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PERAN JAMINAN KESEHATAN TERHADAP PEMANFAATAN TENAGA KESEHATAN SEBAGAI PENOLONG PERSALINAN DI INDONESIA (ANALISIS DATA SUSENAS 2017) Farida Kusumaningrum; Prastuti Soewondo
Jurnal Kesehatan Reproduksi Vol 9 No 2 (2018): JURNAL KESEHATAN REPRODUKSI VOLUME 9 NO. 2 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Background: The global maternal mortality ratio in 2015 was 216 deaths per 100,000 live births due to complications during pregnancy and delivery. The utilization of birth attendants is one of the important indicators that play a role for increasing safe delivery so that it can prevent maternal and child mortality. Objective: Knowing the role of health insurance and other related factors towards the utilization of skilled birth attendants in Indonesia. Method: This study uses Susenas data in 2017 with the sample size of 38,485 reproductive age women. The analysis uses logistic regression with the Logit model. Result: The logit test results show that the model is able to explain the data of 9.93 percent. Prob> Chi2 significance value of 0,000 means that all independent variables have a significant effect on the dependent variable. Women who had health insurance were 1,351 times higher to use skilled birth attendant at delivery. Conclusion: The Ownership of health insurance has a significant role towards the utilization of skilled birth attendants in Indonesia in 2017. Likewise with other related factors including increasing age, education ≥ SLTA, urban living areas, parity ≤ 3 people, and economic status in quintiles 2, 3, 4 and 5.

UNIVERSAL PRECAUTION OF SECTIO CAESARIA IN SURGICAL ROOM Anindita Santoso; Prastuti Soewondo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background:Nosocomial infection is the presence of an infection seen in patients while in the hospital or while in other health facilities, currently this is are known as Health-care Associated Infections (HAI). One of useful strategy in controlling HAI is to improve the ability of health workers in the universal precautions method. To succeed in this strategy, we need a material briefing on universal precautions so that good knowledge is obtained between healthcare staff. Therefore it is necessary to know the relationship between knowledge about universal precautions with universal precautions attitude and safety skills on healthcare staff. Methods:Article research was limited to articles from internet databases, such as ASMR, Elsevier Journal, IJCMPH, Sage Journals with the keywords universal precaution, knowledge, safety skills, attitude, and healthcare staff. Inclusion criteria, such as English articles and published from 2008- 2018,were collected and reviewed. The searching process obtained 6 articles that met requirement for inclusion and exclusion criteria. Results: There were two articles that found positive correlation between knowledge of universal precautions and safety skills or attitude, but the others showed otherwise. It shows inconsistent findings in all articles. Conclusions:Knowledge of universal precaution is not the only factor that influences the safety skills or attitude of healthcare staff. It might be other factors that influence safety skill or attitude beside knowledge of universal precaution.

Analisis Kesiapan Pembiayaan Hipertensi, Diabetes Melitus dan Gangguan Jiwa dalam Mendukung Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) Tahun 2018-2020 Trihardini Sri Rejeki Astuti; Prastuti Soewondo
Jurnal Ekonomi Kesehatan Indonesia Vol 3, No 1 (2018)
Publisher : Fakultas Kesehatan Masyarakat

