Yennike Tri Herawati
Bagian Administrasi Dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Jember

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GAYA HIDUP SEKSUAL WARIA NON PEKERJA SEKS KOMERSIAL KOTA SEMARANG Rokhmah, Dewi; Herawati, Yennike Tri
IKESMA Vol 6, No 2 (2010)
Publisher : FKM - UNEJ

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Abstract

Being transvestites is not merely bringing a biological problems, but also psychological and sociological. Most transvestites were having a low self concept due to their confusion on their sexual identity. The ambiguity place them isolated from community. Social pressure forms stigmatization and discrimination toward thisgroup of people, which lead them to have more risky sexual practice. This study aims to analize the sexual life style of non-commercial transvestites in Semarang. It was a qualitative study involved informants aged 25-54. Most of them reconstruct their face and body in order to maximize their sexual appeal as a female. Most of respondents were having steady single or married partner. However, the status was not limiting them to have sexual relationship with others. Less respondent found their partner from chatting, hang-out in a hot spot (cebongan), and using gigolos services. All the respondents only needed a few of time to finally engage in sexual intercourse with their partner. First sight, first date and sexual intercourse were occurred in a quick encounter. The reasons of having sexual intercourse (anal and or oral sex) were to show their love to their partner and just for fun. They were mostly prefer anal or oral sex, however, some of them also practicing petting with “es gosrok” style of commonly called clamping style. Although most of them negotiate with their partner to use condom, there were some of them were not because they did not practicing penetration anal sex. Keywords : transvestites, non-commercial, sexual lifestyle, sexual script
COST BENEFIT ANALYSIS ANTARA PEMBELIAN ALAT CT-SCAN DENGAN ALAT LASER DIODA PHOTOCOAGULATOR DI RSD BALUNG JEMBER Nuryadi, Nuryadi; Herawati, Yennike Tri; Triwardhani, Rafida
IKESMA Vol 10, No 1 (2014)
Publisher : FKM - UNEJ

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Abstract

Cost benefit analysis is an economic analysis that is used to evaluate economic resources usage so that the scarce economic resources can be used efficiently. In 2014, Balung General Hospital suggests some program to central government in order to support operational activity in Balung General Hospital. However, not all suggestions can be realized because the limitation of fund given by government. The purpose of the research is doing calculation of Cost benefit analysis between suggestion of CT-Scan device purchasing or suggestion of Laser dioda photocoagulator in Balung General Hospital of Jember. This research is quantitatif descriptive with analysis unit in Radiology Installation and Eye Poly. Based on the calculation of each step of Cost benefit analysis, we know that each suggestion has different Benefit-Cost Ratio (BCR) value where BCR value of Laser dioda photocoagulator device purchasing suggestion is 0,858 that is bigger than BCR value of CT-Scan device purchasing suggestion which is 0,078. Based on the BCR value, so the first prioritized suggestion is the Laser dioda photocoagulator that brings bigger benefit for Balung General Hospital of Jember.   Keywords: Cost Benefit Analysis, BCR (Benefit Cost Ratio), CT-Scan, Laser dioda photocoagulator
IMPLEMENTASI KEBIJAKAN PEMBAYARAN KAPITASI BERBASIS PEMENUHAN KOMITMEN PELAYANAN (KBKP) DI KABUPATEN JEMBER Christyana Sandra; Yennike Tri Herawati; Ni'mal Baroya; Sulistiyani Sulistiyani; Prehatin Trirahayu Ningrum; Kurnia Ardiansyah Akbar; Andrei Ramani
Jurnal Ilmu Kesehatan Masyarakat Vol 17 No 1 (2021)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v17i1.22441

