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The Role of Public Health Centers (Puskesmas) as the Gatekeeper of National Health Insurance Yandrizal, Yandrizal; Anita, Betri; Febriawati, Henni
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.3933

The percentages of referrals for the first level health facilities visits are coming from the health center (Puskesmas) with 16.85% at the highest and from the practicing doctors with 12.45% at the lowest. The aim of the research is to examine the efficiency the promotion, preventive and curative care quality improvement. This study used qualitative exploratory design by case study approach. The collection of data was conducted through field observations, document observation and in-depth interviews. TThe informants consisted of 4 Head of Health Center/Puskesmas, 9 cadres of integrated guiding posts (Pos Pembinaan terpadu /Posbindu) for Non-Communicable Diseases (NCDs), 9 cadres of Integrated Service Post (Pos Pelayanan Terpadu/Posyandu), 33 participants of the National Health Insurance and 23 people from community who have not joined the national health insurance scheme. The results show that mini workshops are held every month in preparing activities with a focus on the causes of most diseases in the previous month. Posyandu may reduce morbidity rate on infants and pregnant women, Posbindu for Non-communicable Diseases can prevent and control non-communicable diseases. Quality of service can improve the perception of the quality of the service and can reduce referrals to hospital.

Determinants Failure of Exclusive Breast Feeding on Health in the City Bengkulu Suryani, Desri; Simbolon, Demsa; Elly, Nur; Pratiwi, Bintang Agustina; Yandrizal, Yandrizal
Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017): Jurnal KEMAS Vol.12 No.2 : January 2017
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.6890

The Â first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .

The Role of Public Health Centers (Puskesmas) as the Gatekeeper of National Health Insurance Anita, Betri; Febriawati, Henni; Yandrizal, Yandrizal
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.3933

The percentages of referrals for the first level health facilities visits are coming from the health center (Puskesmas) with 16.85% at the highest and from the practicing doctors with 12.45% at the lowest. The aim of the research is to examine the efficiency the promotion, preventive and curative care quality improvement. This study used qualitative exploratory design by case study approach. The collection of data was conducted through field observations, document observation and in-depth interviews. TThe informants consisted of 4 Head of Health Center/Puskesmas, 9 cadres of integrated guiding posts (Pos Pembinaan terpadu /Posbindu) for Non-Communicable Diseases (NCDs), 9 cadres of Integrated Service Post (Pos Pelayanan Terpadu/Posyandu), 33 participants of the National Health Insurance and 23 people from community who have not joined the national health insurance scheme. The results show that mini workshops are held every month in preparing activities with a focus on the causes of most diseases in the previous month. Posyandu may reduce morbidity rate on infants and pregnant women, Posbindu for Non-communicable Diseases can prevent and control non-communicable diseases. Quality of service can improve the perception of the quality of the service and can reduce referrals to hospital.

Determinants Failure of Exclusive Breast Feeding on Health in the City Bengkulu Suryani, Desri; Simbolon, Demsa; Elly, Nur; Pratiwi, Bintang Agustina; Yandrizal, Yandrizal
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.6890

The Â first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .

The Effect of Counseling on Improving Knowledge, Attitude, and Behavior in Efforts to Prevent and Control Non-Communicable Diseases Suryani, Desri; Rizal, Ahmad; Eliana, Eliana; Darwis, Darwis; Angraini, Wulan; Pratiwi, Bintang Agustina; Yandrizal, Yandrizal
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.10469

Non-communicable diseases in Bengkulu Province has been increasing from 2007 to 2013. Integrated non-communicable disease development post (Posbindu PTM) is a platform for community participation in early detection and monitoring of risk factors in an integrated and periodic manner. Counseling on Posbindu PTM activities is one of the factor that could improve knowledge, attitude and behavior towards prevention and control of non-infectious diseases (NCDs). The study aimed to investigate the influence of counseling on the improvement of knowledge, attitude and behavior towards NCDs prevention and control. Through a quantitative research with quasi-experimental design, counseling at Posbindu PTM Damai and Padang Harapan Kota Bengkulu was conducted. The population and samples were all 32 members of Posbindu PTM. We found a difference in knowledge, attitude, and behavior before and after counseling from dependent and independent t-test analysis. The Community Health Centers (Puskesmas) need to train their cadres so that they are capable to counsel Posbindu PTM members to improve their knowledge, attitudes, and behavior towards prevention and control of NCDs.

