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All Journal Media Kesehatan Masyarakat Indonesia BULETIN PENELITIAN SISTEM KESEHATAN Jurnal Kebijakan Kesehatan Indonesia Bulletin of Electrical Engineering and Informatics Kesmas: Jurnal Kesehatan Masyarakat Nasional Jurnal Administrasi Kesehatan Indonesia The Indonesian Journal of Public Health Jurnal Penelitian Kesehatan Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Keperawatan Silampari Amerta Nutrition JURNAL ILMU KEFARMASIAN INDONESIA Public Health Perspective Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Indian Journal of Forensic Medicine & Toxicology

Thinni Nurul Rochmah

(1) Departemen Administrasi Dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Airlangga (2) Kelompok Riset Pusat Kebijakan Kesehatan Airlangga

Author-ID : 362848

Decision Sciences, Operations Research & Management Electrical & Electronics Engineering Environmental Science Health Professions Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary Other

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Active Case Treatment Lebih Cost Effective untuk Pengobatan TB Paru Tahap Awal Ni Ketut Ardani; Thinni Nurul Rochmah; Chatarina Umbul Wahyuni
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 2 (2012)
Publisher : Center for Health Policy and Management

Background: Estimated one third of world population have been infected with Mycobacterium tuberculosis. Infected per- son will lose 3-4 months work time and will decrease 20%- 30% of income per year. Finding and treating TB patients are the best endeavor to stop TB spreading with a correct inter- vention. Jember Regency is executing Passive Case Treat- ment (PCT), which lung TB patients should come to puskes- mas to take the Tuberculosis Drug (ATD) in a certain day and hour. The method was not effective, proven by the increase of default rate for 3 years: 5.08% in 2007, 5.14% in 2008 and 6.18% in 2009, followed by the decrease of conversion rate for 3 years: 95.26% in 2007, 93.09% in 2008 and 92.08% in 2009. It is raising alertness for increased re-treatment which will lead to MDR, where MDR is clearly affecting TB patients’ quality of life. Afterward, an idea to create an ATD delivery to patients’ homes was executed, it is called Active Case Treat- ment (ACT). Method: This study was a Quasy Experimental Research with a prospective design. Conducted in 16 Puskesmas with default rate more than 5% and conversion rate less than 80% in 2009. Begin in September until November 2010, using total sampling technique. The sample was all lung TB patients who came for treatment in September 2010, with criteria were: new case, 15-50 years of age, did not suffer HIV and Diabe- tes Mellitus, was not malnourished, and was not allergic to ATD. Data collection was done through interview, filling ques- tionnaires and exploring documents. Then followed the calcu- lation of the total cost (direct and indirect cost) and Quality of Life (QoL) of both PCT and ACT. Later, total cost was com- pared to QoL, the lesser amount was considered more cost effective. Result: Research result showed that to increase 1 scale of Quality of Life (QoL) of PCT needed an amount of IDR. 35,295.00, while to increase 1 QoL scale ACT was IDR 14,377.00. ACT was smaller than PCT. Conclution: Conclusion derived from the result was that ACT is more cost effective than PCT. Recommendation to be pre- sented is to endorse lung TB treatment with ACT in Jember Regency particularly in Puskesmas with the same character- istics with this research.Latar belakang: Diperkirakan sepertiga penduduk dunia telah terinfeksi mikrobakterium tuberkulosis. Bila terinfeksi, diperkira- kan akan kehilangan waktu kerja 3-4 bulan dan berkurangnya pendapatan 20-30% pertahun. Menemukan dan menyembuhkan pasien merupakan cara terbaik dalam upaya pencegahan penu- laran TB dengan intervensi yang tepat. Pengobatan TB di Kabu- paten Jember dilakukan dengan cara Pasive Case Treatment (PCT), yang mengharuskan pasien datang ke puskesmas untuk mengambil OAT pada hari dan jam yang telah ditentukan. Cara ini ternyata kurang efektif yang ditandai dengan meningkatnya default selama 3 tahun yaitu: 2007= 5.08%, 2008= 5.14% dan 2009= 6.18%, yang diikuti dengan menurunnya conversion rate selama 3 tahun, yaitu; 2007= 95.26%, 2008= 93.09% dan 2009= 92.08%. Hal ini akan meningkatkan kasus re-treatment yang berakibat munculnya MDR (Multidrugs resistance) dan juga akan mempengaruhi kualitas hidup penderita TB. Kemudian muncul ide untuk menciptakan cara penggobatan dengan meng- antar OAT ke rumah penderita yang dilakukan oleh kader kese- hatan, yang diistilahkan dengan Active Case Treatment (ACT). Metode: Penelitian ini merupakan Quasy Experimental Re- search dengan rancangan prospektif. Dilakukan di 16 Puskes- mas di Kabupaten Jember yang memiliki angka default lebih dari 5% dan conversion rate kurang dari 80% pada tahun 2009. Dilakukan pada awal September sampai akhir Nopember 2010. Sampelnya adalah seluruh pasien TB Paru yang berobat pada bulan september 2010 dengan kriteria; kasus baru, usia 15-50 tahun, tidak HIV dan diabetes, tidak malnutrisi, dan tidak alergi terhadap OAT. Teknik pengumpulan data dilakukan dengan wawancara dan pengisian kuesioner dan penelusuran doku- men. Selanjutnya menghitung biaya total (biaya langsung dan biaya tidak langsung) dan tingkat kualitas hidup penderita TB dari kedua cara pengobatan (PCT dan ACT). Kemudian memban- dingkan antara total cost dengan tingkat kualitas hidup. Angka yang lebih kecil menunjukkan lebih cost effective. Hasil: Hasil penelitian menunjukkan bahwa untuk menaikkan 1 skala Qol dengan cara PCT dibutuhkan dana sebesar Rp. 35,295.00. Sedangkan untuk menaikkan 1 skala Qol dengan cara ACT membutuhkan dana sebesar Rp. 14,377.00. Cara ACT membutuhkan dana lebih kecil dibanding PCT. Kesimpulan: Dari hasil tersebut diatas maka dapat diambil kesimpulan akhir bahwa pengobatan TB paru cara ACT lebih cost effective dibanding dengan pengobatan TB paru cara PCT. Dengan demikian, rekomendasi yang diusulkan adalah memberlakukan pengobatan TB Paru dengan cara ACT di Kabu- paten Jember terutama pada wilayah puskesmas yang memiliki karateristik yang sama dengan penelitian ini.