Abstract

Kapitasi berbasis pemenuhan komitmen pelayanan (KBKP) merupakan salah satu sistem pembayaran dalam program jaminan kesehatan nasional pada puskesmas untuk meningkatkan pelayanan yang efektif dan efisien sehingga mutu layanan yang diberikan dapat terjaga. Kabupaten Jember sebagai salah satu kabupaten yang menjalankan kebijakan tersebut, namun diketahui terdapat kendala dalam pelaksanaan kebijakan tersebut. Penilaian terhadap puskesmas melalui KBKP dilihat berdasarkan pencapaian indikator yang meliputi angka contact rate, rasio rujukan rawat jalan non spesialistik, rasio peserta prolanis dan 1 indikator tambahan yaitu kunjungan rumah. Namun pelaksanaan kebijakan ini terdapat beberapa permasalahan yang dapat menghambat pencapaian target. Penelitian ini menggunakan metode Riset Implementasi. Riset ini membahas berbagai masalah implementasi dalam konteks yang beragam dimana pengambilan datanya dilakukan secara kualitatif (indepth interview) dan kuantitatif (analisis data sekunder). Evaluasi pelaksanaan KBKP tahun 2016 menunjukkan masih banyaknya tantangan dan hambatan sehingga BPJS Kesehatan mengeluarkan petunjuk teknis terkait KBKP. Tujuan penyusunan petunjuk teknis tersebut adalah memberikan panduan bersama pelaksanaan pembayaran kapitasi berbasis pemenuhan komitmen pelayanan di FKTP. Pemerintah daerah diketahui kurang terlibat dalam kebijakan KBKP tersebut, tidak terdapat kebijakan yang mendukung kebijakan KBKP di tingkat kabupaten. Pencapaian target indikator yang telah ditetapkan dalam regulasi KBKP masih sulit dicapai oleh puskesmas khususnya pada indikator contact rate, pencapaian target indicator contact rate hanya 15 puskesmas (30%). Pencapaian indikator rujukan non spesialistik yang telah ditetapkan dalam regulasi KBKP selalu dapat dicapai oleh puskesmas (100%), namun indikator prolanis target pencapaiannya hanya 38 puskesmas dari 50 puskesmas yang dapat mencapai (76%). Sulitnya pencapaian target indikator contact rate karena petugas kesehatan di puskesmas tidak sempat meng-entry data kontak sehat dan kontak sakit pada aplikasi P Care. Diketahui KBKP dapat meningkatkan kepuasan peserta karena memaksa puskesmas untuk meningkatkan contact rate dengan peserta JKN dan merasa di ‘spesial’kan dengan program prolanis. Kebijakan KBKP juga dapat meningkatkan mutu pelayanan puskesmas karena puskesmas harus meningkatkan sarana prasarana agar 145 diagnosis tersebut dapat diselesaikan.
Manajemen Program Pengelolaan Penyakit Kronis di Puskesmas Praja, Bravianty Agustine; Herawati, Yennike Tri; Witcahyo, Eri
HIGEIA (Journal of Public Health Research and Development) Vol 4 No 3 (2020): HIGEIA: July 2020
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v4i3.32352

Abstract

Abstrak Prolanis adalah program BPJS Kesehatan melalui FKTP bagi peserta BPJS Kesehatan dengan hipertensi dan DM tipe 2. Perhitungan rata-rata RPPB Puskesmas Sukowono belum memenuhi target minimal pada tahun 2018, yaitu 40,49%. Sedangkan RPPB Puskesmas Gumukmas telah memenuhi yaitu 100%. Penelitian ini untuk mengetahui gambaran manajemen Prolanis di Puskesmas Sukowono dan Puskesmas Gumukmas. Penelitian ini merupakan penelitian deskriptif yang dilakukan pada Bulan April hingga Bulan Juli 2019. Hasil penelitian pada perekrutan peserta Prolanis Puskesmas Sukowono belum optimal dan tidak melakukan reminder. Penjaringan peserta Prolanis Puskesmas Gumukmas belum menyeluruh. Pengelolaan SDM kegiatan Prolanis Puskesmas Sukowono belum sesuai sedangkan pengorganisasian Prolanis Puskesmas Gumukmas sudah sesuai dalam semua aspek. Prolanis Puskesmas Sukowono tidak melaksanakan reminder dan home visit sedangkan Prolanis Puskesmas Gumukmas melaksanakan. Pelaksana evaluasi dan tindakan koreksi Prolanis Puskesmas Sukowono antara kepala puskesmas dan penanggung jawab Prolanis memiliki jawaban yang berbeda sedangkan jawaban kepala puskesmas dan penanggung jawab Prolanis Puskesmas Gumukmas sudah sama. Manajemen Prolanis Puskesmas Sukowono belum optimal dibandingkan dengan Prolanis Puskesmas Gumukmas. Abstract Prolanis is Social Security Agency of Health program through primary health care for hypertension and type 2 DM participants. Sukowono Primary Health Care RPPB average was not reaching minimum target in 2018, namely 40,49%. Whereas Gumukmas was reaching it namely 100%. This study was to find out the description of Prolanis management at Sukowono and Gumukmas Primary Health Care. This study was descriptive study conducted at April until July 2019. Study results showed recruitment of Prolanis participants at Sukowono was not optimal and not implement reminder while Gumukmas was not comprehensive in Prolanis participants screening. Management of Prolanis implementers at Sukowono was inapt while Prolanis organizing at Gumukmas was apt in all aspects. Sukowono Prolanis not implement reminder and home visit while Gumukmas Prolanis impelemented them. Evaluating and correcting implementer among the head of Sukowono and the person in charge of Prolanis had different answers meanwhile the answers among the head of Gumukmas and person in charge of Prolanis were same. Sukowono Prolanis management was not optimal than Gumukmas Prolanis. Keywords: Prolanis, Management
Manajemen Pelayanan Kesehatan Jamaah Haji di Puskesmas Kalisat Kabupaten Jember Purwita Dwi Arysca Pratiwi; Eri Witcahyo; Yennike Tri Herawati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 1 (2022): Januari 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13136

