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Nurhasmadiar Nandini
Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang|Universitas Diponegoro
Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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UPAYA MENERAPKAN STANDAR PELAYANAN MINIMAL DI BIDANG KESEHATAN PADA INDIKATOR PELAYANAN KESEHATAN HIPERTENSI DI PUSKESMAS KOTA SEMARANG Anindya, Prakasita Artha; Jati, Sutopo Patria; Nandini, Nurhasmadiar
Jurnal Kesehatan Masyarakat (e-Journal) Vol 8, No 1 (2020): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Minimum Service Standards have to be provided by each region to their citizen regarding the minimum type and quality of basic services. Minimum health service standard have 12 type of basic services. One of them are the health service of hypertension patient which was only 24,75% in 2017 from target 100% in Semarang. The research objective was to analyze the application of minimum service standards. This research used a qualitative method with a descriptive analytic approach. Data collected were primary data from in-depth interviews and secondary data that were relevant to the research needs. The study was conducted at Gunungpati Health Center, Ngesrep Health Center, Pudak Payung Health Center, Sekaran health Center, and Semarang City Health Office with research subjects as Head of Health Center, Head of Administration, Responsible PTM Program Holder, and patients. The results showed the Minister of Health?s Regulation Number 4 of 2019 concerning Minimum Service Standards in the Health sector was too ideal and was it difficult to reached. Puskesmas as the executor of the Minister of Helath Regulation Number 4 of 2019 must have innovations in order to achieve the 100% target. 
Upaya Menerapkan Standar Pelayanan Minimal di Bidang Kesehatan Berdasarkan Indikator Pelayanan Kesehatan Hipertensi di Puskesmas Kota Semarang Anindya, Prakasita Artha; Jati, Sutopo Patria; Nandini, Nurhasmadiar
Jurnal Ilmiah Mahasiswa Vol 10, No 2 (2020): Jurnal Ilmiah Mahasiswa
Publisher : Jurnal Ilmiah Mahasiswa

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Abstract

Title : Efforts to Apply Minimum Health Service Standards in Hypertension Health Services Indicators in Public Health Services of Semarang CityBackground: Minimum services standards have to be provided by each region to their citizen regarding the minimum type and quality of basic services. Minimum health service standard have 12 type of basic services. One of them are the health service of hypertension patient which was only 24,75% in 2017 from target 100% in Semarang District. Methods: The research objective was to analyse the implementation of minimum service standards. A qualitativemethod and a descriptive analytic approach was used in this research.Primary data from in-depth interviews and secondary data that were relevant to the research   were collected. The study was conducted at Public Health Services of Gunungpati, Ngesrep, Pudak Payung, Sekaran and Health Office ofSemarang City.  The respondents wereprovider staff at Public Health Services and Health Office holding the non-infection disease program. To get properly information this study also interviewing the patients. Result: The results showed the Minister of Health’s Regulation Number 4/ 2019 concerning minimum service standards in the health sector was too ideal and was it difficult to reach. Conclusions: Public Health servicesas the executor of the Minister of Health Regulation Number 4/2019 must have innovations in order to achieve the 100% target.
Literature Review : Faktor Risiko Penyebab Obesitas Saraswati, Siwi Kurnia; Rahmaningrum, Faikha Dhista; Pahsya, M Naufal Zidane; Paramitha, Nadhila; Wulansari, Arum; Ristantya, Alfandira Rossa; Sinabutar, Beatrix Magdalena; Pakpahan, Vina Estetika; Nandini, Nurhasmadiar
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 1 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.1.70-74

