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Implementasi Pasal 83 Undang-Undang Nomor 13 Tahun 2003 Tentang Hak Menyusui Pekerja Perempuan Selama Waktu Kerja Analisis Perilaku pada Institusi Kesehatan dan Non Kesehatan di Kota Semarang Nurjanah, Nurjanah; Rachmani, Enny
Jurnal Promosi Kesehatan Indonesia Volume 3, No. 1, Januari 2008
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.033 KB) | DOI: 10.14710/jpki.3.1.10-23

Abstract

Background : Role of working woman in the work activity is more important nowadays. Working woman come to mainstream in much industry. But, working woman was treated discriminatively because of her role both as mother and employee. In Indonesia, woman rights as labor have been arranged in Labors Law number No. 13 year 2003 : worker woman who have child that still have breastfed have to give opportunity to breastfeed her child if must be done during work time ( Section 83 ). But this working woman rights is often be blamed cause unproductive by company. So that, baby do not get exclusive breastfeeding in 6 months although breast milk is the best food for babies. Breast milk contents all of nutrition for optimal baby growth, and vitamins for intelligence and immunity.Method : The objectives of this research were identifying predisposing factors include: mother’s knowledge about benefit of breast milk, mother’s attitude about breastfeeding, and believes about breast milk compared to formula; identifying enabling factor include : availability of facilitiesand time supporting breastfeeding behavior; identifying reinforcing factors include: implementing breastfeeding rights at workplace, support from company, other employee and family about breastfeeding behavior, explaining correlation between predisposing, enabling, and reinforcingfactors to working woman breastfeeding behavior; and also make concept to implement of breastfeeding right to working mother. This is an explanatory research with cross sectional approach, use quantitative and qualitative methods. Amount of samples are 74 mothers who hasbaby under two years old, at Kariadi Hospital and University of Dian Nuswantoro Semarang.Results : There is good predisposing and reinforcing factors in mother behavior, but bad in enabling factor. Statistic test with Pearson Product moment shows that predisposing and enabling factors are correlated to breastfeeding behavior (correlation coefficient of predisposing factor0.3, p-value 0.09 and correlation coefficient of enabling factor 0.241, p-value 0.038). Range Spearmen statistic test shows that reinforcing factors do not correlated to breastfeed behavior (p-value 0.73). From the report of focused group discussion with working mother, the researchersuggest to advocate and socialize the breastfeeding right, lactation management training for working mother, breastfeeding campaign, forming working mother forum in workplace, providing facilities for working mother to squeeze breast milk, that provided with cooler. The workplacealso have to give enough time (about 30 minutes, 2 times per day), to squeeze her breast milk.Keywords: breastfeeding, working mother, breastfeeding rights
Lesson Learned Health Information System of Taiwan Leprosy Control Program for Indonesia Leprosy Control Program Enny Rachmani
979-26-0263-1
Publisher : FIKI 2013

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1000.133 KB)

