Priyadi Nugraha P
Fakultas Kesehatan Masyarakat Universitas Diponegoro, Jl. Prof. H. Soedarto, S.H.,Tembalang, Semarang, Indonesia | Universitas Diponegoro

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Journal : JURNAL KESEHATAN INDRA HUSADA

PENGARUH TINGKAT PENGETAHUAN TERHADAP KINERJA TENAGA KONTRAK PROMOTOR KESEHATAN DALAM PELAYANAN PROMOSI KESEHATAN PUSKESMAS DI KABUPATEN INDRAMAYU Harsono .; Bagoes Widjanarko; Priyadi Nugraha Prabamurti
JURNAL KESEHATAN INDRA HUSADA Vol 6 No 1 (2018): Januari-Juni
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.988 KB) | DOI: 10.36973/jkih.v6i1.59

Abstract

Penerapan perilaku hidup bersih dan sehat pada tatanan rumah tangga di Indonesia pada tahun 2015, baru mencapai 55%. Padahal dari sisi perilaku per indikator idealnya diatas 80%. Faktor risiko timbulnya Penyakit Tidak Menular(PTM) antara lain karena gaya hidup seperti merokok, obesitas, inaktivitas, peminum alcohol dan narkoba. Lemahnya upaya preventif dan promotif dalam upaya kesehatan masyarakat (UKM) disebabkan salah satunya oleh distribusi tenaga promotif preventif di Puskesmas masih belum merata.. Keberadaan tenaga kontrak Promotor Kesehatan di Puskesmas diharapkan mampu menjawab kekurangan tenaga promotif preventif di Kabupaten Indramayu. Namun keberadaan mereka menjadi prokontra sehingga dapat berpengaruh pada kinerja dalam pelayanan promosi kesehatan di Puskesmas.Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu. Jenis penelitian ini menggunakan pendekatan kuantitatif dengan rancangan studi cross sectional. Besar sampel adalah 35 orang. Analisis data secara univariat, bivariat dengan Chi square dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukan bahwa kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu sebagian besar responden berkinerja tinggi (51,4%). Hasil uji statistic menunjukan bahwa terdapat hubungan antara pengetahuan (p=000), kemampuan diri (p=0,000), persepsi beban kerja (p=0,011), motivasi (p=0,010), imbalan (p=0,024) dan sarana prasarana (p=0,001) dengan kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu. Faktor yang memiliki pengaruh paling kuat terhadap kinerja tenaga kontrak promotor kesehatan adalah faktor pengetahuan dengan nilai Odds Ratio (OR=17,84 95% CI=1,99-149,5) dan kemampuan diri (OR=17,36 95% CI=1,4-220). Rekomendasi pada penelitian ini adalah perlu adanya pelatihan e-learning dan in-house training, pembinaan tenaga kontrak, dan penyediaan sarana prasarana promosi kesehatan. Abstract The application of clean and healthy life behavior at household order in Indonesia in 2015, had just reached 55%. From the behavior side, where every indicator should be above 80% as the ideal one. The weakness of preventive and promotion effort in accordance with the community health efforts, one of the reasons is because the distribution of the health preventive and promotion agent into the community health centre is not all totally covered yet. The presence of the out-sourcing health promoter agent in the community’s health center is expected to be able to supply the lack of health preventive and promotion agent in Indramayu. However, their presence become pros and cons, which can influence to the performance in theservice of health promotion in community’s health centre. This research aimed to analyze the elements which influence their performance to carry out health promotion service in every community’s health centre in Indramayu. Type of observational study with cross sectional design.The population in this study amounted to 105 people, consisting of 35 contract workers, 35 heads of Puskesmas, and 35 co-workers contract workers.The sampling technique is purposive sampling in total population or saturated sampling, so the same sample size is 105 people. The data are analyzed by univariat, bivariat method with Chi square and multivariate with logistic regression. The results of this study indicate that the performance of health promotion contract workers in health promotion service of Puskesmas in Indramayu Regency most of the respondents are high performers (51.4%). Based on the test of Chi-Square, it shows that the elements related to the out-sourcing health promoter in carrying out the health champagne service at community’s health centre in Indramayu are knowledge (score p=000), self ability (p=0,000), duty perception (p=0,011), motivation (p=0,010), reward (p=0,024), means and infrastructures (0,001). The most influence factors to the performance to the out-sourcing health promoter in carrying out the health champagne service at community’s health centre are knowledge factor (p=0,009) with the OR score=17,84 95% CI=1,99-149,5.Therefore, as the recommendation, the training for the candidates of health promoters, e-learning, in-house training, and also the out-sourcing coaching as well, and providing means and infrastructures of health promotion.
Co-Authors Adi Nur Rahman Aditya Kusumawati, Aditya Agus Mulyana Akmal, Dzul Amallia, Ardhia Anik Widyastuti Anisya Herawardhani Annisa Ayunda Maharani Antono Suryoputro Anung Sugihantono Arianto Arianto Arifiana Khoirunnisa Arina Azmy Trisetyo Utami Asfiya, Nissa Atul Astri Zakiyyah AYU WIRADIJAYA Bagoes Widjanarko Baju Widjasena Bella Risca Monica Besar Tirto Husodo Besar Tirto Husodo Besar Tirto Husodo Besar Tirto Husodo, Besar Bintang, Melva Kristina br Cahya Tri Purnami Chania Oktrisia Deaselia Carmelita Deastuti, Nurridha Dhenok Citra Panyuluh Dita Roykhana Nabella Nur Durotun Maqfirah Dwi Lutfi Nugraheni Edi Widayat Eka Megawati Emmy Riyanti Erdelia Herdanindita Fairuza Alief Fajar Luthfir Rahman Fanny Ayu Ahmala Putri Fauziyah Fauziyah Fitriana Candra Dewi Handayani, Novia Harbandinah P Harsono . Hasna Fadhilah Muflihah Hidayah, Novia Nur Hulaila, Ahla I Gusti Wayan Murjana Yasa Inggrid Dwi Kusumaningrum Intannia Islami Dewi Inten Ayu Titisari Khusnia Widowati Kika Dwi Kurniawati Kusmiati, Yeni Kusyogo Cahyo Laksmono Widagdo Laksmono Widagdo Marliana, Riska Suci Mateus Sakundarno Adi, Mateus Sakundarno Megawati, Eka Millati Azka Safitri Mohammed Lukito Raja Puara Mona lisa Muhammad Kevin Ardian Ariayudha Nari, Jois Ninik Prihani Nunuk Widyaningsih Nur Azmi Arifianti Nurngaviatul Fadhilah Oktalia Liviyana Panjaitan, Arip Ambulan Putri, Shieldine Rahmani, Mufida Ananditta Ratih Indraswari Ratih Indraswari ratih indraswari Rinny Faulina Roykhana Nabella Nur, Dita Sapri Fidora Septo Pawelas Arso Shinta Kristianti Sigit Setyono Siska Dwi Nugraheni Suwarno, Suwarno Syamsul Huda BM Syamsulhuda BM Tasliah Tasliah Tegar Lyana Pangestika Tri Rosa Setyananda Tri Yuliastuti Tri Yuni Kuswandari, Tri Yuni VG Tinuk Istiarti Vita Permatasari Wulandari, Rizkiana Yeni Dwi Nurhidayanti Yuli Kamiasari, Yuli Yunita Widyastuti Zahroh Shaluhiyah