ANALISIS KESIAPAN PUSKESMAS DEMANGAN KOTA MADIUN DALAM MENGHADAPI AKREDITASI Lailatul Maghfiroh; Thinni Nurul Rochmah
Media Kesehatan Masyarakat Indonesia Vol. 13 No. 4: DESEMBER 2017
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Peningkatan kualitas kesehatan merupakan salah satu pelaksanaan wajib yang tertuang dalam pembangunan kesehatan nasional yaitu Rencana Pembangunan Jangka Menengah Nasional (RPJMN). Dalam pelaksanaannya, setiap pelaksana pelayanan kesehatan wajib untuk melakukan akreditasi untuk mewujudkan jaminan kualitas pelayanan kesehatan. Puskesmas Demangan merupakan salah satu puskesmas tingkat pertama di Kota Madiun dan berintegrasi dengan Badan Pelayanan Jaminan Kesehatan (BPJS) Kesehatan. Sesuai peraturan, Puskesmas Demangan harus mulai mempersiapkan akreditasi untuk puskesmas tingkat pertama guna mewujudkan penjaminan mutu pelayanan. Penelitian ini bertujuan mengetahui pencapaian awal penilaian akreditasi sesuai dengan pedoman Peraturan Menteri Kesehatan No. 46/2015. Penelitian ini termasuk penelitian deskriptif observasional dengan desain cross sectional. Telusur dokumen diidentifikasi sesuai dengan standar instrumen dan dilakukan wawancara untuk mengetahui pelaksanaan prosedur tersebut. Hasil penelitian menunjukkan bahwa pencapaian akreditasi sampai dengan Maret 2016 hanya sebesar 62,9% dari semua elemen penilaian dalam standar akreditasi untuk kesiapan puskesmas dalam akreditasi. Rekomendasi penelitian ini mengarah ke pembentukan tim khusus untuk fokus ke dokumen dan monitoring evaluasi akreditasi.

Influence of the Work Units’ Psychological Ownership and Intention in Establishing the Patient Safety Program in Hospitals in Probolinggo, East Java Mirrah Samiyah1 , Thinni Nurul Rochmah1 , Widodo J. Pudjihardjo1 , Usman Hadi2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12093

