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All Journal Jurnal Kebijakan Kesehatan Indonesia Disease Prevention and Public Health Journal Jurnal Kesehatan ABDIMAS: Jurnal Pengabdian Masyarakat Jurnal Kesehatan Jurnal Pengabdian Masyarakat: Humanity and Medicine
Dian Safriantini
Fakultas Kesehatan Masyarakat Universitas Sriwijaya Bagian Administrasi Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Sriwijaya
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Determinan Keputusan Pekerja Mandiri menjadi Peserta Jaminan Kesehatan Nasional Jumatra Laila; Asmaripa Ainy; Dian Safriantini
Disease Prevention and Public Health Journal Vol. 14 No. 1 (2020): Disease Prevention and Public Health Journal
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/dpphj.v14i1.1804

Abstract

Background: National health insurance is mandatory for all Indonesians. In Ogan Ilir Regency, the lowest percentage (24,14%) of its participants in December 2016 was found in Indralaya Utara Sub-district, and self-employed participants in this sub-district were only 6,99%. This study aimed to analyze the determinants of the self-employed’s decision to become national health insurance participants in Indralaya Utara Sub-district. Method: This was a cross-sectional study. The population was self-employed in Indralaya Utara Sub-district. The sample was 108 respondents who were selected using cluster sampling and consecutive sampling techniques. Data analysis was conducted by univariate and bivariate with chi-square statistical test. Results: The results illustrated that 18,52% of respondents decided to become national health insurance participants. Variables with p-value<0,005 were: knowledge about national health insurance (p-value=0,011), trust (p-value=0.000), perception about national health insurance (p-value=0,000), attitude (p-value=0,000), income (p-value=0,002), family support (p-value=0,005). Variables with p-value≥0,005 were: education (p-value=0,234), perception about health facilities (p-value=0,162), distance to health facilities (p-value=0,355), health workers support (p-value=0,112). Conclusion:  In conclusion, percentage of self-employed who decided become national health insurance participants was still small. Associated factors to the decision of self-employed as participants were: knowledge about national health insurance, trust, perception about national health insurance, attitude, income and family support. It is suggested that the Social Security Administrative Body for Health should routinely conduct socialization on national health insurance to improve the percentage of its participation for self-employed and the benefits of national health insurance could be felt by the entire community.
Analisis Implementasi Integrasi Jamsoskes Sumatera Selatan Semesta ke Program Jaminan Kesehatan Nasional di Kota Palembang dari Sisi Stakeholder Melisa Yuni Nirmalasari; Dian Safriantini
Jurnal Kebijakan Kesehatan Indonesia Vol 8, No 3 (2019)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (731.553 KB) | DOI: 10.22146/jkki.48631

Abstract

Backgound: Based on Presidential Regulation No. 82 of 2018, regional governments that carry out the Regional Health Insurance are obliged to integrate it into JKN (National Health Insurance) Program held by the BPJS (Health Insurance Organizing Agency). Similarly, the Government of South Sumatra Province has suspended the Jamsoskes Sumatera Selatan Semesta Program commercing January 1, 2019 by issuing Circular Letter Number 057/DINKES/SE/2018. This study aimed to analyze the integration implementation of Jamsoskes Sumatera Selatan Semesta into the JKN Program in Palembang City.  Method: This study used qualitative approach through in-depth interviews, literature review and field observations. There were 7 informants selected by purposive technique carry out at the Public Health Office, BPJS Health, Social Service, and Puskesmas (Community Health Center).Result: Communication (Transmission, Clarity and Consistency) in implementing the were carried out quite well because each relevant agency had followed up the Circular Letter and disseminated the information clearly and consinstently to the implementing unit underneath it. Resource, there were still obstacles in the form of funds and limited data poor. Disposition, all parties involved in the integration supported this integration. Bureaucratic Structure, there was no Standard Operational Procedure (SOP) at several relevant agencies to carry out the integration. Distribution of responsibilities was carried out by means of stakeholder coordination meetings.Conclusion: The integration still faces obstacles in the form of limited funds to cover people who have not received health insurance and poor popilation data that has not been verified and validated so that the social service needs to directly improve the community data by conducting data collection on poor people in the Palembang city. Keywords: Integration, Jamsoskes, Nasional Health Insurance
Analisis Kepuasan Pasien Rawat Inap Peserta Jaminan Kesehatan Nasional di Rumah Sakit Islam Siti Khadijah Palembang Nanda Arnindiah; Dian Safriantini
Jurnal Kesehatan Vol 11, No 2 (2018): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v11i2.7580

