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The Indonesian Strategy to Achieve Universal Health Coverage through National Health Insurance System: Challenges in Human Resources Atikah Adyas
Jurnal Kesehatan Masyarakat Nasional Vol 16, No 4 (2021): Volume 16, Issue 4, November 2021
Publisher : Faculty of Public Health Universitas Indonesia

Many countries are currently trying to achieve universal health insurance coverage in order to provide health protection for their population. Indonesia has received a strong political commitment to implement national health insurance including government support to finance the poor. The implementation of comprehensive national health insurance requires human resources, each of which has a role in fighting for noble goals for the welfare of all people. This paper is taken from the experience of Indonesia and several other countries as well as guidelines that can be used in exploring the role of human resources for the success of the implementation of national health insurance.

Kekuatan dan Kesulitan Remaja Disabilitas di Yayasan Pendidikan Anak Cacat (YPAC) Jakarta dan Surakarta Lestari, Tri Riana; Adyas, Atikah; Rachmawati, Elsye; Ardesa, Yopi Harwinanda; Pasaribu, Ester Syeftty
Jurnal Kesehatan Vol 9, No 2 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Children with disability face the barriers due to their incapacity and various obstacles from their society. How to cope with the barriers that came from themselves due to physical imperfection, emotional instability, and obstacles from the environment will affect to their mental health. The Medical assessment to find out the strengths and difficulties of teenagers are intended to take early intervention and an effort to improve the mental and personality development of teenagers with disabilities. This research was conducted to find out about the description of disabled adolescence’s characteristic profile on strength and weakness that related to adolescence mentality at school for the disabled. The cross-sectional study was conducted at YPAC Jakarta and Surakarta in the period of June-October 2017. This research was conducted with 100 respondents from YPAC, 20 people from Jakarta and 80 people from Surakarta. The qualification of the respondents were adolescences with a range of age 11-18 years old, adolescents with limb and or vision disability that capable to communicate, and agree to be respondents. The study results showed that there were 27% children whose 11-12 years old, 24% whose 13-14 years old, 28% whose 15-16 years old, 21% whose 17-18 years old. The respondents were males 58% and females 42%. This research has successfully explained that Most of the difficulty level of adolescents with disabilities found in YPAC Jakarta and Surakarta were normal level (79%), and most of the level of strength were also normal level (89%). Suggestions for all parties related to disability adolescents as an effort to maintain mental health and not late to intervene.

The BBLR diprediksi Faktor Utama Kejadian Stunting di Provinsi Lampung: Warning untuk Ibu Bekerja dan Penerapan Pola Asuh Adyas, Atikah; ., Dika; ., Karbito
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 11 No 4 (2019): JIKM Vol. 11, Edisi 4, November 2019
Publisher : Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, UPN Veteran Jakarta

Stunting apabila tidak ditangani makan akan menimbulkan dampak buruk dalam jangka pendek adalah terganggunya perkembangan otak, kecerdasan, gangguan pertumbuhan fisik, dan gangguan metabolisme dalam tubuh. (Kementrian Kesehatan RI, 2016). Diketahui analisis determinan status gizi kejadian Stunting di Wilayah Kerja UPT Puskesmas Kota Dalam Kabupaten Pesawaran. Metode penelitian menggunakan case control. Subjek penelitian adalah ibu yang memilki bayi 24 -36 bulan dengan populasi sebanyak 335 baduta dan sampel sebanyak 33 sampel kasus serta 66 sampel kontrol. Penelitian menggunakan teknik sampling systematic random sampling. Hasil dari analisis didapatkan Odds Ratio (OR) dari variabel riwayat BBLR adalah 34,261, Dalam data ini berarti riwayat BBLR yang paling besar pengaruhnya terhadap status gizi kejadian stunting. Diharapkan kepada ibu yang memiliki balita stunting dan memiliki riwayat BBLR dianjurkan menggunakan pendamping ASI (P-ASI) yang mengandung nutrisi tinggi seperti protein tinggi, vitamin tinggi, lemak tinggi, dan nutrisi yang berkaitan dengan peningkatan berat badan bayi. LBW predicts the Main Factors of Stunting in the Province of Lampung: Warning for Working Mothers and the Implementation of Parenting Abstract Stunting ,if it is not treated will cause the bad effects in the short time is the brain development disorders , intelligence, physical growth disorders and metabolic disorders in the body. Told that the analysis of determinants of nutritional status of stunting events in UPT The Community Health Centers (Puskesmas) in Kota Dalam Area, in Pesawaran District. This research method, it is a case control. Research subjects were mothers who had babies in 24-36 months with population of 335 badutas and 33 samples to cases and 66 control samples. The research used sampling technique, the systematic random sampling. The Primary data collection techniques were by using questionnaires, the data analysis used multiple logistic regression test. The result of the analysis was gotten Odds Ratio (OR) from the history of BBLR was 34,261. In this data means the history of BBLR that the greatest effect was on the nutritional status of the stunting event. It is expected for mothers with stunting toddlers and have a history of BBLR are advised to use breastfeeding (P-ASI) which contents of high- nutrient such as high protein, high vitamin, high fat and nutrients related with the increasing the infant weight gain.