Abstract

Background of study: Indonesia is the three biggest endemic areas after Indiaand Brazil. In 2010, had been reported 19.785 registered prevalence, 17.012 newcases and 1.822 the new case found with grade-2 disabilities [2]. Utilization oftechnology in Leprosy Control Program was not maximize in developing countriesinclude Indonesia although there were many cases. It posed a lot of problem inthat program such as Drop out MDT (Multi Drug Treatment) treatment becausedifficulties in monitoring, difficult to conduct active case finding, and difficult tomake timely report. Taiwan is one of the areas which already had eradication inleprosy; all new cases came from foreigner from epidemic countries [3]. Taiwanalso one of the best implementor of health information system in the world so itnecessary to learn how leprosy control program and implementation of healthinformation system in Taiwan to develop Indonesia leprosy control program andmaximize computerize of Leprosy Control Program in Indonesia.Method: Data collections in this research through deep interview to 3 staff districtleprosy supervisor in Disease Control Officer of Health Office of PekalonganDistrict and also 3 staff Control Disease Center (CDC) in Taipei. This researchalso made observation in information system of leprosy Control Program inIndonesia and TaipeiResult: In Taiwan, there are a drug observer and a public health nurse toobserve patient treatment. This system made simple to monitor complete ofpatient treatment, and beside that regulation in Taiwan can drive patient to finishtheir treatment. Indonesia also using drug observer system but just in TBProgram called DOTS (Directly Observer Treatment, Short Course). Taiwan didnot have difficulties in continuity and availability of leprosy data because theyhave been using information system to store data and reporting system.Indonesia still had that problem because of a rotation system in civil servantswork environment. Taiwan Leprosy information system through National IDconnected patient with their contact so it very easy to contact trace to blockdevelop new case in Taiwan, Indonesia Leprosy electronic application have beenimplemented it was just registry patient to make report; it must be augment tooptimize the effectiveness leprosy control program in Indonesia.From Taiwan experience in leprosy control systems, Indonesia can learned thatdrug observer and information system play important role to prevent develop newcase through trace contact and monitoring MDT treatment. The recent ofIndonesia Leprosy electronic application should be build up with databasemanagement system for easier retrieve information and keep the data safely andstore in a long time.
E-MEDICAL RECORD SEBAGAI REGISTER KOHORT PENGOBATAN PASIEN KUSTA UNTUK MENGHINDARI DROP OUT PENGOBATAN DI RS KUSTA DONOROJO JEPARA Enny Rachmani
Semantik Vol 1, No 1 (2011): Prosiding Semantik 2011
Publisher : Semantik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.309 KB)

Abstract

Untuk menurunkan angka prevalensi penderita kusta maka didirikan rumah sakit khusus penderita kusta, salah satunya adalah Rumah Sakit Kusta Donorejo Keled Jepara.Pasien rawat jalan rumah sakit berasal dari Cepu, Rembang, Pati, Brebes, Tegal, Pekalongan, Cilacap, Blora, Banyumas, Pemalang, Solo, Sukoharjo, dll. Keadaan ini cukup menyulitkan karena jauhnya sarana sehingga pasien sering tidak rutin berobat bahkan sering terjadi DO (Drop Out) pengobatan hal ini tidak perlu terjadi karena sebenarnya penanganan penderita kusta sebenarnya dapat dilakukan di puskesmas. Mencermati kondisi tersebut maka peneliti tertarik untuk melakukan penelitian tentang model rekam medis berbasis web untuk penyakit kusta. Tujuan dari penelitian ini adalah terbentuknya model rekam medis elektronik berbasis web untuk penyakit kusta di RS Donorejo Keled Jepara yang memungkinkan pihak medis untuk melakukan pencatatan, serta menampilkan informasi rekam medis pasien yang bersangkutan secara onine serta terbentuknya model rekam medis elektronik berbasis web untukpenyakit kusta di RS Donorejo Keled Jepara mempunyai sistem alert / pengingat, perbaikan user interface sehingga mudah untuk digunakan serta kemudahan sinkronisasi data di internet untuk penyakit kusta. Metode penelitian yang digunakan adalah Research dan Devlopment (Penelitian Rekayasa) dengan Rekayasa Web Engineering yang meliputi tahapan Communication Methods,Requirement,Analysis Methods,Design Methods,Testing Methods. Subjek penelitian adalah dokter, perawat, perekam medis, sedangkan objek penelitian adalah formulir rekam medis pasien kusta. Penelitian ini menghasilkan sebuah system e-medical yang dapat dipergunakan untuk pasien rawat jalan maupun rawat inap. Untuk pasien rawat jalan dapat dipergunakan oleh Puskesmas untuk melanjutkan pengobatan begitu juga ketika tenaga paramedis melakukan kunjungan rumah untuk melakukan pemeriksaan kontak keluarga maupun kontak lingkungan terhadap pasien. E-medical mengikuti proses kerja dari tenaga medis ataupun paramedis yaitu tahapan SOAP (Subjective, Objective, Analysis, Plan) dimana jika dalam tahapan tersebut terlampaui maka sistem akan memberi alert, begitu pula jika pasien dalam waktu tertentu tidak mendapatkan pengobatan maka e-medicalakan memberikan alert bahwa pasien tergolong Drop out ataupun Release From Treatment. Testing terhadap pengguna menunjukkan bahwa e-medical dapat memberi peringatan ketika terjadi drop out pengobatan/berhentinya pengobatan pasien kusta maupun pasien yang Release From Treament/lepas dari pengobatan sehingga dapat dicari pasien tersebut untuk pemantauan lebih lanjut atau dilakukankunjungan rumah oleh rumah sakit ataupun puskesmas. Perlu penelitian lebih lanjut untuk membuat model pencarian data pasien yang paling tepat.Kata kunci : electronic medical record, rekam kesehatan elektronik, kusta
JENIS KELAMIN, USIA DAN PENDIDIKAN DENGAN PERILAKU PENGGUNAAN INTERNET PADA TENAGA KESEHATAN DI PUSKESMAS KOTA SEMARANG Sylvia Anjani; Enny Rachmani; Fitria Wulandari; Faik Agiwahyuanto
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2022): VISIKES (SUPLEMEN)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2Supp.5921