Abstract

ABSTRAKLatar belakang: Obesitas merupakan suatu masalah gizi yang belakangan tumbuh dengan pesat baik di kalangan ekonomi menengah ke atas maupun menengah ke bawah. Tujuan dari penelitian ini adalah untuk melihat faktor penyebab obesitas berdasar teori H.L. Blum.Metode: Desain penelitian yang digunakan dalam penelitian ini adalah dengan menggunakan metode Literature review.  Teknik ini dilakukan dengan tujuan untuk mengungkapkan berbagai teori-teori yang relevan dengan permasalahan yang sedang dihadapi atau diteliti sebagai bahan rujukan dalam pembahasan hasil penelitian. Dalam penelitian ini penulis memilih artikel penelitian kuantitatif dengan desain cross sectional atau case control.Hasil: Hasil penelitian dari tinjauan artikel diketahui faktor penyebab obesitas berdasarkan teori H.L. Blum. Faktor yang mempengaruhi kejadian obesitas terdiri dari faktor lingkungan yaitu aktivitas fisik hanya sebagai trend dan pilihan makanan yang beragam, faktor pelayanan kesehatan yaitu pengaruh penyuluhan, faktor genetik yaitu usia, jenis kelamin, parental fatness, mutase gen, dan faktor perilaku yaitu pola makan dan kurangnya aktivitas fisik.Simpulan: Kejadian obesitas dipengaruhi oleh banyak faktor di antaranya faktor lingkungan, pelayanan kesehatan, genetik, dan perilaku.Kata kunci: Obesitas, lingkungan, pelayanan kesehatan, genetik, perilaku ABSTRACT Title: Literature Review: Risk Factors for Causes of ObesityBackground: Obesity is a nutritional problem that has recently grown rapidly both in the middle to upper and lower middle class economies. The purpose of the research is to looked at the causes of obesity based on H.L. Blum Theory.Method: The research design used in this study is to use the Literature review method. This technique is carried out with the aim of expressing various theories that are relevant to the problem being faced or being researched as reference material in the discussion of research results. In this study, the authors chose a quantitative research article with a cross sectional design or case control design.Result: The result of the research  from the article review found that the causes of obesity based on the theory of H.L. Blum. Factors that cause the incidence of obesity consist of environmental factors, namely physical activity only as a trend and various food choices, health service factors, namely the influence of counseling, genetic factors namely age, gender, parental fatness, gene mutation, and behavioral factors, namely diet and lack of health. physical activity.Conclusion: Obesity is caused by many factors including environmental factors, health services, genetics, and behavior.Keywords: Obesity, environment, health care, genetics, behavior
Strategi dan Aspek Bauran Pemasaran Untuk Meningkatkan Cakupan Pelayanan Inspeksi Visual Asam Asetat (Studi Kasus Di Puskesmas Kedungmundu Kota Semarang) Ulya, Siti Afuzal; Suryoputro, Antono; Nandini, Nurhasmadiar
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 19, No 6 (2020): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.19.6.412-418

Abstract

