen Hasil: Terdapat peningkatan pada skor pengetahuan, sikap, OHIS dan PHP pada kelompok intervensi setelah diberikan edukasi (p=0,005) dan perbedaan signifikan antar kelompok yang diberikan edukasi dengan tanpa perlakuan(p<0,05). Saran Edukasi kesehatan gigi mulut dengan menggerakkan anak sebagai dokter kecil khusus kesehatan gigi perlu dlaksanakan disekolah namun pelaksanaannya tetap perlu didampingi oleh tenaga kesehatan dan dukungan oleh Sekolah
D-428
Depok : FKM-UI, 2020
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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