Abstract

Semarang Smart City merupakan perbaikan layanan di semua sektor termasuk sektor kesehatan dengan memanfaatkan teknologi informasi dengan dikembangkannya sistem informasi kesehatan. Menurut APJII, jumlah pengguna internet di Indonesia untuk tenaga kesehatan masih sangat rendah sebesar 0,1%. Keberhasilan penerapan teknologi dan informasi perlu diimbangi dengan kemampuan yang dimiliki petugas kesehatan. Maka perlu kita mengetahui hubungan jenis kelamin, usia dan tingkat pendidikan dengan penggunaan internet pada tenaga kesehatan di PuskesmasKota Semarang. Jenis penelitian kuantitatif dengan uji statistik chisquare. Sampel dalam penelitian ini adalah tenaga kesehatan (medis dan penunjang medis) di Puskesmas Kota Semarang. Jumlah sampel dalam penelitian ini sebanyak 397 responden. Pengumpulan data menggunakan kuesioner. Hasil penelitianmenunjukan terdapat hubungan yang signifikan antara jeniskelamin dengan perilaku penggunaan internet dengan mobilephone (pv=0,021) dan komputer (pv=0,028), terdapat hubungan yang signifikat pula tingkat pendidikan dengan perilaku penggunaan internet dengan mobile phone (pv=0,004) dan komputer (pv=0,000), namun tidak ada hubungan yang signifikanantara usia dengan penggunaan internet dengan mobile phone (pv=0,841) dan komputer (pv=0,136). Ketersediaan internet dikantor dapat dimanfaatkan sebagaimana mestinya untuk mendukung pelayanan kesehatan bukan untuk mengakses hiburan yang dapat berdampak pada produktifitas kerja. Selain itu, diperlukan upaya peningkatan literasi teknologi informasikomunikasi pada tenaga kesehatan.
SISTEM INFORMASI PELAYANAN PENDAFTARAN PASIEN RAWAT INAP DI PUSKESMAS KUNDURAN KABUPATEN BLORA Kristiawan Budi Alen; Enny Rachmani; Arif kuriadi
VISIKES: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2013): Visikes
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (723.328 KB) | DOI: 10.33633/visikes.v12i1.594