ABSTRAK Latar belakang: Beberapa Puskesmas di Kota Semarang sudah memiliki pelayanan IVA (Inspeksi Visual Asam Asetat) sebagai suatu upaya deteksi dini kanker serviks bagi wanita usia subur namun pemanfaatan pelayanan IVA masih belum mencapai target. Adapun tujuan dalam penelitian ini yaitu menganalisis strategi dan aspek bauran pemasaran untuk meningkatkan cakupan pelayanan IVA (Studi Kasus di Puskesmas Kedungmundu Kota Semarang.Metode: Penelitian kualitatif menggunakan pendekatan deskriptif. Teknik pengumpulan data yaitu indepth interview dengan purposive sampling. Variabel yang diteliti adalah produk, harga, tempat, promosi, faktor internal, eksternal dan cakupan pelayanan.Hasil: Cakupan pelayanan IVA di Puskesmas Kedungmundu mengalami peningkatan namun belum masih belum mencapai target. Pada aspek produk, masih ada pasien yang merasa takut dan proses informasi konseling belum lengkap. Aspek harga menunjukkan bahwa tidak ada masalah dalam hal biaya, waktu dan kenyamanan pasien. Aspek tempat menunjukkan bahwa lokasi dan durasi pelayanan sesuai kebutuhan pasien. Aspek promosi, belum rutin melakukan sosialisasi dan penggunaan media promosi tentang IVA belum optimal. Hal ini didukung dengan faktor internal yang menunjukkan kurangnya jumlah petugas terlatih IVA serta faktor eksternal menunjukkan bahwa sarana prasarana sudah mencukupi namun kualitas standar operasional prosedur belum diperhatikan.Simpulan: Oleh karena itu, Puskesmas Kedungmundu perlu memberikan informasi konseling yang lengkap, berkoordinasi dengan Dinas Kesehatan Kota Semarang tentang kualitas supervisi, meningkatkan jumlah petugas yang menerima pelatihan IVA dan meningkatkan promosi.Kata kunci: Analisis, pelayanan IVA, bauran pemasaran ABSTRACT Title: Strategy and Marketing Mix Aspect to Increase Acetic Acid Visual Inspection Service Covergae (Case Study at Kedungmundu Public Health Center, Semarang City)Background: Several Public Health Center in Semarang City already have VIA (Visual Inspection with Acetic Acid) services as an effort to detect cervical cancer for women of reproductive age however, the utilization of VIA services have not reached the target. This study aimed to analyze the marketing mix strategy to increase the coverage of VIA services (Case Study at Kedungmundu Public Health Center, Semarang City).Method: Qualitative research uses a descriptive approach. The data technique is in-depth interviews with purposive sampling. The variables studied were product, price, place, promotion, internal factors, external service coverage.Result: The coverage of IVA services at the Kedungmundu Health Center has increased but has not yet reached the target.  In the product aspect, there are still patients who feel afraid and the counseling information process is incomplete. The price aspect shows that there is no problem in terms of cost, time and patient comfort. The place aspect shows that the location and duration of service match the patient's needs. Promotion aspect, socialization is not routine yet and the use of promotional media about IVA is not optimal. This is supported by internal factors which indicate a lack of VIA trained personnel and external factors, it shows that the facilities and infrastructure are sufficient however the quality of procedur operational standard have not been attention.Conclusion: Thus, Kedungmundu Public Health Center need to give complete counseling information, coordination with the Semarang City Health Office about supervision quality, increasing the number of officers receiving VIA training and increasing promotion.Keywords: Analysis, VIA service, marketing mix
Literature Review : Hubungan Pola Makan dengan Kejadian Hipertensi Sistikawati, Hestu Ismah; Fuadah, Irvina Wahyu; Salsabila, Nanda Aulia; Azzahra, Atha Firza; Aesyah, Anis; Insyira, Insyira; Adhitama, Pramudya Fahry; Anggraini, Rika Kusuma; Nandini, Nurhasmadiar
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 1 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.1.57-62