The Effect of Warm Red Ginger Compress Therapy on the Decrease in Rheumatoid Arthritis Pain in the Elderly at the Social Institution Tresna Werdha Pagar Dewa Bengkulu Andri Kusuma Wijaya1 , Ferasinta1 , Yandrizal2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12052

Background: This study aims to determine the effect of compress therapy using warm red ginger to reducethe scale of rheumatoid arthritis pain in the elderly.Study Design:This study used a one-group pretest-posttest pre-experimental research design, with a totalsample of 15 respondents.Results:Based on the results of the bivariate analysis using the Dependent T test, it was found that therewas an effect between compresses using warm red ginger with a value (p value = 0, 000) on the decrease inthe scale of rheumatoid arthritis pain in the elderly at the Tresna Werdha Pagar Dewa Bengkulu Home. Theprovision of non-pharmacological management in the form of compressing warm red ginger will providea heat effect so that it can eliminate inflammation and acidity in the fluid content in the joints, besides thatthere is also gingerol content in the area around the ginger rhizome which has an analgesic effect withtechniques to create vasodilation conditions in vessels. blood resulting in decreased pain. Therefore, givingthis therapy is very beneficial and helps the elderly who suffer from rheumatoid arthritis pain.ConclusionThe role of the orphanage will be very helpful in informing and facilitating the elderly in reducingthe scale of rheumatoid arthritis pain through non-pharmacological management in the form of warm redginger compress therapy with the hope of improving the health status of the elderly at the social institutionTresna Werdha Pagar Dewa Bengkulu Home.

ANALISIS KESIAPAN PELATIHAN PADA MASA DAN PASCA PANDEMI COVID-19 BERBASIS TEKNOLOGI Yandrizal, Yandrizal
Jurnal EMBA: Jurnal Riset Ekonomi, Manajemen, Bisnis dan Akuntansi Vol 9, No 2 (2021): JE VOL 9 NO 2 (2021)
Publisher : FEB Universitas Sam Ratulangi Manado

Abstract: The conditions during the COVID-19 pandemic limited community activities including efforts to increase the knowledge and skills of health workers, which were carried out by means of training.The implementation of training so far is classical, so it cannot be carried out during the pandemic and has not used information technology. The implementation of training during and after the epidemic, can design training with synchronous and asynchronous learning methods, based on information technology that can reach participants without face to face, with online and offline methods. The training management selects facilitators who master information technology in delivering materials, preparing facilities and infrastructure and implementing staffKeywords:Heutagogy, Learning Method, Involving ParticipantsKondisi masa pandemi COVID-19 membatasi kegiatan aktivitas masyarakat termasuk, upaya peningkatan pengetahuan dan keterampilan tenaga kesehatan, yang dilakukan dengan cara pelatihan. Penyelenggaraan pelatihan selama ini secara klasikal, sehingga tidak dapat dilaksanakan pada masa pandemi dan belum menggunakan teknologi informasi. Penyelenggaraan pelatihan pada masa dan pasca pamdemi, dapat merancang pelatihan dengan metoda pembelajaran sinkronous dan asinkronous, berbasis teknologi informasi dapat mengjangkau peserta yang jauh tanpa tatap muka dengan metode dalam jaringan dan luar jaringan. Manajemen pelatihan memilih tenaga fasilitator/widyaiswara yang menguasai teknologi informasi dalam penyampaian materi, mempersiapkan sarana dan prasaran dan tenaga pelaksana.

Tingkat Kualitas Pelayanan Di Puskesmas Betungan Kota Bengkulu Tahun 2020 Febriawati, Henni; Yanuarti, Riska; Oktarianita, Oktarianita; Yandrizal, Yandrizal; Angraini, Wulan
Window of Health : Jurnal Kesehatan Vol 4 No 3 (Juli 2021 )
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/woh.v4i03.685

Data patient visits in 2017 were 17,704 patients, then decreased in 2018 to 3,910 patients. The decrease in the number of community visits public health centre can be caused by community dissatisfaction with public health centre services, so it is very important to be researched. When the community or patients come public health centre, there are patient expectations of the quality of health services and patient satisfaction with service providers. This study aims to look at service quality by assessing the gap between perceived service and expected service based on the five servqual dimensions. This research is quantitative with analytic observational design cross sectional approach. Sample 135 patients. The service quality analysis was performed using the servqual method, calculating the gap score for the difference in the total value of perceived service minus the total value of expected service. The results show that the highest expectation value is the dimension assurance (4.43), then the dimensions of empaty (4.42), reliability (4.40), tangible (4.39), and responsiveness (4.34), respectively. The results of the calculation of the highest value of reality are empathy and tangible dimensions, namely 4.05, then the dimensions of reliability (4.04), assurance (3.26), and responsiveness (3.24), respectively. The results calculation service quality gap at Betungan public health center, Bengkulu City in terms of reliability, obtained gap value of -0.36, responsiveness obtained gap value of -1.11, assurance obtained gap value of -0, 19, empathy obtained gap value of 0.37, tangible obtained gap value of 0.35. The overall quality of service is negative so it can be concluded that the level of service quality at Puskesmas Betungan Bengkulu is still not good. The dimension with the largest negative servqual value is the assurance dimension, so it needs to be prioritized by the Betungan Community Health Center in order to improve service quality in terms of medical knowledge and skills so that patients feel safe.

