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Pengeluaran Kesehatan Karena Penyakit TB di Kota Bengkulu Susilo Wulan
Jurnal Kesehatan Indonesia Vol 8 No 3 (2018): Juli
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.661 KB)

Abstract

TB creates a substantial and costly economic burden. A consumer perspective, health expenditure include direct costs and indirect costs as well as lost revenues. The burden borne by TB patients will result in the poorest people not being able to afford treatment without reallocation their resources. The aim of study was to calculate the cost of illness by patients and household due to TB in Bengkulu City from pre treatment and treatment period. Study used a cross sectional approach, with smear positive pulmonary TB Patients. Sample of the study was 71 respondents. Cost of TB treatment were measured by direct costs and indirect costs from patient perspective was obtained by conducting interviews and questionnaires. The study found that the direct costs per TB patients in the city of Bengkulu was Rp 2.125.200, -. the causes of high direct costs are hospitalization, treatment and pre-treatment costs, while indirect costs are Rp 5,134,400,-. the higher indirect costs component was patients income loss,followed caregiver income loss. Indirect costs due to premature death was Rp 486,000,000.- and the health expenditure of TB Patients in Bengkulu City was Rp 12.970.900/episode (51%) of the average household income.
ANALISIS PENERAPAN SISTEM PENCATATAN DAN PELAPORAN TERPADU PUSKESMAS (SP2TP) PUSKESMAS SUKAMERINDU KOTA BENGKULU Rahman Ade Ghaniy; S. Efendi; Susilo Wulan; Deni Triyanto
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.716 KB) | DOI: 10.33633/visikes.v19i01.3764

Abstract

The Integrated System for Recording and Reporting (ISRR) Sukamerindu Public Health Center of Bengkulu there are several problems, namely the provision of inaccurate data / information, reporting that is often not timely and there is no standard mechanism. This study aims to analyze the application of ISRR from the aspect of input (human resources, funding, equipment), process (recording, reporting), and output (presentation of data & information, dissemination, utilization). The research method is qualitative research with a phenomenological approach through in-depth interviews with 3 key informants and 6 ordinary informants. Data processed by the Content analysis method and SWOT analysis to determine the formulation of strategies for the problems found. The results showed that ISRR Sukamerindu Public Health Center had not run optimally, this was due to lack of human resources, lack of coordination between data managers and program holders, lack of equipment, manual recording and recapitulation with personal laptops, there were still delays in sending reports and data became less accurate. The data presentation is more complete, the distribution is only to the Bengkulu Department of Health, and the data is used for evaluation for health policy stakeholders. To improve the performance of the implementation of ISRR Sukamerindu Public Health Center researchers suggested that the Bengkulu Department of Health further enhance its collaboration with Public Health Centers by optimizing communication and conducting planned and continuous training to get skilled and professional human resources in ISRR management.Keywords: Analysis, Public Health Center, Recording, Reporting, Syste
Evaluation Managed Care Policy, Fraud Prevention and Commitment-Based Capitation in the Era of National Health Insurance in Bengkulu Province Used Realist Evaluation Susilo Wulan
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.63482

Abstract

Regulations related to health service quality policies in the era of National Health Insurance are needed to evaluate the effectiveness of programs based on sufficient evidence to become local as well as national policies. This research is important to do to support Universal Health Coverage (UHC) as issued by WHO. This study aims to evaluate the implementation of health service quality policy regulations and identify mechanisms of change and contextual factors that affect the implementation of regulations. Evaluation is carried out using a realist evaluation approach and analyzed in the form of a context, mechanism, and outcome configuration. The research was conducted in Bengkulu Province in 2018-2019 with the research subjects consisting of the director of the hospital, TKMKB, the fraud prevention team, the Health Office and the head of the Puskesmas. The sample selection used purposive sampling and data collection was carried out through in-depth interviews. Quality control and cost control (KMKB) programs, fraud prevention and Commitment-Based Capitation (KBK) are running in Bengkulu province. KMKB operates because of the SK which is always updated by BPJS Kesehatan every year, support from BPJS Kesehatan in the form of operational facilitation, coordination and incentives. The anti-fraud team in Bengkulu province in general has been formed at the district / city health office and hospital level, but not yet at the provincial level, this is because there is another team that has similar duties to the anti-fraud team at the provincial health office while at the health office district / city they are aware of the importance of the anti-fraud team. The KBK program shows that in general the target indicator for non-specialist referrals in Bengkulu province is achieved, namely 5%, but there are also city districts that have not been achieved, this is achieved because the Puskesmas has doctors in Bengkulu province, the competence of doctors is sufficient, adequate facilities and infrastructure, staff to receive capitation fund incentives, there is a JKN Monev team that is always active in conducting socialization, monitoring and evaluation at all Puskesmas, especially those that do not reach the target non-specialized referral indicator This study provides an overview of aspects of the context, mechanisms and outputs of health service quality policy regulations in the JKN era. 
Analysis Factors of Contraceptive Utilization on Women Of Child Bearing Age in Bengkulu City Elza Wulandari; Pitri Subani; Yuni Ramadhaniati; Susilo Wulan
JURNAL KEBIDANAN Vol 11, No 2 (2021): Oktober 2021
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v11i2.6476