Abstract

ABSTRAK Latar belakang: Hipertensi adalah gangguan pada pembuluh darah yang mengakibatkan suplai oksigen dan nutrisi yang dibawa oleh darah terhambat hingga ke jaringan tubuh yang membutuhkannya. Banyak faktor yang dapat meningkatkan risiko hipertensi antara lain karakterisitik individu (usia, jenis kelamin, riwayat penyakit hipertensi), pola makan (kebiasaan konsumsi lemak, natrium dan kalium) serta gaya hidup (kebiasaan merokok, konsumsi alkohol, stress, konsumsi kopi, dan juga aktivitas fisik). Penelitian ini bertujuan untuk mengetahui hubungan antara pola makan dengan kejadian hipertensi.Metode: Penelitian ini adalah literature review artikel yang mencari hubungan pola makan sebagai variabel bebas terhadap hipertensi sebagai variabel terikat. Artikel didapatkan dari database Google Scholar dengan kata kunci serta kriteria inklusi dan eksklusi yang telah ditentukan.Hasil: Didapatkan 7 artikel yang memenuhi kriteria, yaitu Ajikwa et al (2018), Dewi et al (2019), Retno et al (2019), Sri Mularsih et al (2018), Aprilia Tutut Indiati (2019), Galia Wardha Alvia (2018), dan Mahmasani Subkhi (2016). Seluruh artikel menunjukan adanya hubungan antara pola makan dengan hipertensi. Pola makan yang diteliti beragam, yaitu konsumsi kafein, konsumsi makanan laut, dan pola makan lainnyaSimpulan: Terdapat hubungan antara pola makan (konsumsi kafein, konsumsi makanan laut, dan pola makan lainnya) dengan kejadian hipertensi. ABSTRACT Title: Literatur Review : Relationship between Diet and Incidence of HypertensionBackground: Hypertension is a disorder of the blood vessels which causes the supply of oxygen and nutrients carried by the blood to be blocked up to the tissues that need it. Many factors can increase the risk of hypertension, including individual characteristics (age, gender, history of hypertension), diet (consumption habits of fat, sodium and potassium) and lifestyle (smoking habits, alcohol consumption, stress, coffee consumption, and also physical activity). This study aims to determine the relationship between diet and hypertension.Method: This study is a literature review article that looks for the relationship between diet as an independent variable on hypertension as the dependent variable. Articles were obtained from the Google Scholar database with predetermined keywords and inclusion and exclusion criteria.Result: Of the 7 articles analyzed, all showed a significant relationship between diet and the incidence of hypertension. Caffeine consumption patterns associated with hypertension with a value of p = 0.023, seafood consumption was associated with hypertension with a value of p = 0.000, and diet in general was associated with hypertension with a value of p = 0.000 to 0.028.Conclusion There is a significant relationship between diet (caffeine consumption, seafood consumption, and other dietary patterns) and hypertension.Keywords: Relationship, Diet, Hypertension, Central Java
Persepsi Dampak Ekonomi dan Sosial terhadap Kerentanan Fisik pada Status Kesehatan selama Pandemi COVID-19 (Studi Kasus di Provinsi Jawa Tengah) Dewi, Fitriana Tungga; Sriatmi, Ayun; Nandini, Nurhasmadiar
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 1 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.1.19-25