Abstract

Patient data input system at in-patient registration services at local government clinic in kunduran, Blora regency still applicating a manual using register book from in which doctor or specialist’s visit of in-patient record was made then, while patient information data input recoded into patient registrations form and register book, among others are KIUP ( patient main index card ), in-patient register, patient index number book, and in-patient status status card.when patient do not bring any patient main index card (KIUP), they asked to have second checking procedure for their new ones. It is intended to avoid. Therefore, an information system required that can deliver information faster and could make research purpose was to design in-patient registration services information system at local goverment clinic in kunduran, Blora regency. The type of this research is a Research and Development (R and D) where the processes or steps using using were intended to develop a new product or completing existing product. The research data were collected from an observation and interview to the agent of system or agent doer, while the system conducted using SDLC method. Based on the result of in-patient registration services information system research nowdays, it is known that database used in in-patient registration services information system : patient information, terms of payment information, doctor information, registration officer information, and patient room information. Related post involved in in-patient registration services are patient regiatration officer, medical record officer, and head of local government clinic. Information resulted from in-patient information, patient room information, patient of payment information, and patient consultation event information. In-patient regiatration services information system made could help registration and reporting process running easier. To carry out in- patient services, limitation authority access of head of local government clinic, registration officer, medical record officer were occurred. There should be infrastructure and instrument, and also system and hardware maintenance provided in Kunduran local government clinic. Key words : information system, registration in-patient
LITERATURE REVIEW PENERIMAAN E-HEALTH DI INSTITUSI PELAYANAN KESEHATAN DASAR 1 JULI 2020 – 30 SEPTEMBER 2020 Willy Sukma Wati; Enny Rachmani
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2022): VISIKES (SUPLEMEN)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2Supp.5726

Abstract

Istilah E-Health sebuah terobosan baru dari perkembangan teknologi informasi bidang kesehatan. Implementasi E-Health dapat dikembangkan dengan mengetahui jenis aplikasi yang digunakan dan kejadian penyakit di suatu institusi pelayanan kesehatan serta timbal balik dari pasien. Pencarian artikel penelitian melalui database PubMed.  15 artikel penelitian yang membahas tentang penerimaan E-Health di institusi pelayanan kesehatan pada 1 Juli – 30 September 2020 memenuhi kriteria inklusi dan eksklusi. 15 jurnal tersebut kemudian dianalisis untuk mengetahui berbagai macam perbedaan penyakit dan aplikasi yang diangkat. Penerimaan E-Health di pelayanan kesehatan primer dapat diterima dengan baik oleh institusi dan juga memudahkan dalam pencarian informasi pasien sehingga lebih mempersingkat waktu.
Analysis of Health Protocol Application to Compliance Level In Informal Workers During the Covid-19 Pandemic Maria Goretti Catur Yuantari; Enny Rachmani; Eti Rimawati; Sri Handayani; Edi Jaya Kusuma
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 1 (2021): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i1.4645

Abstract

Objective and Background: The high number of Covid-19 cases until the end of 2020 is acomplicated problem in all countries including Indonesia. The dilemma between health choices or thecontinuity of life to keep working and making ends meet has become a struggle during the Covid-19pandemic. The purpose of this study was to analyze the application of health protocols to the level ofadherence to informal workers during the Covid-19 pandemic.Method: This research method using cross-sectional, data collection was done by interviewmethod. The population of this research is in the informal work unit in the district Tanjung MasSemarang, and we obtained a sample of 52 respondents. Data processing SPSS program andbivariate test using Fisher Exact Test.Result: The results of this study are there is a relationship between the application of healthprotocols with the level of compliance in the workplace with a p-value of 0.000. The low availability ofsanitation facilities in implementing health protocols by workplace leaders and the lack of monitoringby leaders are one of the reasons for the high number of Covid-19 cases.Keywords: Covid-19, health protocol, level of compliance, workplace.
Health Literacy pada Mahasiswa Kesehatan, Sebuah Indikator Kompetensi Kesehatan yang Penting Nurjanah Nurjanah; Sri Soenaryati; Enny Rachmani
VISIKES: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2016): Visikes
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (814.817 KB) | DOI: 10.33633/visikes.v15i2.1444