AbstrakProgram Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) merupakan cara Puskesmas untuk meningkatkan jangkauan sasaran dan akses pelayanan kesehatan dengan mendatangi keluarga. Skala prioritas nasional dalam mencapai Indonesia Sehat salah satunya adalah menanggulangi penyakit tidak menular termasuk hipertensi, Diabetes Melitus dan Gangguan Jiwa yang prevalensinya semakin meningkat. Hipertensi, Diabetes Melitus dan Gangguan Jiwa merupakan salah satu indicator keluarga sehat dalam PIS PK untuk mencapai SPM. Penelitian ini menggunakan metode kualitatif dengan teknik wawancara mendalam dan telaah dokumen. Kesiapan pembiayaan Hipertensi, Diabetes Melitus dan Gangguan Jiwa dihitung dengan menggunakan metode costing SPM. Hasil penelitian menunjukkan bahwa belanja kesehatan untuk PIS PK digunakan untuk sosialisasi, edukasi dan pendataan. Mengacu pada perhitungan costing SPM, Kota Depok mampu melaksanakan SPM untuk Pelayanan Dasar Hipertensi, Diabetes Melitus dan Gangguan Jiwa karena hanya menggunakan 1,38% APBD KesehatanBelanja Langsung (Non Gaji). Akan tetapi, Kota Depok belum siap dalam melaksanakan PIS PK dalam hal komitmen, SDM, dan anggaran. Kota Depok sudah memahami PIS PK namun pelaksanaannya tergantung pada ketersediaan pembiayaan yang berasal dari pencairan anggaran DAK Non Fisik. Hal ini disebabkan karena terdapat jeda waktu antara proses pengusulan dan realisasi pencairan anggaran sementara SDM terbatas. Diperlukan proses perencanaan yang lebih optimal serta pengalokasian SDM sesuai kebutuhan.AbstractHealthy Indonesia Program with Family Approach (PIS PK) is a way to expand Puskesmas reach and access to health services through family home visit Overcoming non-communicable diseases (NCD) is a national priority in achieving Healthy Indonesia because the prevalence of NCD continues to increase. Managing NCD specifically hypertension, Diabetes Mellitus andmental disorders are among the indicators of healthy families in achieving PIS PK. This research uses the qualitative method through in-depth interviews and related document. Analysis of readiness of financing for hypertension, Diabetes Mellitus and mental is calculated using costing method of SPM. The results indicated health spending for PIS PK activities wereutilized for socialization, education and data collection. Referring to SPM costing calculation, the City of Depok was able to implement SPM for hypertension, Diabetes Mellitus and Mental Disorder with using only 1.38% of the total APBD (non-salary). Depok City is not ready in implementing PIS PK, specifically in terms of commitment, human resources, and budget.Though already familiar with PIS PK, Depok City states due to its limited resources, PIS PK implementation depends on the availability of funding from Non-Physical DAK disbursement that tends to have a lengthy lag time between the proposal process and the realization of the disbursement. The financing of PIS PK requires a more optimal planning process and allocation of human resources as needed.

THE STANDARDS OF MEDICAL CARE WITH SELF CARE FOR DIABETES MELLITUS OUTPATIENTS Handi Wirawan; Prastuti Soewondo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Diabetes mellitus (DM) is a chronic disease that will be carried for life. DM management requires the participation of doctors, nurses, nutritionists, and other health workers. Based on this, Diabetes mellitus (DM) requires awareness, self care and collaboration from all health workers. The awareness, self care and collaboration of health workers on the importance of carrying out two-way services in patients with diabetes mellitus are the supporting forces in the DM case control program according to the standard of medical care. This study is to find out the standard of medical care with self care for diabetes mellitus outpatients. Methods: A systematic review through an article review to find out the standard of medical care with self care for diabetes mellitus outpatients. The inclusion criteria for the articles used were diabetes mellitus outpatients self care, while the exclusion criteria were abstract articles, articles that did not use English and the non full text articles. Article search is limited to articles in English accessed from internet searches from databases, namely: NCBI and Knowledge E with the keyword standard medical care, self care, and diabetes mellitus. Results: Based on the 7 articles with the same title, the screening was carried out according to the criteria for inclusion and exclusion, obtained 5 articles for further review. Self care in diabetes is a series of skills that are very important to improve the effectiveness of self management in diabetes awareness of the patient itself and collaboration with health workers. Nurses deal with collaborative problems both between health workers and patients by using doctor's provisions and prescribed interventions, to minimize complications from the occurrence. Conclusion: One of the most factor that need to be improved to decreased the case of DM is how to maintain the self care of DM outpatients. It is very important because the self care is helping the outpatient with DM to maintain their own health. Because of that, the important recommendation for DM outpatient is to maintain and increasing their standard of medical care with self care.