Faktor – Faktor yang Mempengaruhi Penderita Diabetes Mellitus Peserta Posyandu Lansia Atikah Adyas; Dian Utama Pratiwi Putri; Bambang Setiaji; Sutriyani Sutriyani
Jurnal Ilmu Kesehatan Indonesia (JIKSI) Vol 2, No 2 (2021): JURNAL ILMU KESEHATAN INDONESIA (JIKSI)
Publisher : Univeristas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Peningkatan jumlah penduduk lansia memberikan konsekuensi yang tidak sederhana. Posyandu lansia wilayah kerja Puskesmas Pisang Baru pada kurun waktu Januari-Desember 2019 menunjukkan total lansia terdaftar sebanyak 1.315 jiwa rincian pra-lansia yang berumur 45-59 tahun dengan jumlah sebanyak 961 jiwa, lansia yang berumur antara 60->70 tahun dengan jumlah sebanyak 354 jiwa. kasus penderita diabetes mellitus triwulan ke-1 hingga triwulan 4 mencapai 179 kasus dan menempati urutan kedua dalam 10 besar penyakit terbanyak.Tujuan penilitian adalah Untuk mengetahui faktor risiko yang berhubungan dengan penderita diabetes mellitus pada peserta posyandu lansia di wilayah kerja Puskesmas Pisang Baru Kabupaten Way Kanan tahun 2020. Jenis penelitian kuantitatif, rancangannya deskriftif analitik dengan pendekatan crossectional. Populasi dalm penelitian ini adalah semua peserta posyandu lansia di wilayah kerja UPT Puskesmas Pisang Baru Kecamatan Bumi Agung Kabupaten Way Kanan Tahun 2020 sebanyak 354 orang dengan sampel 188 responden. Teknik pengambilan sampel menggunakan random sampling,Hasil penelitian didapatkan yang tidak mengalami Diabetes Mellitus sebanyak 103 responden (54,8%) dan yang mengalami Diabetes Mellitus sebanyak 85 responden (45,2%), usia 60-74 tahun yaitu sebanyak 136 responden (72,3%), jenis kelamin perempuan sebanyak 125 responden (66,5%), berpendidikan rendah sebanyak 112 responden (59,6%), responden yang bekerja sebanyak 99 responden (52,7%), Tidak ada riwayat Keturunan DM sebanyak 101 responden (53,7%), tidak obesitas sebanyak 109 responden (58,0%). Tidak terdapat hubungan antara usia (p value 0,191), jenis kelamin (p value 0,760), pendidikan (p value 0,734), pekerjaan (p value 0, 0,711), dan terdapat hubungan antara riwayat keturunan DM (p value 0,035), obesitas (p value 0,009) dengan penderita diabetes mellitus di Puskesmas Pisang Baru tahun 2020. variabel paling dominan berhubungan dengan DM yaitu Obisitas, disarankan lansia berperan aktif dalam kegiatan posyandu dan memeriksakan kesehatan rutin ketenaga kesehatan serta menjaga pola hidup sehat.Kata Kunci : Diabetes mellitus, Obesitas, Posyandu Lansia

Factors Related to Participation of BPJS Mandiri Yesi Triantina; Atikah Adyas; Kodrat Pamudho
Indonesian Journal of Global Health Research Vol 3 No 3 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Based on the data obtained from BPJS of Lampung Province in 2020, Tulang Bawang Barat Regency is the regency with the lowest number of BPJS participation in Lampung Province compared to 12 other regencies. The total number of BPJS Mandiri participants in 2020 was 45,738 people, which is still below the set target of 117,000 people. The purpose of this research is to determine the factors related to the participation of BPJS Mandiri in Tulang Bawang Barat Regency in 2021. The research is a quantitative descriptive type, with the research design in this research is analytic with a cross sectional approach. The population is 9,848 people, the sample size is 117, the sampling technique is stratified random sampling. The technique of collecting data on research variables about products, prices, distribution channels, promotions and membership of BPJS Mandiri in this study is filling out a questionnaire directly by respondents who are assisted by 5 enumerators, then after filling in the data directly collected on the same day. Univariate data analysis using percentage measures, bivariate analysis using chi square test and multivariate analysis using multiple logistic regression statistical tests. The results showed that the distribution of BPJS product frequency was higher in the poor category by 82 people (70.1%), BPJS prices were higher in the poor category by 84 people (71.8%), distribution channels were higher in the poor category by 68 people (58.1%), BPJS Mandiri promotion was higher in the poor category by 71 people (60.7%), BPJS Mandiri participation was higher in the category of non BPJS Mandiri participants by 60 people (51.3%). The results of the chi square test showed that there was a product relationship (p value = 0.009 < 0.05), there was a price relationship (p value = 0.001 < 0.05), there was no distribution channel relationship (p value = 0.542 > 0.05) and there is a promotion relationship (p value = 0.007 < 0.05) with BPJS Mandiri participation. Price variable is the most dominant variable related to BPJS Mandiri participation (p value = 0.019 < 0.05).