The Empowerment of Integrated Development Post of Non-Communicable Diseases in Efforts to Prevent and Control Non- Communicable Diseases Yandrizal Yandrizal; Rizanda Machmud; Melinda Noer; Hardisman Hardisman; Afrizal Afrizal; Nur Indrawati Lipoeto; Ekowati Rahajeng; P.A Kodrat Pramudho
International Journal of Public Health Science (IJPHS) Vol 5, No 3: September 2016
Publisher : Intelektual Pustaka Media Utama

Non-Communicable disease has already been the main cause of death in many countries, as many as 57 million death in the world in 2008, 36 million (63 percent) is because of un-infectious disease, specifically heart illness, diabetes, cancer, and chronic respiratory diseases. Prevention and controlling efforts of un-infectious diseases developing in Indonesia is non-communicable disease integrated development post (Pospindu PTM). This research used combination method approach with exploratory design. Exploratory design with sequential procedure used combination consecutively, the first is qualitative and the second is quantitative method. Public Health Center formed Posbindu PTM has not disseminate yet to all stakeholders. Posbindu PTM members felt benefit by following this activity. Some of them did not know follow the activity because of unknown about it. There was connection between coming behavior to Posbindu PTM to preventing behavior of non-communicable disease.Percentage for high blood pressure risk indicated 20-25 percent from all visitors. Formulation of its policy implementation started with stakeholder analysis; head of sub district, head of urban village, head of health department in regency/city, head of public health service, head of neighborhood Association, and the head of family welfare development. Analysis of perception, power and authority found that every stakeholder had authority to manage the member directly or indirectly. It was not implemented because of the lack knowledge of stakeholders about the Posbindu PTM function.They would play a role after knowing the aim and advantage of the post by motivate the people to do early detection, prevention and control the non-communicable disease. The members were given wide knowledge about early detection, preventing and control the un-infectious disease, measuring and checking up their healthy continuously so that keep feeling the advantage of coming to the post.

Analisis Peran Pengendali Pelatihan Terhadap Pencapaian Pemahaman Materi Yandrizal Yandrizal
Diklat Review : Jurnal manajemen pendidikan dan pelatihan Vol 5 No 3 (2021)
Publisher : Komunitas Manajemen Kompetitif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35446/diklatreview.v5i3.800

Pengendali Pelatihan mempunyai tugas dan tanggung jawab mengendalikan teknis pelatihan mulai dari tahap persiapan, pelaksanaan dan evaluasi selama pelatihan, sampai dengan evaluasi. Kompetensi Pengendali Pengendali: 1) merancang proses pembelajaran; 2) menerapkan komunikasi efektif; 3) melakukan konseling terhadap peserta; 4) mampu mengendalikan pelatihan. Berdasarkan uraian peran, fungsi pengendali pelatihan, maka rumusan masalah bagaimana peran Pengendali pelatihan dalam capaian tujuan pelatihan. Penelitian menggunakan metode kuantitatif dengan pendekatan cross sectioanal study, untuk mengetahui peran pengendali pelatihan terhadap pemahaman materi. Sampel peserta pelatihan berasal dari 11 angkatan pelatihan berjumlah 289 responden. Pengumpulan data dimulai bulan Juni sampai Oktober 2021, menggunakan instrumen berupa kuesioner tertutup dan observasi. Hasil uji Chi-square didapatkan nilai p-value sebesar 0,000, terdapat pengaruh peran pengendali Pelatihan terhadap pemahaman materi. Pengendali Pelatihan melakukan pengawasan, pendampingan penilaian untuk mencapai tujuan pelatihan. Peran Pengendali Pelatihan dapat membantu meningkatkan pemahaman peserta terhadap materi pelatihan. Peran Pengendali Pelatihan dapat lebih tingkatkan pada setiap fungsi dengan menguasai mata pelatihan, metode yang efektif setiap materi dan tujuan pelatihan

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