Abstract

Health literacy Competency is important for health students since they will be a role model for people to do healthy behavior and provide health services to the community. Previous research results in 2014 on students of Faculty of Health Sciences Dian Nuswantoro University showed 31.9% of respondents had low level of health literacy (inadequate and problematic).This research aims to design a program for intervening student health literacy. Data was collected by filling questionnaire, focused group discussion and developing SMS Gateway program. Population was second semester students of Undergraduate Program of Public Health, however the number of students who participated in this study was 82 student from three classes.The results showed low health literacy was experienced by 40.2% of respondents; it was higher than previous study because the number of respondents was bigger. In addition, there were 95.9% of respondents could not answer correctly questions of nutritional fact in NVS measurement. FGD results showed that respondents prefer to use social media and SMS Gateway to receive health messages. Health messages that they need were: reproductive health, nutrition, smoking, drugs, cosmetics, and diet. The recommendation is using social media such as Blackberry Messengers, Line, Instagram, Twitter to broadcast health messages besides SMS Gateway that has been developed.Keywords: health literacy, health student.
PERSEPSI PASIEN DI PUSKESMAS KOTA SEMARANG TERHADAP PENDAFTARAN ONLINE SEBAGAI IMPLIKASI SMART CITY Enny Rachmani
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.94 KB) | DOI: 10.33633/visikes.v18i2.3679

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Semarang has implemented Smart City for public service. One of the programs was also registration online in primary health care. This study had objectives to describe the perception of primary health care patients about online registration. This research distributed a questionnaire to 800 respondents from 8 of 37 primary health care centers (PHC) consist of 3 PHCs with online registration and 5 PHCs without online registration. The results revealed that 24.6% of patients do not have an internet connection on the mobile phone, and 33.6% never used computers. The computer and internet skills also not so well. Patients choose platform for online registration as SMS (72.4%), internet (62.6%) dan android 41.3 (52.4%). Patients had a positive perception about registration online, 69.9% of patients need online registration and 64.2% will use online registration. Socialization should be done intensively to disseminate the online registration to the patients. Keywords: eHealth, online registration, primary health care
PENGARUH PERILAKU MEROKOK DAN KONSUMSI ALKOHOL DENGAN TINGKAT HEALTH LITERACY: SURVEY DI KOTA SEMARANG Sri Handayani; Muhammad Iqbal; Achmad Binadja; Nurjanah Nurjanah; Enny Rachmani
JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama Vol 8, No 1 (2020): JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jkm.v8i1.567

Abstract

Perilaku merokok dan konsumsi alkohol nyatanya adalah perilaku yang beresiko terjangkit penyakit tidak menular (PTM). Meningkatnya kasus PTM secara signifikan diperkirakan akan menambah beban masyarakat dan pemerintah, karena penanganannya membutuhkan biaya yang besar dan memerlukan teknologi tinggi. Penelitian ini bertujuan untuk menganalisis pengaruh perilaku merokok dan konsumsi alkohol dengan tingkat health literacy. Penelitian  ini merupaka penelitian survey dengan Instrument dalam peneleitian ini menggunakan Indonesian’s Health Literacy Survey Questionnaire (HLS-EU-SQ10-ISN) yang sudah tervalidasi. Pengolahan data menggunakan analisis binary logistic untuk mengetahui nilai OR pengaruh masing-masing variabel. Berdasarkan hasil uji hubungan didapatkan bahwa perilaku merokok berhubungan dengan tingkatHL (pValue: 0,001; OR: 1,871; CI: 1,303-2,688). Secara langsung perilaku merokok merupakan faktor yang berpengaruh terhadap tingat HL (pValue: 0,030; OR: 1,543; CI: 1,042-2,285). Seorang perokok memiliki kemungkinan 1,5 kali lebih besar untuk memiliki tingkat HL pada problematic-Inadequate. Pada perilaku konsumsi alkohol juga merupakan faktor yang berhubungan (pValue: 0,001; OR: 2,692; CI: 1,505-4,813) dan berpengaruh  (pValue: 0,023; OR: 2,073; CI: 1,108-3,879). Seseorang dengan perilaku kesehatan negative cenderung memiliki tingakt health literacy yang rendah. Kata Kunci: Perilaku merokok, Perilaku konsumsi alkohol, tingkat health lietarcy