Abstract

Types of contraception in Indonesia generally are still directed on Non - Long acting reversible contraceptives method such as contraceptive injection and pill. Meanwhile government contraceptive program polices more directing on LARC contraceptive utilization like IUD, MOP, and MOW. The purpose of this study is to study factors associated with contraceptive utilization, LARC and Non-LARC on women of child bearing age in Bengkulu city. Time study was on August to October 2020. Population of these studies were women of child bearing age in primary health center Bengkulu city, years 2018 as many as 114,577. Samples are taken by proportional probability sampling technique from 20 Primary Health Centers in Bengkulu City as many as 110 persons. Data analysis is using chi-square test an Odd ratio test. The result of this study showed that there is relationship between education and contraceptive utilization by P-Value 0.019 and OR 3.147. there is no relationship between knowledge an contraceptive utilization on by P-Value 0.005, there is relationship between age and contraceptive utilization by P-Value 0.036 and OR 2.788, there is relationship between spousal support and contraceptive utilization by P-Value  0.011 and OR 3.42. Hoped health staff be able to increase the socialization of family planning program to women of child bearing age by health education.
Factors Associated with Adolescent Pregnancy in Selebar District Bengkulu City Pitri Subani; Yuni Ramadhaniati; Rina Aprianti; Susilo Wulan
JURNAL KEBIDANAN Vol 11, No 1 (2021): April 2021
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v11i1.6474

Abstract

Adolescent pregnancy is common public health problem around the world.  It is associated with major reproductive health problems that are at risk complications and childbirth causes maternal death  and  unsafe abortion. Purpose this study was  identify and analyzed   factors associated adolescent pregnancy in  District  Selebar,  Bengkulu City. It is an analytical survey research with a cross sectional approach. Population was all young women aded 15-19 years old. The number of samples is 105 people with Sampling technique used  probability proportional to size method. The instrument used was a questionnaire. Data analysis in the form of univariate and bivariate using the Chi-Square (χ2) statistical test, the amount of risk using the calculation of the Odd Ratio (OR) with a 95% confidence interval. The Result showed 66% of respondents’last education was basic education, 59% of respondents' knowledge was in the low category, 70% of respondents 'parents' income was at low level, 57% of respondents were influenced by peers and the incidence of pregnancy was 55%. There is a significant relationship between education, knowledge, parents' income and peer influence on the incidence of adolescent pregnancy in Selebar District with OR 2.76; 2.98; 3,45 and 3 respectively. Conclusion that adolescent pregnancy is detrimental to the health of women is therefore a step to improve early age sex education, in order to they are open to knowledge about reproductive organs and more responsible in taking action. In addition to increasing public awareness in enforcing the marriage law, ensuring access to education for women.
Factors Associated with Drug Abuse at kipas Foundation Bengkulu City Rivaldi Rivaldi; Dwi Putri Sulistiya; Suryani Suryani; Sanisahhuri Sanisahhuri; Susilo Wulan
CORE JOURNAL Volume 1, Issue 1, Desember 2020
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/corejournal.v1i1.18360

Abstract

Drug abuse is utilization of narcotics which is not for medicinal purposes, but because intention to enjoy its effects, in excessive amounts, more or less regularly, and last long enough, causing physical, mental health and social life. The aims of this study was to determine Factors associated with drug abuse at KIPAS Foundation Bengkulu City. This study uses a qualitative approach with in-depth interview techniques. The informants in this study were 4 main informants from 32 people with age of 12-21 years and 1 counselor informant who knew deeply the problem (key informant). Data analysis technique was done by reducation data, data presentation and conclusion. This study was conducted at KIPAS Foundation Bengkulu City. The results of this study showed from 4 informants said that his personality is quiet, does not care about what happens in their environment and only interact with the same drug users. While the problem of his family often quarreled and some even divorced and were cared less by their parents. Peers influence them by giving drugs for free and they threaten if not use drugs also means not being loyal friends.  It is hoped that the Bengkulu City KIPAS Foundation will continue to improve health services for drug addicts by conducting medical therapy, psychosocial therapy, community therapy, religious therapy and also conveyed through posters and leaflets so that residents are no longer involved in drugs.
RELATIONSHIP OF AGE AND NUTRITION STATUS WITH WORK FATIGUE IN INPATIENT NURSES AT DR M YUNUS HOSPITAL, BENGKULU Rina Aprianti; Susilo Wulan; Elza Wulandari
Nurse and Health: Jurnal Keperawatan Vol 10 No 1 (2021): Nurse and Health: Jurnal Keperawatan January-June 2021
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v10i1.224