Evaluasi Pelaksanaan Pos Pembinaan Terpadu (Posbindu) PTM di Kabupaten Pesisir Barat Susilawati , Nova; Adyas, Atikah; Djamil, Achmad
Poltekita : Jurnal Ilmu Kesehatan Vol. 15 No. 2 (2021): August
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v15i2.494

Tujuan penelitian yaitu mengetahui efektivititas posbindu dalam pengendalian dan pencegahan penyakit tidak menular di Kabupaten Pesisir Barat. Penelitian kualitatif pendekatan fenomenologi dan didukung data kuantitatif kasus PTM unutuk menilai effect Posbindu dalam pengendalian dan pencegahan PTM. Informan dalam penelitian ini berjumlah 19 informan terdiri dari Petugas Posbindu Puskesmas sebanyak 5 informan, kader posbindu berjumlah 4 informan dan peserta posbindu berjumlah 5 orang dan 5 informan Pembina Posbindu Puskemas dipilih menjadi triagulasi dalam penelitian ini. Hasil penelitian terhadap efektivitas posbindu di kabupaten pesisir barat masih ditemukannya masalah pada input meliputi; sumberdaya, sarana prasarana, pendanaan, proses dan output sehingga pelaksanaan Posbindu di Kabupaten Pesisir Barat belum efektif dan berdampak pada tidak terkendalinya kasus hipertensi dibuktikan dengan capaian pemeriksaan penderita hipertensi sebesar 7,76% dan hasil pemeriksaan tekanan darah menunjukkan 429 penderita hipertensi berada pada rentang kategori buruk. Pelaksanaan Posbindu belum Efektiv dalam pengendalian dan pencegahan penyakit tidak menular di Kabupaten Pesisir Barat

Pengelolaan Obat di Dinas Kesehatan Kabupaten Lampung Timur Provinsi Lampung Tumangger, Hajati Br.; Pramudho, Kodrat; Noviansyah; Adyas, Atikah
Poltekita : Jurnal Ilmu Kesehatan Vol. 15 No. 3 (2021): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v15i3.507

Penelitian ini bertujaun untuk mengetahui gambaran pengeloaan obat di Dinas Kesehatan Kabupaten Lampung Timur tahun 2020 terutama perencanaan, pengadaan dan distribusi obat ke puskesmas. Metode penelitian ini adalah metode penelitian kualitatif dengan pendekatan analitik. Penelitian ini dilaksanakan di Dinas Kesehatan Kabupaten Lampung Timur. Penelitian ini dilaksanakan pada bulan juni sampai dengan Agustus 2021. Teknik pengumpulan data dilakukan dengan observasi (pengamatan langsung), wawancara mendalam (in-depth interview), telaah dokumen dan Focus Group Discussion (FGD). Hasil penelitian didapatkan perencanaan obat di Dinas Kesehatan Kabupaten Lampung Timur sudah sesuai dengan Permenkes No.HK. 01.07/MENKES/813/2019 tentang Formularium Nasional tetapi penghitungan jumlah kebutuhannya belum sesuai kebutuhan puskesmas. Pengadaan obat di Dinas Kesehatan Kabupaten Lampung Timur sudah sesuai dengan PMK No.63/2014 Tentang Pengadaan Obat Berdasarkan Katalog Elektronik (E-Catalogue) namun dalam pelaksanaannya terkendala dengan ada beberapa obat yang tidak dapat diadakan atau dibeli karena tidak ada di e-catalog maupun FORNAS

Evaluasi Pelaksanaan Pos Pembinaan Terpadu (Posbindu) PTM di Kabupaten Pesisir Barat Nova Susilawati; Atikah Adyas; Achmad Djamil
Poltekita : Jurnal Ilmu Kesehatan Vol. 15 No. 2 (2021): August
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v15i2.494