Abstract

ABSTRAK Latar belakang: Akibat terjadinya pandemi COVID-19, pemerintah dan otoritas kesehatan menerapkan kebijakan social distancing dan phsycal distancing, PSBB, karantina, dan lockdown daerah tertentu. Kebijakan ini mempengaruhi kondisi masyarakat dalam aspek sosial dan ekonomi yang menimbulkan persepsi dampak sosial dan ekonomi. Hal ini mempengaruhi perilaku dan tingkat stres masyarakat sehingga meningkatkan potensi mengalami masalah kesehatan dan kehidupannya kelak, sehingga masalah dimensi kerentanan fisik dalam status kesehatan berpotensi semakin meningkat. Kerentanan fisik merupakan keadaan rentannya seseorang terhadap morbiditas atau mortalitas.  Tujuan penelitian ini adalah mengidentifikasi hubungan persepsi dampak ekonomi dan dampak sosial terhadap dimensi kerentanan fisik dalam status kesehatan selama pandemi COVID-19.Metode: Penelitian ini merupakan penelitian kuantitatif, metode yang digunakan adalah explanatory research dengan pendekatan cross sectional dengan melibatkan 167 responden di Provinsi Jawa Tengah pada bulan Mei-Desember 2020. Pengambilan sampel menggunakan teknik sampling aksidental. Pengumpulan data menggunakan google form dan analisisnya menggunakan uji Korelasi Rank Spearman.Hasil: Penelitian ini menunjukkan tidak terdapat hubungan yang signifikan antara persepsi dampak ekonomi dengan kerentanan fisik dalam status kesehatan selama pandemi COVID-19 (p-value = 0,414) dan tidak terdapat hubungan signifikan antara persepsi dampak sosial dengan kerentanan fisik dalam status kesehatan selama pandemi COVID-19 (p-value = 0, 394).Simpulan: Tidak adanya hubungan signifikan antara persepsi dampak sosial dan persepsi dampak ekonomi dengan kerentanan fisik dalam status kesehatan.   Kata kunci: Kerentanan fisik, ekonomi, sosial ABSTRACT Title: Perception Of Economic and Social Impact on Physical Vulnerability in Health Status During the Covid-19 Pandemic (Case Study in Central Java Province)  Background As a result of the COVID-19 pandemic, the government and health authorities have implemented social distancing and physical distancing policies, PSBB, quarantine, and lockdowns in certain areas. This policy affects the condition of the community in social and economic aspects which give rise to perceptions of social and economic impacts. This affects the behavior and stress level of the community, thereby increasing the potential for experiencing health problems and life in the future, so that the problem of physical vulnerability dimensions in health status has the potential to increase. Physical vulnerability is a condition where a person is susceptible to morbidity or mortality. The purpose of this study was to identify the relationship between perceived economic and social impacts on the dimensions of physical vulnerability in health status during the COVID-19 pandemic.Method: This research is a quantitative research, the method used is explanatory research with a cross sectional approach involving 167 respondents in Central Java Province in May-December 2020. Sampling was using accidental sampling techniques. Data collection using google form and analysis using the Spearman Rank Correlation test.Result: This study shows that there is no significant relationship between perceived economic impact and physical vulnerability in health status during the COVID-19 pandemic (p-value = 0.414) and there is no significant relationship between perceived social impact and physical vulnerability in health status during the COVID-19 pandemic. (p-value = 0, 394).Conclusion: There is no significant relationship between perceived social impacts and perceived economic impacts with physical vulnerability to health status. Keywords: physical vulnerability, economic, and social
Gambaran Program Puskesmas Tanpa Antrian Kota Semarang (Pustaka) Sebagai Layanan Pendaftaran Online Yuliani, Kasih; Arso, Septo Pawelas; Nandini, Nurhasmadiar
Jurnal Ilmiah Mahasiswa Vol 10, No 3 (2020): Jurnal Ilmiah Mahasiswa
Publisher : Jurnal Ilmiah Mahasiswa