Abstract

Background: Nurse is a profession that cannot be separated from the problem of work fatigue. Fatigue due to work will have a negative impact on work such as decreased accuracy, skill, and even work productivity. If this happens to nurses, it can put the patient at risk, decreasing the quality of service. Work fatigue is caused by several factors, such as worker characteristics, namely age, sex, education, nutritional status, and work environment factors (Tarwaka, 2013). Nurses have a fairly heavy duty in assisting emergency services and nursing services continuously for 24 hours so that nurses sometimes eat irregularly which can cause nutritional conditions to be disturbed (Astuti, Ekawati, & Wahyuni, 2017). Objectives: The purpose of this study was to determine the relationship between age, nutritional status and subjective work fatigue in inpatient nurses at dr. M Yunus Bengkulu. Methods: The research design was an analytic survey with a cross sectional approach. The population of this study were 128 nurses in the inpatient room with total sampling technique. The data collection instrument is a work fatigue feeling questionnaire consisting of 17 questions adopted from (Setyawati, 2010) which has tested the validity and reliability in her book entitled at a glance about work fatigue, a nutritional status questionnaire by taking physical measurements of body weight and height to determine BMI, and age questionnaire with units of years. Data analysis used chi square test with 95% degree of error if p-value ? 0.05 indicates a significant relationship and if > 0.05 is not significant. Results: This study shows that there is no relationship between age and subjective work fatigue on nurses with a p-value = 0.107 > ? = 0.05. And there is a relationship between nutritional status and subjective work fatigue on nurses with a p-value = 0.000 > ? = 0.05. Conclusion: Work fatigue that occurs in nurses is expected to be an important concern, nurses should maintain a healthy body by consuming balanced nutritious food and diligent exercise and adequate rest, so as to reduce the risk of fatigue due to work.
PENGARUH SENAM PROLANIS TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA PENYAKIT HIPERTENSI DI PUSKESMAS CURUP KABUPATEN REJANG LEBONG Rona Dewi Rinda; Suryani Suryani; Susilo Wulan; Nurul Khairani; Rina Aprianti
Jurnal Sains Kesehatan Vol 28, No 1 (2021)
Publisher : Sekolah Tinggi Ilmu Kesehatan Tri Mandiri Sakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/jsk.28.1.41-49

Abstract

Peningkatan tekanan darah diatas normal mengakibatkan peningkatan angka kesakitan (morbiditas) dan angka kematian (mortalitas). Penelitian ini bertujuan mengetahui pengaruh senam Prolanis terhadap penurunan tekanan darah pada penderita penyakit hipertensi di Puskesmas Curup Kabupaten Rejang Lebong. Penelitian ini adalah penelitian kuantitatif dengan dengan desain eksperimen lapangan dan pendekatan The one group pretest posttest design. Populasi dalam penelitian ini adalah semua peserta senam Prolanis yaitu penderita hipertensi yang terdaftar sebagai peserta Prolanis di Puskesmas Curup Kabupaten Rejang Lebong pada bulan Juni 2019 yang berjumlah sebanyak 60 orang. Teknik pengambilan sampel pada penelitian ini menggunakan Total Sampling sebanyak 60 orang. Pengumpulan data dalam penelitian ini dilakukan dengan wawancara dan pemeriksaan langsung kepada responden dalam bentuk lembar observasi hasil pemeriksaan peserta Prolanis. Analisis data dengan menggunakan uji Paired Sample t-Test. Hasil penelitian menunjukkan rata-rata tekanan darah sistolik sebelum dilakukan senam Prolanis sebesar 152,68 mmHg dengan standar deviasi sebesar 8,079 mmHg dan nilai rata-rata tekanan darah diastolik sebelum dilakukan senam Prolanis sebesar 98,28 mmHg dengan standar deviasi sebesar 5,374 mmHg dan rata-rata tekanan darah sistolik sesudah dilakukan senam Prolanis sebesar 143,80 mmHg dengan standar deviasi sebesar 5,686 mmHg dan nilai rata-rata tekanan darah diastolik sesudah dilakukan senam Prolanis sebesar 92,68 mmHg dengan standar deviasi sebesar 4,339 mmHg. Hasil analisis bivariat menunjukkan ada pengaruh yang signifikan senam Prolanis terhadap penurunan tekanan darah (sistolik dan diastolik) pada penderita penyakit hipertensi di Puskesmas Curup Kabupaten Rejang Lebong. Diharapkan penderita hipertensi dapat melakukan pencegahan kekambuhan penyakit dengan mengatur pola makan dan mengikuti program senam Prolanis sehingga kondisi tekanan darah terkontrol dengan baik agar meningkatkan derajat kesehatan masyarakat.
Husband’s Support, Work Environment, and Exclusive Breastfeeding in Health Department of Bengkulu Province Sanisahhuri Sanisahhuri; Sri Wahyuni; Susilo Wulan
Jurnal Sains Kesehatan Vol 26, No 1 (2019)
Publisher : Sekolah Tinggi Ilmu Kesehatan Tri Mandiri Sakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/jsk.26.1.52-59