Tujuan penelitian yaitu mengetahui efektivititas posbindu dalam pengendalian dan pencegahan penyakit tidak menular di Kabupaten Pesisir Barat. Penelitian kualitatif pendekatan fenomenologi dan didukung data kuantitatif kasus PTM unutuk menilai effect Posbindu dalam pengendalian dan pencegahan PTM. Informan dalam penelitian ini berjumlah 19 informan terdiri dari Petugas Posbindu Puskesmas sebanyak 5 informan, kader posbindu berjumlah 4 informan dan peserta posbindu berjumlah 5 orang dan 5 informan Pembina Posbindu Puskemas dipilih menjadi triagulasi dalam penelitian ini. Hasil penelitian terhadap efektivitas posbindu di kabupaten pesisir barat masih ditemukannya masalah pada input meliputi; sumberdaya, sarana prasarana, pendanaan, proses dan output sehingga pelaksanaan Posbindu di Kabupaten Pesisir Barat belum efektif dan berdampak pada tidak terkendalinya kasus hipertensi dibuktikan dengan capaian pemeriksaan penderita hipertensi sebesar 7,76% dan hasil pemeriksaan tekanan darah menunjukkan 429 penderita hipertensi berada pada rentang kategori buruk. Pelaksanaan Posbindu belum Efektiv dalam pengendalian dan pencegahan penyakit tidak menular di Kabupaten Pesisir Barat

Pengelolaan Obat di Dinas Kesehatan Kabupaten Lampung Timur Provinsi Lampung Hajati Br. Tumangger; Kodrat Pramudho; Noviansyah; Atikah Adyas
Poltekita : Jurnal Ilmu Kesehatan Vol. 15 No. 3 (2021): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v15i3.507

Penelitian ini bertujaun untuk mengetahui gambaran pengeloaan obat di Dinas Kesehatan Kabupaten Lampung Timur tahun 2020 terutama perencanaan, pengadaan dan distribusi obat ke puskesmas. Metode penelitian ini adalah metode penelitian kualitatif dengan pendekatan analitik. Penelitian ini dilaksanakan di Dinas Kesehatan Kabupaten Lampung Timur. Penelitian ini dilaksanakan pada bulan juni sampai dengan Agustus 2021. Teknik pengumpulan data dilakukan dengan observasi (pengamatan langsung), wawancara mendalam (in-depth interview), telaah dokumen dan Focus Group Discussion (FGD). Hasil penelitian didapatkan perencanaan obat di Dinas Kesehatan Kabupaten Lampung Timur sudah sesuai dengan Permenkes No.HK. 01.07/MENKES/813/2019 tentang Formularium Nasional tetapi penghitungan jumlah kebutuhannya belum sesuai kebutuhan puskesmas. Pengadaan obat di Dinas Kesehatan Kabupaten Lampung Timur sudah sesuai dengan PMK No.63/2014 Tentang Pengadaan Obat Berdasarkan Katalog Elektronik (E-Catalogue) namun dalam pelaksanaannya terkendala dengan ada beberapa obat yang tidak dapat diadakan atau dibeli karena tidak ada di e-catalog maupun FORNAS

Management of Free Health Services in Hospital Siti Mardiyanti; Dewi Rahayu; Ahmad Karbito; Atikah Adyas
Indonesian Journal of Global Health Research Vol 3 No 3 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The Government of Indonesia is obliged to provide guarantees for the fulfillment of the right to a healthy life for every citizen by enforcing the Social Security Administration (BPJS) for Health. The success of hospitals in carrying out their functions is marked by an increase in the quality of hospital services. To implement the implementation of SJSN in the BPJS program, the phenomenon of existing problems where the management of free health services in hospitals has not been carried out optimally, seeing some complaints in the community, therefore it is necessary to study the management of health services in terms of input, process and output. and 5M management at Tjokrodipo Hospital, Bandar Lampung City. This study aims to determine and describe the Management of Free Health Services at Tjokrodipo Hospital, Bandar Lampung City in 2021. This research is a qualitative study with a descriptive approach. The time of the study was carried out from May to June 2021 in Tjokrodipo Hospital Bandar Lampung Research subjects were selected using purposive sampling technique, researchers used data triangulation techniques and data processing carried out in this study was source triangulation. not available for BPJS patients, so patients are advised to look for other dispensaries, medical equipment such as patient beds are still lacking because during the pandemic, the availability of health human resources (HR), such as dentists and specialists are not in accordance with class C hospital standards, patients feel that the free health services provided are not good, the average patient complains of a lack of equipment such as uncomfortable beds and rooms because there are many patients.

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