Tetra Fajarwati
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Challenges and Solutions in Implementing a Healthy Indonesia Program with a Family Approach Eva Sulistiowati; Andy Leny Susyanty; Tetra Fajarwati; Aprildah Nur Sapardin; Made Dewi Susilawati; Rossa Avrina; Mujiati; Siti Nur Hasanah; Nova Sri Hartati; Agus Dwi Harso; Tince Jovina; Makassari Dewi; Andre Yunianto
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.595 KB) | DOI: 10.30597/mkmi.v16i4.10041

Abstract

The Healthy Indonesia Program with a Family Approach (PISPK) is conducted bypuskesmas by integrating existing resources, with the family’s target. All familieswill get access to comprehensive health services. The implementation of PISPKsince 2016 has not been optimal because it has many obstacles. The analysis aimsto identify the obstacles, and to find solutions to implemented PISPK optimally.Implementation research was carried out using Participatory Action Research(PAR). The team (researcher and subject) implemented PISPK together based onstages that integrated into puskesmas management, at 4 puskesmas in SouthLampung. Researchers assisted and recorded data collected qualitatively (self-assessment, in-depth interviews, Focus Group Discussion), and quantitatively.There are any obstacles occurred in the implementation of PISPK such as theabsence of regulations and cross-sectoral supports; lack of knowledge andsupport from village officials, community leaders, and the public; limitedresources; lack of understanding of the substantive; application; lack of dataanalysis capabilities. These obstac-les can be minimized by making somebreakthroughs, such as advocacy and issuance of local government regulations onPISPK involving cross-sectors; increase socialization; periodic coordination,monitoring, and evaluation; making innovations (On Job Training, collaborationwith universities and health volunteer, Healthy Family Coverage Pocket Book,developing data analysis methods). The implementation of PISPK has manyobstacles that can be minimized by optimizing existing potentials and supportfrom stakeholders. Puskesmas need to increase socialization; team organizing;data analysis; coordination, and routine monitoring evaluation. Pusdatin needs toimprove KS applications to be more user-friendly.
ANALISIS KINERJA TENAGA PELAKSANA GIZI PUSKESMAS DALAM PENANGGULANGAN BALITA GIZI BURUK DI KABUPATEN KEBUMEN Sudikno .; Tetra Fajarwati; Rika Rachmawati; Irlina Raswanti; Sandjaja .
GIZI INDONESIA Vol 30, No 2 (2007): September 2007
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v30i2.44

Abstract

WORK PERFORMANCE OF PUSKESMAS NUTRITION OFFICER IN THE MANAGEMENT OF SEVERE MALNUTRITION IN KEBUMENMinistry of Health published Guidelines for the Management of Severe Malnutrition in Puskesmas(Community Health Center) adopted from WHO book. It is a handbook for nutrition officer inPuskesmasto treat severe malnourished children in his areas. However, there has no study toevaluate work performance of nutrition officer in the implementation of the guidelines. A crosssectional study was conducted in the District of Kebumen, Central Java Province where severemalnourished children were high to determine work performance of Puskesmas nutrition officer.Samples of the study were 33 nutritition officers of Puskemas and 29 heads of Puskemas.Variables collected were characteristics of nutrition officer, budget and time allocated for nutrition,nutrition equipment and supplies, and management of severe malnutrition program; planning,implementation, monitoring, supervision, recording, reporting and evaluation constructed inquestionares. A composite of good and no good were based on variables to measure workperformance. The study team interviewed the samples by using questionaires. The sudy revealedthat 48.5 % nutrition officer had good working performance. Analysis showed that good workingperformance of nutrition officers in the management of severe malnutrition was associatedsignificantly with availability of nutrition equipment and supplies in Puskesmas and Posyandu(integrated health post) and intensive supervision from District Health Office.Keywords: severe malnutrition, work performance, nutrition officer