Abstract

The health efforts provided to the pilgrims in all the activities of organizing the pilgrimage from the first stage to the third stage are carried out in curative and rehabilitative forms. Achieving quality Hajj health services requires management that regulates the implementation of Hajj health services. The purpose of this study was to examine the management of health services for pilgrims at Kalisat Public Health Center, Jember Regency using the theory of Planning, Organizing, Staffing, Directing, Coordinating, Reporting, and Budgeting (POSDCORB). This research was a case study research with a qualitative approach. The key informants in this study were 2 people consisting of the Hajj Health Coordinator of the Jember District Health Office and the Head of the Kalisat Health Center; the main informants consisted of 2 people, namely the Kalisat Health Center Hajj Coordinator and health center officers; while the additional informants consisted of 3 pilgrims in Kalisat District. Data were collected through in-depth interviews and document studies. Based on the results of the study, it was known that most of the informants understand the process of planning and management of hajj health services carried out at the health center, and there are still a few problems regarding the misunderstanding of hajj pilgrims.Keywords: Hajj health service management; planning; organizingABSTRAK Upaya kesehatan yang diberikan kepada jamaah haji pada seluruh kegiatan penyelenggaraan ibadah haji mulai dari tahap pertama hingga tahap ketiga dilakukan dalam bentuk kuratif dan rehabilitatif. Tercapainya pelayanan kesehatan haji yang berkualitas memerlukan manajemen yang mengatur pelaksanaan pelayanan kesehatan haji. Tujuan penelitian ini adalah mengkaji pengelolaan pelayanan kesehatan jamaah haji di Puskesmas Kalisat, Kabupaten Jember menggunakan teori Planning, Organizing, Staffing, Directing, Coordinating, Reporting, dan Budgeting (POSDCORB). Penelitian ini merupakan penelitian studi kasus dengan pendekatan kualitatif. Informan kunci dalam penelitian ini adalah 2 orang yang terdiri atas koordinator kesehatan haji Dinas Kesehatan Kabupaten Jember dan Kepala Puskesmas Kalisat; informan utama terdiri dari 2 orang yaitu Koordinator Kesehatan Haji Puskesmas Kalisat dan petugas puskesmas; sedangkan informan tambahan terdiri dari 3 jamaah haji di Kecamatan Kalisat. Data dikumpulkan melalui wawancara mendalam dan studi dokumen. Berdasarkan hasil penelitian, diketahui bahwa sebagian besar informan memahami proses perencanaan dan manajemen pelayanan kesehatan haji yang dilakukan di puskesmas, dan masih terdapat sedikit masalah tentang ketidakpahaman jamaah haji.Kata kunci: manajemen pelayanan kesehatan haji; perencanaan; pengorganisasian
BUDAYA KESELAMATAN PASIEN DI RUANG RAWAT INAP RUMAH SAKIT X KABUPATEN JEMBER Yennike Tri Herawati
Jurnal Ilmu Kesehatan Masyarakat Vol 11 No 1 (2015)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Patient safety is a priority for implementation of the five important safety issues in hospital, because of patient safety issues related to the quality and image of the hospital it self. Diversity and regularity of the service if it is not managed properly can occur Safety Patient Incident, it’s consisting of Adverse Event, Near Miss, Incidentand Hazard (Depkes,2006). Based on data report of patient safety incidents X Hospital at JemberDistric 2011 to 2012 anincrease of patient safety incidents. It is appropiate with national guidelines hospitalpatient safety, the first step patient safety program at the hospital is building a patient safetyculture. The purpose of this research is a deskriptif study was to describe patient safety culture at inpatient of Hospital X Jember District. Indepth interview do to inpatient nurses using interview guide. Nurses who responded to as many 113 nurses wereselected by proportional random sampling.This study using cross sectional approach. The results showed that the indicator of patient safety culture for cooperation in both categories, communication in both categories, leadership in fairly categories, reporting in fairly categories and response is not punishing also in fairly categories. The conclusion of this study is the need for improvements to the leadership indicators, reporting, and response is not to punish.Key words : Patient, culture, nurse
Manajemen Program Pengelolaan Penyakit Kronis di Puskesmas Praja, Bravianty Agustine; Herawati, Yennike Tri; Witcahyo, Eri
HIGEIA (Journal of Public Health Research and Development) Vol 4 No 3 (2020): HIGEIA: July 2020
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v4i3.32352