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Abstract

The current development and the sophisticated technology advancements, health sector needs to innovate its service to provide better service for the community. Semarang City Health Department innovated the PUSTAKA Program as an online registration service at the Puskesmas for outpatients. This was qualitative research with descriptive approach. Data collected by in depth interview. This research was conducted in May-June 2020. PUSTAKA program innovation was in accordance with the needs of the community. However, there were no official Operational Standard Procedures and Decree on the implementation of the PUSTAKA program and there was no optimal monthly reporting from the Puskesmas to the Semarang City Health Department. However, the results of the program that can be seen were decreased waiting times for registrations. The importance of SOP and SK, so the Semarang City Health Department must immediately set it up and apply sanctions for Puskesmas who were late in sending monthly reports with certain terms and conditions.
Apakah Pelaksanaan Program Jogo Tonggo di Desa Kauman Kabupaten Pekalongan Efektif ? Sholichat, Baqiatus; Suryoputro, Antono; Nandini, Nurhasmadiar
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 4 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.4.212-218

Abstract

Latar belakang: Sehubungan dengan meningkatnya wabah COVID-19 dan penularannya di Desa Kauman, Kabupaten Pekalongan dengan 22 kasus positif COVID-19 per 28 Januari 2021, perlu adanya upaya percepatan penanganan COVID-19 secara sistematis, terstruktur dan menyeluruh melalui pembentukan “Satgas Jogo Tonggo”. Desa Kauman merupakan salah satu desa di Kabupaten Pekalongan yang menerapkan Jogo Tonggo. Tujuan penelitian ini yaitu menganalisis implementasi Program Jogo Tonggo dengan melihat aspek organisasi, interpretasi, dan aplikasi.Metode: Penelitian ini adalah penelitian deskriptif kualitatif dengan pendekatan teknik analisis konten. Kegiatan analisis ini meliputi pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan data. Pengambilan data dilakukan dengan wawancara mendalam terhadap informan yang dipilih berdasarkan purposive sampling. Subjek penelitian yaitu Ketua Satgas Jogo Tonggo RW 02, RW 05, RW 07, satgas kesehatan, satgas ekonomi, satgas sosial dan keamanan serta satgas hiburan. Sedangkan informan triangulasi yaitu Kepala Desa Kauman, sekretaris desa, fungsional sanitarian, dan Warga Desa Kauman.Hasil: Pelaksanaan Program Jogo Tonggo di Desa Kauman baru mencakup dua bidang, yaitu bidang kesehatan dan ekonomi. Hasil penelitian ini menunjukkan bahwa implementasi Program Jogo Tonggo belum berjalan optimal dipengaruhi beberapa faktor yaitu keterlibatan masyarakat yang masih rendah, ketidaksesuaian komunikasi dan koordinasi di tingkat desa dikarenakan Ketua RW belum menerima lampiran susunan Satgas Jogo Tonggo, koordinasi Satgas Jogo Tonggo tidak dilaksanakan secara berjenjang, belum terdapat anggaran khusus untuk kegiatan operasional pelaksanaan program tingkat RW, serta sarana prasarana belum didistribusikan kepada tiap RW dan masih menumpuk di balai desa.Simpulan: Pelaksanaan Program Jogo Tonggo di Desa Kauman belum berjalan optimal dipengaruhi oleh ketidaksesuaian komunikasi dan koordinasi di tingkat desa, belum tersedianya anggaran khusus untuk pelaksanaan Program Jogo Tonggo, serta keterlibatan masyarakat dalam proses pembentukan Satgas Jogo Tonggo masih minim, sehingga masyarakat tidak mengetahui tugas, wewenang dan tanggung jawab dari Program Jogo Tonggo.Kata kunci: COVID-19; Jogo Tonggo; Pemberdayaan Masyarakat ABSTRACTTitle: Is The Jogo Tonggo Program Implementation in Kauman Village, Pekalongan Regency Effective?Background: Due to the increase and transmission of COVID-19 outbreak in Kauman Village, Pekalongan Regency with 22 positive cases of COVID-19 in January 28th 2021, it is necessary to have efforts to accelerate the handling of COVID-19 in a systematic, structured and comprehensive manner through the formation of the "Satgas Jogo Tonggo". Kauman Village is one of the villages in Pekalongan Regency which implements Jogo Tonggo. The purpose of this study is to analyze the implementation of The Jogo Tonggo Program by looking at aspects of the organization, interpretation, and application.Methods: This study was a qualitative descriptive study with a content analysis technique approach. This analysis activity included data collection, data reduction, data presentation, and drawing data conclusions. Data were collected by in-depth interviews with selected informants based on purposive sampling. The research subjects were The Head of Satgas Jogo Tonggo RW 02, RW 05, RW 07, the health satgas, the economic satgas, the social and security satgas and the entertainment satgas. The triangulation informants were The Head of Kauman Village, the village secretary, the sanitarian functional and the kauman village residents.Result: The implementation of The Jogo Tonggo Program in Kauman Village covers only two sectors, such as the health and economic sectors. The results of this study indicated that the implementation of The Jogo Tonggo Program has not been optimal due to several factors, such as low community involvement, inadequacy of communication and coordination at the village level because The Head of the Rukun Warga (RW) has not received a attachment of The Satgas Jogo Tonggo, The Satgas Jogo Tonggo’s coordination was not implemented in stages, there is no specific budgets for operational activities of program implementation at the RW level, and infrastructure have not been distributed to each RW because still piled up in the village hall.Conclusion: The implementation of The Jogo Tonggo Program in Kauman Village has not been running  optimally due to the mismatch of communication and coordination at the village level, the unavailability of a specific budget for the implementation of The Jogo Tonggo Program, and community involvement in the process of establishing The Satgas Jogo Tonggo was still minimal, so that the community does not know the duties, authorities and the responsibility of The Jogo Tonggo program. Keywords: COVID-19; Jogo Tonggo; Community Empowerment 
Analisis Sistem Program Imunisasi Dasar Lengkap (IDL) selama Masa Pandemi Covid-19 (Studi Kasus Puskesmas Tempel I Kabupaten Sleman) Fathahidin, Ghaniya Afiifa; Budiyanti, Rani Tiyas; Nandini, Nurhasmadiar
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 21, No 1 (2022): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.21.1.6-11