Abstract

Latar Belakang: Indikator keberhasilan Jaminan Kesehatan Nasional adalah kepuasan masyarakat yang dinilai dari pelayanan rumah sakit, tetapi beberapa tahun terakhir kepuasan peserta cenderung rendah. Studi Pendahuluan di Rumah Sakit Islam Siti Khadijah Palembang menyatakan bahwa pasien peserta Jaminan Kesehatan Nasional merasa belum puas terhadap pelayanan yang diberikan. Oleh karena itu penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien rawat inap peserta Jaminan Kesehatan Nasional berdasarkan 5 dimensi kualitas pelayanan  kesehatan.Metode: Jenis penelitian ini adalah analitik kuantitatif dengan rancangan cross sectional. Sampel penelitian berjumlah 73 pasien peserta Jaminan Kesehatan Nasional yang dipilih dengan metode proportional sampling. Dianalisis menggunakan ­Chi Square.Hasil Penelitian: Hasil penelitian menunjukkan bahwa rata-rata pasien peserta Jaminan Kesehatan Nasional (54,8%) merasakan puas dengan pelayanan yang diberikan. Sedangkan hasil uji Chi Square  menunjukkan nilai p value antara tangible (0,003), reliability (0,000), responsiveness (0,000), assurance (0,000), empathy (0,000), dimana terdapat hubungan yang signifikan antara kelima dimensi mutu dengan kepuasan pasien. Dari komponen pada kelima dimensi mutu terdapat beberapa hal yang masih belum berjalan maksimal diantaranya adalah  fasilitas yang belum maksimal seperti WC, estimasi waktu tunggu yang belum konsisten, komunikasi mengenai iformasi kesehatan antara petugas kesehatan dan pasien yang belum baik, dan kurangnya waktu untuk berkonsultasi dengan dokter.Kesimpulan: Untuk mempertahankan kualitas pelayanan diharapkan Rumah Sakit Islam Siti Khadijah Palembang dapat melakukan perbaikan, peningkatan dan pengembangan sarana fisik. Bagi tenaga medis dan non-medis untuk lebih meningkatkan kualitas pelayanan baik dari segi kehandalan (reliability), ketanggapan (responsiveness), jaminan (assurance) dan perhatian (empathy).
Optimization of The Application of The Covid 19 Health Protocol for Elementary School Students in Banyuasin South Sumatera Yustini Ardillah; Anggun Budiastuti; Dian Safriantini; Rendi Sabana
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2021): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.589 KB) | DOI: 10.35568/abdimas.v4i2.1265

Abstract

Covid-19 continues to increase the number of patients who are positive for Covid-19. Indonesia is a risky country to visit, while the National Data for South Sumatra is the number one province on Sumatra Island with the highest number of Covid-19 patients. Government policy allows regions or regions with yellow zones to open schools offline. Banyuasin Regency is included in the yellow zone of Covid patients, so teaching and learning has been carried out offline with strict implementation of health protocols. To support offline teaching and learning activities, it is necessary to educate students about the 3M movement (maintaining distance, using masks, washing hands with soap). This activity aims to train students to apply the 3M health protocol correctly. The results of the service show that there is an increase in knowledge and changes in student behaviour after receiving training and counselling about health protocols at school. Optimization of health protocols needs to be carried out on an ongoing basis to prevent the transmission of COVID-19 in elementary schools.
Importance Performance Analysis Kualitas Pelayanan Kesehatan Klien Rawat Jalan Peserta Jaminan Kesehatan Nasional Putri Alawiyah; Dian Safriantini
Jurnal Kesehatan Vol 11, No 1 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (477.987 KB) | DOI: 10.26630/jk.v11i1.1570

Abstract

Health care usually is focused on first-level health services (Puskesmas) to reduce the cost of health care covered by the BPJS Kesehatan. The quarterly visiting data of Jaminan Kesehatan Nasional (JKN) participants in the Inderalaya Puskesmas show a fluctuating trend. The objective of this study is to analyze the level of attribute towards the quality of health care service to the outpatient covered by JKN in the Inderalaya Puskesmas throughout 2018. This study employs a quantitative descriptive research method using Importance-Performance Analysis (IPA). The sample of this study were 122 JKN participants chosen by accidental sampling in the site. Data gathering was conducted with the questionnaires of expectation and reality consisting of eight quality dimensions and 30 attributes of statements. The overall conformity level in this study is 94.16%. The study found many respondents are dissatisfied with five care namely effectiveness (93.14%), physical/direct evidence (91.93%), reliability (93.86%), responsiveness (93.07%), and insurance (93.24%). Results of the cartesian-diagram analysis suggest that from 30 attributes, there were four attributes in the A quadrant, 12 attributes in the B quadrant, 11 attributes in the C quadrant, and three attributes in the D quadrant.
Pencegahan stunting balita melalui refreshing kader Posyandu dengan pelatihan pemantauan pertumbuhan dan pengisian KMS Fatmalina Febry; Misnaniarti Misnaniarti; Asmaripa Ainy; Iwan Stia Budi; Dian Safriantini
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 3 No 1 (2022): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V3I1.75

Abstract

Stunting is a chronic nutritional problem caused by multiple factors and is intergenerational. The incidence of stunting shows the problem of chronic malnutrition and occurs at the age of toddlers. Monitoring the growth of children under five is very important to detect growth faltering at an early stage. To determine this growth, weighing toddlers every month is very necessary. Anthropometric measurements are usually carried out by cadres at the Posyandu. However, the cadres cannot monitor the growth of toddlers either through anthropometric measurements (weight and height) or by filling out the KMS. This is because most of the cadres have never received training on anthropometric measurements and filling in the KMS. The results of this activity showed that most of the cadres experienced an increase in scores before and after the training, namely an increase in nutritional knowledge (54.3%), anthropometric measurements (78.2%), and KMS filling (58.7%). Based on the results of the Wilcoxon test showing a p value of 0.000 < 0.005, there is a difference in knowledge scores before and after the intervention, both knowledge of nutrition, anthropometric measurements of toddlers and filling KMS increases. It can be concluded that this cadre training activity was quite successful, seen from the results of the frequency distribution obtained and the results of statistical tests. It is necessary to carry out regular training related to monitoring the growth and reading of KMS, especially if there is a change of cadres.
Co-Authors Anggun Budiastuti Asmaripa Ainy Fatmalina Febry Iwan Stia Budi Jumatra Laila Melisa Yuni Nirmalasari Misnaniarti Misnaniarti Nanda Arnindiah Putri Alawiyah Rendi Sabana Yustini Ardillah