Abstract

Abstrak Prolanis adalah program BPJS Kesehatan melalui FKTP bagi peserta BPJS Kesehatan dengan hipertensi dan DM tipe 2. Perhitungan rata-rata RPPB Puskesmas Sukowono belum memenuhi target minimal pada tahun 2018, yaitu 40,49%. Sedangkan RPPB Puskesmas Gumukmas telah memenuhi yaitu 100%. Penelitian ini untuk mengetahui gambaran manajemen Prolanis di Puskesmas Sukowono dan Puskesmas Gumukmas. Penelitian ini merupakan penelitian deskriptif yang dilakukan pada Bulan April hingga Bulan Juli 2019. Hasil penelitian pada perekrutan peserta Prolanis Puskesmas Sukowono belum optimal dan tidak melakukan reminder. Penjaringan peserta Prolanis Puskesmas Gumukmas belum menyeluruh. Pengelolaan SDM kegiatan Prolanis Puskesmas Sukowono belum sesuai sedangkan pengorganisasian Prolanis Puskesmas Gumukmas sudah sesuai dalam semua aspek. Prolanis Puskesmas Sukowono tidak melaksanakan reminder dan home visit sedangkan Prolanis Puskesmas Gumukmas melaksanakan. Pelaksana evaluasi dan tindakan koreksi Prolanis Puskesmas Sukowono antara kepala puskesmas dan penanggung jawab Prolanis memiliki jawaban yang berbeda sedangkan jawaban kepala puskesmas dan penanggung jawab Prolanis Puskesmas Gumukmas sudah sama. Manajemen Prolanis Puskesmas Sukowono belum optimal dibandingkan dengan Prolanis Puskesmas Gumukmas. Abstract Prolanis is Social Security Agency of Health program through primary health care for hypertension and type 2 DM participants. Sukowono Primary Health Care RPPB average was not reaching minimum target in 2018, namely 40,49%. Whereas Gumukmas was reaching it namely 100%. This study was to find out the description of Prolanis management at Sukowono and Gumukmas Primary Health Care. This study was descriptive study conducted at April until July 2019. Study results showed recruitment of Prolanis participants at Sukowono was not optimal and not implement reminder while Gumukmas was not comprehensive in Prolanis participants screening. Management of Prolanis implementers at Sukowono was inapt while Prolanis organizing at Gumukmas was apt in all aspects. Sukowono Prolanis not implement reminder and home visit while Gumukmas Prolanis impelemented them. Evaluating and correcting implementer among the head of Sukowono and the person in charge of Prolanis had different answers meanwhile the answers among the head of Gumukmas and person in charge of Prolanis were same. Sukowono Prolanis management was not optimal than Gumukmas Prolanis. Keywords: Prolanis, Management
Analisis Kesiapan Pengguna dan Pengaruhnya terhadap Penerimaan SIK Lumajang sebagai Sistem Informasi Manajemen Puskesmas Imam Shofwan; Eri Witcahyo; Yennike Tri Herawati
Jurnal Kedokteran dan Kesehatan Vol 14, No 1 (2018): JURNAL KEDOKTERAN DAN KESEHATAN
Publisher : Faculty of Public Health, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/jkk.14.1.83-97