PREVENTION AND MANAGEMENT FOR THE COMPLICATION OF THIRD MOLAR SURGERY : A SYSTEMATIC REVIEW Ida Ayu Wirastuti; Ida Bagus Nyoman Maharjana; Prastuti Soewondo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Impacted third molar surgery is one of the most common procedures performed by maxillofacial surgeons and it is often attended by complications. Although clinical conditions associated with retained third molars are well understood, little is known about the impact of those conditions on the quality of life among affected patients. There is growing recognition that the impact of oral conditions on quality of life is an important outcome that can be quite useful in making treatment decisions. All the information in this review could be useful for the clinicians in order to show the surgical and pharmacologic parameters that may influence the postoperative discomfort in the third molar surgeries. Methods: This systematic review followed the recommendations in PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Some of the key words or Medical Subject Heading (MeSH) terms used in in the two data bases (Proquest and Google Scholar) were: (1) Third Molar Surgery, (2) Complication, (3) Prevention. The articles were published in English from 2009 to 2019. Results: Studies were eligible if they evaluated prevention and management for the complication of third molar surgery, and eight studies for qualitative synthesis. Of the eight articles, all studies were selected with Randomized Control Trial. Eight studies were included because they discussed the prevention and management of third molar surgery complication. Almost all of the practices of prevention and management of third molar surgery complication described that analgetic ibuprofen and paracetamol were used for decreasing the pain, and also amoxicillin tablet was used as an antibiotic for preventing high risk complication. According to studies, prophylactic use of chlorhexidine mouth rinse in third molar surgery are equally effective in keeping post operative infection to a minimum level in medically competent patient. Conclusions: All studies revealed that the most common complications of third molar surgery were pain, trismus, swelling, alveolar osteitis, and dry socket. Those studies discussed the prevention and management third molar surgery complication. Ibuprofen and paracetamol were used to decrease the pain, amoxicillin (1g) and amoxicillin/clavulanate (875/125mg) had similar efficacious in preventing infection after retained third molar extraction, but amoxicillin and clavunate (875/125mg) produced more gastrointestinal discomfort. Prophylactic use of chlorhexidine mouth rinse and gel in third molar surgery were equally effective in keeping post operative infection. Corticosteroid had a significant and sustained anti- inflammatory effects.

DETERMINANTS OF TRADITIONAL, COMPLEMENTARY, AND ALTERNATIVE MEDICINE (TCAM) CHOICES : A SYSTEMATIC REVIEW Zainal Abidin; Prastuti Soewondo
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Traditional, complementary, and alternative medicine (TCAM) is one of the treatment methods that have existed for a long time. The use of TCAM as treatment is increasing in many countries. Extensively, TCAM is used to treat various diseases, especially patients with two or more chronic diseases. TCAM as treatment is chosen by the community based on their HBM (Health Belief Model). This study aims to look at the reasons patients choose to seek treatment at TCAM. Methods: Systematic review with journal tracking through 3 database source, ProQuest, Scopus and Springer Link. We use the keywords “determinants” AND “traditional, complementary, and alternative medicine” for journals published in the last five years. Then we conduct critical appraisal of the selected journals. Results: From the five selected studies , we found that health satisfaction variables are the strongest reason in TCAM choice as treatment. They visit health modalities to improve their well-being or health status. Some believe and agree that TM is more safety, more convenient, more effective, cheaper, and easier to use. The use of TCAM is related to patient satisfaction, TCAM knowledge, outsides influence, positive perception, higher education, and more than 1 chronic illness. All these factors explain the model of peoples belief to health services. Conclusions: Patient satisfaction was strongly predictor of TCAM choices. Their well-being have perceived more better after using TCAM services. The socio-demographic and socioeconomic variables are modifying factors that doesn’t always influence patient decision. All these determinants enrich the HBM theory as follows patient satisfaction, patient knowledge, socio-demographic, socioeconomic, and distrust as barrier.