Abstract

Latar belakang: Provinsi Daerah Istimewa Yogyakarta (DIY) mengalami penurunan cakupan Imunisasi Dasar Lengkap (IDL) hingga 36% pada tahun 2020, penurunan paling drastis terjadi di Puskesmas Tempel, Kabupaten Sleman. Puskesmas memiliki tanggung jawab untuk memberikan pelayanan dasar dengan tugas tambahan sebagai ujung tombak pemutus mata rantai penularan COVID-19. Tujuan penelitian adalah menganalisis peIaksanaan program lmunisasi Dasar Lengkap pada Masa Pandemi COVlD-19 di Puskesmas Tempel I dari unsur Input, Proses, dan Lingkungan.Metode: Penelitian ini termasuk jenis kualitatif dengan pendekatan deskriptif melalui wawancara mendalam pada informan bidan pelaksana, Penanggungjawab KIA-KB Upaya Kesehatan Perorangan (UKP) Puskesmas, Penanggungjawab Imunisasi Dinas Kesehatan Kabupaten Sleman, kepala Puskesmas, dan ibu yang membawa anaknya Imunisasi di tengah Pandemi COVlD-19.Hasil: Hasil penelitian menunjukkan pada awal Pandemi COVlD-19, Puskesmas Tempel I menutup pelayanan Imunisasi selama 1 bulan. Puskesmas kemudian melakukan perencanaan ulang terkait upaya pelayanan Imunisasi di tengah wabah COVID-19. Pada pelaksanaanya ditemukan kendala dari unsur input terkait aspek jumlah, kecukupan dan kesiapan SDM, sarana dan prasarana, dan pemanfaatan pedoman. Kemudian pada unsur proses ditemukan kendala pada aspek pengorganisasian dan pelaksanaan, serta pada unsur lingkungan ditemukan kendala pada respon orang tua.Simpulan: Terdapat keterkaitan antara aspek SDM dengan pengorganisasian dan respon orang tua, keterkaitan aspek sarana dan prasarana dengan pelaksanaan, serta keterkaitan pemanfaatan pedoman dan pelaksanaan. Kata kunci: Pandemi COVID-19; Imunisasi Dasar Lengkap; Analisis Pelaksanaan Program Background: Special Region of Yogyakarta (DIY) province a decrease in the coverage of Complete Basic Immunization to 36% in 2020, the most drastic decline occurred at the Puskesmas Tempel I, Sleman Regency. Tempel I Public Health Center (Puskesmas) have the responsibility to provide basic services with additional duties as the spearhead of breaking the chain of COVID-19 transmission. The purpose of the study was to analyze the implementation of the Complete Basic Immunization program during the COVID-19 Pandemic at Puskesmas Tempel I from the elements of Input, Process, and Environment.Method: This research is a qualitative type with a descriptive approach through in-depth interviews with implementing midwife informants, Person in charge of KIA-KB (UKP), Person in charge of Immunization at the Sleman District Health Office, Head of Tempel I, and mothers who brought immunizations amid in the COVID-19 Pandemic. Result: The results showed that at the beginning of the COVID-19 Pandemic, the Tempel I Health Center closed the immunization service for 1 month. Tempel I then re-planned the immunization service efforts amid in the COVID-19 outbreak. In implementation, it was found there were obstacles from the inputs related to aspects of the number, adequacy, and readiness of human resources, facilities and infrastructure, and the use of guidelines. The process elements  found obstacles in the aspects of organizing and implementing, as well as on the elements of the environment found obstacles in the response of parents.Conclusion: It is concluded that there is a relationship between the HR aspect and the organization and response of parents, the link between the facilities and infrastructure aspects and the implementation, as well as the link between the use of guidelines and implementation. Keywords: COVID-19 Pandemic; Complete Basic Immunization; Analysis of Program Implementation
Upaya Dalam Mendukung Capaian Universal child immunization (UCI) Pada Program Imunisasi Dasar Lengkap (IDL) Selama Pandemi Covid-19 di Puskesmas Gemuh 01 Kabupaten Kendal Pratiwi, Rachma Widya; Budiyanti, Rani Tiyas; Nandini, Nurhasmadiar
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 21, No 1 (2022): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.21.1.46-52