Abstract

Data tim pengelola Sistem Informasi Kesehatan (SIK) Lumajang Dinas Kesehatan Kabupaten Lumajang menyebutkan bahwa permasalahan dalam pemanfaatan SIK yaitu puskesmas atau pengguna yang belum siap dan menerima aplikasi SIK Lumajang. Hanya 11 dari 25 puskesmas yang telah memanfaatkan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen di puskesmas. Penelitian ini bertujuan untuk mengidentifikasi kesiapan pengguna dan pengaruhnya terhadap penerimaan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen puskesmas di Kabupaten Lumajang dengan konsep teori TRI dan TAM. Penelitian ini adalah penelitian kuantitatif dengan rancangan cross sectional, dilakukan di 11 Puskesmas yang telah memanfaatkan aplikasi SIK Lumajang. Pengambilan data menggunakan metode wawancara dengan kuesioner dan dokumentasi SIK Lumajang bulan September 2016 sampai dengan Oktober 2017. Sampel sebanyak 54 responden diambil dengan teknik multistage random sampling. Data yang dikumpulkan berupa tingkat kesiapan pengguna sistem informasi manajemen di puskesmas sebagai variabel bebas, serta data persepsi kegunaan, persepsi kemudahan, sikap terhadap penggunaan teknologi, niat perilaku menggunakan teknologi, perilaku atau penggunaan teknologi sesungguhnya sebagai variabel terikat. Uji bivariat dianalisis menggunakan uji regresi linier sederhana. Hasil penelitian menunjukkan bahwa pengaruh antar variabel penelitian seluruhnya berpengaruh positif dan signifikan (p<0.05) sesuai dengan teori yang ada. Variabel dengan pengaruh terbesar terdapat pada niat perilaku menggunakan terhadap penggunaan teknologi sesungguhnya. Kata kunci: kesiapan pengguna; puskesmas; SIK lumajang
Analisis SWOT di Instalasi Gawat Darurat (IGD) Rumah Sakit Fathma Medika Gresik untuk Meningkatkan Kunjungan Tahun 2016 (SWOT Analysis in the Emergency Room (ER) of Fathma Medika Hospital Gresik in Order to Increasing Visits 2016) Nurika Amaliah; Yennike Tri Herawati; Eri Witcahyo
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Trauma Center is one of Fathma Medika Hospital’s featured services to handle the trauma patients in the hospital. Trauma Center is closely related to the ER where ER is a major gateway entry of patients with emergency conditions to prevent the risk of disability and death to respond time for 5 minutes and definitive time <2 hours. In addition, data showed that the number of patient visits in ER of Fathma Medika Hospital in period of January-December 2015 did not achieve the set targets. Therefore, the matter will be examined using SWOT approach to determine a strategy that could be recommended to improve traffic based on the analysis. The purpose of this study is to analyze the strength, weakness, opportunity, and threat in the ER. This type of research is descriptive with the number of respondents as many as 12 people during October 2016. The results showed that the strength of internal components include human resources, facilities, promotion, planning, organizing, implementing, and monitoring and evaluation while the weaknesses are and the amount of service tariff visit. External components into opportunities are the government policy, social, and economic while the threat is competitive. The conclusion of this study is IGD RS Medika Fathma Gresik get a score of internal and external 0.796 and 0.817 are in the first quadrant so that the strategies are rapid and aggressive growth. Keywords : Planning Strategy, SWOT Analysis, Emergency Room
Mutu Pelayanan Voluntary Counseling and Testing (VCT) di Klinik VCT Puskesmas Puger dari Perspektif Provider Indah Ernawati; Christyana Sandra; Yennike Tri Herawati
Pustaka Kesehatan Vol 7 No 2 (2019): Volume 7 No. 2, 2019
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v7i2.19121

Abstract

Voluntary Counseling and Testing (VCT) is an entry point to help everyone in utilizing services related to HIV-AIDS prevention, care, support and treatment. Puger Primary Health Care is a primary health care located in the work area with the highest number of HIV-AIDS sufferers in Jember Regency, experiencing a decrease in client visits, and there are some management services that are still not in accordance with VCT guidelines. This study aimed to describe the quality of VCT services at the VCT Clinic Puger Primary Health Care from the perspective of provider. This study was descriptive study using questionnaire, documentation study, and observation. The study respondents were 7 VCT clinic officers. The results indicated that in input parameter showed a lack of human resources, insufficient funding, lack of availability and material conditions that meet the VCT guidelines. In planning indicators related to the human resources, improvements of infrastructure facilities had not been written in the POA, the job description was sufficient based on duties and competences of staff and there were coordination, supervision and evaluation. In the dimensions of technical competence, access to services, efficiency, human relations, continuity and safety of VCT clinics in good categories, but sufficient and less categories for dimensions of effectiveness and comfort dimensions.