Analisis Sosiodemografi terhadap Pemberian ASI Eksklusif di Provinsi Sulawesi Selatan : Analisis Data Susenas 2017 Dwi Ayulestari; Prastuti Soewondo
Media Kesehatan Masyarakat Indonesia Vol. 15 No. 1: MARET 2019
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Breastfeeding is one of mother’s responsibility to give children’s need of nutrition for healthy growth anddevelopment. This research using secondary data from National Social Economic Survey 2017. The respondentswas all mother with 6-24 month baby in South Sulawesi Province as many as 1.857 mothers. Binary regressionwith Logit Models and Probit Models was used to uncover the probability from factor sosiodemography to exclusivebreastfeeding. The result showed that mother’s age negatively related to exclusive breastfeeding with coefficientLogit value -0,105 and Probit value -0,600 (p value < 0,01). The result also found that household incomepositively related to exclusive breastfeeding with coefficient Logit value 0,645 and Probit value 0,376 (p value<0,01), the same with parity which positively related with coefficient Logit value 1,210 and Probit value 0,713(p value <0,01). Mother’s age was the factor sociodemography to exclusive breastfeeding, however mother’sage showed negative effect. Moreover, respondents with household income and parity showed positive effect withexclusive breastfeeding. This conclude that the higher mother’s age, the higher chance of mother to not givingexclusive breastfeeding.

FACTORS RELATED TO PENDING CLAIM IN INDONESIAN NATIONAL HEALTH INSURANCE (JKN): A SYSTEMATIC REVIEW I Nyoman Gede Semarajana; Prastuti Soewondo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The number of Indonesian National Health Insurance (JKN) member is increasing every year. It is bringing impact to the hospital and Social Security Organizing Agency (BPJS) of health. The hospital finances will face problem if BPJS of health pending or giving a smaller number of claims paid to the hospital. The hospital will get problem with employee payroll, payment of specialist medical services, drugs availability, and maintenance of hospital facilities and medical equipment. This study aims to analyze factors related to pending BPJS claim in Indonesian National Health Insurance. Methods: This study was a systematic review used PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) guidelines. Data obtained from journal database of Google Scholar that published between 2014-2019. The relevant studies must include factors related to pending claim in JKN. Results: The search found out 217 studies, of which 84 studies used English and Indonesia language and only 5 studies that eligible for this study. The 5 studies showed factors related to pending claim in JKN were human resources, administration, regulation, facilities, external and evaluation factors. Human resources factor more likely appeared as cause for pending BPJS claim. Conclusion: Factors related to pending claim in JKN were human resources, administration, regulation, facilities, external and evaluation factors. Human resources was the factor that most influenced for pending BPJS claim. The hospital must create strategies to overcome the factors that cause pending claim. The government should create a policy that can help BPJS of health overcome the deficit and protect the patients from facing decrease in the quality of hospital services.

ANALISIS MANAJEMEN ANGGARAN PADA RUMAH SAKIT RUJUKAN DI MASA PANDEMI COVID-19 Helena Turnip; Prastuti Soewondo
Jurnal Ekonomi Kesehatan Indonesia Vol 7, No 2 (2022)
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/eki.v7i2.5993

Manajemen anggaran merupakan salah satu bentuk pertanggungjawaban pengelolaan anggaran kas yang didistribusikan oleh pemerintah kepada instansi rumah sakit sehingga anggaran yang diberikan oleh pemerintah pusat dapat dipergunakan secara efektif, efisien dan tepat sasaran. Untuk mengkaji dan mengeksplorasi manajemen anggaran pada rumah sakit di Indonesia di masa pandemi COVID-19 berkaitan dengan anggaran pengadaan APD dan sarana prasarana di rumah sakit sebagai upaya penanggulangan pandemi COVID-19. APD merupakan salah satu instrumen krusial yang harus digunakan oleh seluruh tenaga medis dalam melaksanakan tugasnya, hal ini memicu peningkatan anggaran pengadaan APD. Literature review dengan mengkaji penelitian terdahulu yang relevan. Manajemen anggaran dalam rumah sakit belum terkategori efektif dan efisien sehingga diperlukan perencanaan dan manajemen anggaran yang lebih matang bagi rumah sakit untuk mengelola anggaran. Pengalokasian dana yang dilakukan pada beberapa rumah sakit di Indonesia direalisasikan dengan melakukan pembelian alat dan juga perlengkapan APD untuk menambahkan sarana dan prasarana yang digunakan dalam penanggulangan COVID-19.

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