Abstract

Every baby has the right to get exclusive mother's water from birth for 6 (six) months, except for medical indications. During the provision of breast milk, the family, the government, the local government and the community must fully support the mother's baby with the provision of special time and facilities. Provision of special facilities is held at work and in public places. The purpose of this study was to determine the factors related to the provision of exclusive breastfeeding by mothers who worked in the Bengkulu Provincial Health Office. The study was conducted using Cross Sectional research design. The population in this study is all mothers who have children under the age of five years using total sampling technique. Data collection techniques using primary data by distributing questionnaires and secondary data are data obtained from the study of documents or files in the Bengkulu Provincial Health Office. Data were analyzed by univariate and bivariate using Chi-Square statistical test. The results of this study indicate that there is a significant relationship between the knowledge of mothers with exclusive breastfeeding by working mothers in the Bengkulu Provincial Health Office, namely 63.6% of mothers who have sufficient knowledge not to provide exclusive breastfeeding, then there is no significant relationship between husband's support and work environment with Exclusive breastfeeding by working mothers at the Bengkulu Provincial Health Office. Keywords: exclusive breastfeeding, husband’s support, mother knowledge, work environment
HUBUNGAN PENGETAHUAN DENGAN PERILAKU PENCEGAHAN COVID-19 Rina Aprianti; Indri Tri Juniatiningsih; Suryani Suryani; Nurul Khairani; Susilo Wulan
Jurnal Sains Kesehatan Vol 28, No 3 (2021)
Publisher : Sekolah Tinggi Ilmu Kesehatan Tri Mandiri Sakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/jsk.28.3.31-38

Abstract

 Covid-19 merupakan penyakit yang disebabkan oleh virus dengan tingkat penyebaran yang cepat. Penyebaran penyakit yang sangat cepat dengan risiko kematian yang cukup tinggi sehingga membutuhkan pemahaman terkait pencegahan penularan Covid-19. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dengan perilaku pencegahan Covid-19 pada mahasiswa STIKES Tri Mandiri Sakti Bengkulu. Jenis penelitian adalah Survey Analitik dengan desain Cross Sectional. Sampel adalah mahasiswa program reguler semester 2, 4, dan 6 di STIKES Tri Mandiri Sakti Bengkulu sebanyak 155 mahasiswa. Teknik pengambilan sampel yaitu Accidental Sampling. Jenis data yang digunakan adalah data primer dan data sekunder. Data diambil menggunakan kuesioner dalam bentuk google form. Analisis data dilakukan dengan analisis univariat dan analisis bivariat. Analisis bivariat menggunakan uji statistik Chi-Square.Untuk mengetahui keeratan hubungan digunakan uji Contingency Coeffcient (C). Data diolah menggunakan SPSS 16.0. Hasil penelitian didapatkan 107 mahasiswa (69,0%) yang berpengetahuan baik dan 81 mahasiswa (52,3%) yang memiliki perilakupencegahan Covid-19 yang baik. Terdapat hubungan yang signifikan pengetahuan dengan perilaku pencegahan Covid-19 pada mahasiswa dengan kategori lemah. Disarankan kepada pihak institusi untuk memberikan edukasi kepada mahasiswa tentang bagaimana cara pencegahan Covid-19. Kata Kunci : mahasiswa, pengetahuan, perilaku,  pencegahan covid-19