Abstract

Latar Belakang: Pencapaian UCI merupakan proksi lengkap cakupan imunisasi dasar pada kelompok bayi. Cakupan capaian UCI yang dikaitkan dengan batas wilayah tertentu dapat menggambarkan tingkat proteksi/kekebalan masyarakat khususnya bayi terhadap penyakit menular yang dapat dicegah dengan imunisasi (PD3I). Puskesmas Gemuh 01 memodifikasi pelaksanaan Imunisasi Dasar Lengkap dengan mengoptimalkan pelayanan  imunisasi di Posyandu. Akan tetapi, pencapaian UCI di Puskesmas Gemuh 01 masih mengalami penurunan selama masa pandemi COVID-19, hal ini mengindikasikan masih terdapat kendala dalam pelaksanaan program Imunisasi Dasar Lengkap. Tujuan penelitian untuk menganalisis bagaimana pelaksanaan program imunisasi dasar lengkap dalam rangka pencapaian UCI di masa pandemi COVID-19.Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif menggunakan metode in-depth interview yang dipilih berdasarkan Teknik purposive sampling. Informan utama adalah 3 bidan desa, 1 programmer imunisasi. Informan triangulasi adalah 1 kepala puskesmas, 1 kader posyandu, dan 1 ibu bayi yang menggunakan imunisasi.Hasil: Hasil penelitian menunjukkan selama pandemi COVID-19 pada variabel input, bidan pelaksana mengalami double job karena harus melayani vaksinasi COVID-19, stok vaksin yang tidak mencukupi sasaran. Variabel proses, perencanaan belum dilakukan secara maksimal, bimbingan kader tidak dilakukan secara merata. Variabel lingkungan, adanya kenaikan kasus COVID-19 menyebabkan kecemasan pada ibu bayi untuk membawa anaknya ke Puskesmas.Simpulan: Pelaksanaan Imunisasi Dasar Lengkap selama pandemi COVID-19 belum berjalan dengan optimal karena terkendala dengan situasi dan kondisi.Kata Kunci : Program Imunisasi Dasar Lengkap; UCI (Universal child immunization); Pencapaian ABSTRACT Title: Efforts to Support the Achievement of Universal child immunization (UCI) in the Complete Basic Immunization Program (IDL) during the Covid-19 Pandemic at Gemuh 01 Health Center, Kendal RegencyBackground: UCI achievement was a complete proxy for basic immunization coverage in the infant group. The coverage of UCI achievements associated with certain regional boundaries can describe the level of protection/immunity of the community, especially infants against infectious diseases that can be prevented by immunization (PD3I). Gemuh 01 Health Center modified the implementation of Complete Basic Immunization by optimizing immunization services at the Posyandu. However, the achievement of UCI at Gemuh 01 Health Center still decreased during the COVID-19 pandemic, this indicates that there were still obstacles in the implementation of the Complete Basic Immunization program. The purpose of the study was to analyze how the complete basic immunization program was implemented in order to achieve UCI during the COVID-19 pandemic.Method: This was a qualitative research with descriptive approach. Data collected through indepth interview. The main informants were 3  midwives, 1 immunization programmer. The triangulation informants were 1 head of puskesmas, 1 posyandu cadre, and 1 baby’s mother who used immunization.Result: The results of the study show that during the COVID-19 pandemic : input variable, the implementing midwife had a double job because she had to serve the COVID-19 vaccination, and insufficient stock of vaccines; process variables, planning had not been carried out optimally, cadre guidance was not carried out evenly; environmental variables, an increase in COVID-19 cases causes anxiety for the baby's mother to take her child to the Health Center. Conclusion: The implementation of the Complete Basic Immunization program during the Covid-19 pandemic at the Gemuh 01 Health Center had not run optimally because it is constrained by the pandemic situation, conditions, and empty stock of vaccines from the central government. Keywords: Complete Basic Immunization Program; UCI (Universal child immunization); Achievement
Co-Authors Adhitama, Pramudya Fahry Aesyah, Anis Agus Aan Adriansyah Amalia Shabrina Fitri Anggraini, Rika Kusuma Anindya, Prakasita Artha Antono Suryoputro Antono Suryoputro Ayu Dyah Pramesti Ayun Sriatmi Azzahra, Atha Firza Besar Tirto Husodo Budiyono Budiyono Dea Devita Dea Devita Dewi, Fitriana Tungga Dina Septiyanita Pratiwi Djazuly Chalidyanto Eka Yunila Fatmasari Etik Nindiya Setiya Ningrum Farid Agushybana Farid Farid Agushybana Fathahidin, Ghaniya Afiifa Fuadah, Irvina Wahyu Gamasiano Alfiansyah Handayani, Novia Handayani, Novia Hela Ayu Ramadhan Inggita Raiesa Rahmi Insyira, Insyira Juwita Pratiwi Kawidian Putri Bayu Alam Kusyogo Cahyo Lelly Prakusya Martini Martini Maya Weka Santi Moh Syarofil Anam Nadia Dela Ayunda Naily Rahma Sari Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nissa Kusariana Nufika Fatasyadhuha Nuzulul Kusuma Putri Pahsya, M Naufal Zidane Pakpahan, Vina Estetika Paramitha, Nadhila Penggalih Mahardika Herlambang Pratiwi, Rachma Widya Putri Asmita Wigati Rahmaningrum, Faikha Dhista Rani Tiyas Budiyanti Ratna Nur Pujiastuti Ristantya, Alfandira Rossa Rizqi Annisa Nur Fananni Salsabila, Nanda Aulia Salsabilla Rushda Amrina Saraswati, Siwi Kurnia Septo Pawelas Arso Sholichat, Baqiatus Sinabutar, Beatrix Magdalena Sintia Mashitoh Sistikawati, Hestu Ismah Sofie Astri Risanty Sutopo Patria Jati Syamsulhuda BM Tari Adelia Fitri Tito Yustiawan Ulya, Siti Afuzal Vinda Dwi Eriyanti Widodo Jatim Pudjirahardjo Wulansari, Arum Yoga Dwi Ardianto Yuliani, Kasih Zadrak Romeo Kermite