Introduction: There is high rate of patient safety incidents in the hospitals, which reaches 1217 incidents(21,31%) from 2016 until July 2017. There are some factors which cause the high rate of the patientsafety incidents which come from the hospitals. The aim of this research is to analyze the effects of thepsychological ownership and intention towards the work units’ output performance in carrying out thepatient safety program in the hospitals.Materials and Method: This research uses the survey research method with the cross-sectional approach. Itwas carried out from October 2018 until January 2019. The research samples are the service unit, supportingunit, management and general sector in the work units 4 hospital ini Probolinggo City, Indonesia. Thesamples are obtained using the simple random sampling method. The instruments used are questionnairesand observation sheets. The analysis is carried out using linear regression tests.Result: The work unit’s psychological ownership in carrying out the patients’ safety program is regarded asgood, with the rate of 46,7%. The work unit’s intention in carrying out the patients’ safety program is alsoregarded as good, with the rate of 41,1%. The work unit’s output in carrying out the patients’ safety programin Probolinggo Regency is regarded as bad, with the rate of 64,5%. There is a significant influence of thepsychological ownership variable (p-value=0,02) and intention (p-value=0,00) towards the output’s workperformance in carrying out the patients’ safety program in the hospitals of Probolinggo Regency.Conclusion: The work unit’s psychological ownership and intention have a significant effect towards thework unit’s work performance in in carrying out the patients’ safety program in the hospitals of ProbolinggoRegency on 2019. The hospitals should carry out work unit approaches instead of individual approaches toincrease the report of the patient safety incidents.

National Health Insurance Participants Satisfaction in General Polyclinic Services at First Level Healthcare Facilities Thinni Nurul Rochmah1 , Djazuly Chalidyanto1 , Ernawaty1 , Rachmad Suhanda2,3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12174

The need of health services, especially at first level healthcare facilities (FKTP) for the community to accessbasic health services has increased in Indonesia. This condition related to the regulation for the entire citizenin Indonesia to become a National Health Insurance (JKN) participant. Some problems related to the servicesstill occur, such as queues length and non-optimal examination process. This research aimed to analyzepatients’ satisfaction in general polyclinic services differences in FKTP. This was an observational researchwith a cross-sectional study using primary data from both types of FKTP (Puskesmas and Non-Puskesmas)as the healthcare provider in two cities of East Java. The number of research respondents was 219 in 20FKTP. The sampling method used was proportional random sampling technique. Patients’ satisfactionscores obtained from the two types of FKTP were analyzed using independent sample T Test. The resultsobtained was the satisfaction score in Puskesmas and Non-Puskesmas exceeded 95%. Patients’ satisfaction inPuskesmas was significantly higher than Non-Puskesmas (p = 0.01). Out of the six dimensions, dimensionsof service ability and aesthetics in exception, the other four dimensions had significant differences. Theresults provide recommendation that FKTP should improve their services from various dimensions.

Penerapan Clinical Pathways sebagai Instrumen Pengendalian Biaya Pelayanan : Studi Penelitian Tindakan Penderita BPJS yang Menjalani Operasi Caesar dengan Sistem Pembayaran INA-CBG Annisa Fitria; Andri Sofa Armani; Thinni Nurul Rochmah; Bangun Trapsila Purwaka; Widodo Jatim Pudjirahardjo
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

This study aims to determine the effect of using clinical pathways to control total actual hospital costs for BPJS patients who undergo a cesarean section. The method used in this research is action research. The results showed that the average actual hospital costs were significantly higher after the application of CP with p = 0.019. The average length of stay, service costs, and hospital costs were significantly lower in the entire CP form group with p = 0.012, p = 0.013, and p = 0.012. In conclusion, this study shows that the application of clinical pathways can reduce the length of hospitalization and actual hospital costs for cesarean section patients and indicates that clinical pathways can make services more efficient. Keywords: Hospital Costs, Clinical Pathway, Caesarean Section

Gambaran Pengetahuan, Sikap, dan Perilaku Kader Palang Merah Remaja (PMR) di SMAN 2 Lamongan Terhadap Program Suplementasi Tablet Tambah Darah Stefania Widya Setyaningtyas; Thinni Nurul Rochmah; Trias Mahmudiono; Susi Hidayah; Yurike D Adhela
Amerta Nutrition Vol. 4 No. 3 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i3.2020.213-217

ABSTRACT Background: anemia prevention through iron-folic acid supplementation (IFA) for female adolescent has become goverment’s program priority. Although this programme have been running, several constrains including consumption compliance was frequently found. On the other hand, school have potential resources such as Junior of The Red Cross (PMR) which can be peer educator for health including anemia for other students. Objectives: this research was aimed to describe knowledge, practice, and attitude of PMR member toward IFA supplementation in SMAN 2 LamonganMethods: This research used cross sectional design. The population of this study was 100 members of the Red Cross Youth Teaching (PMR) SMAN 2 Lamongan. The sample of this study was 60 students who were selected by the simple random sampling method who met the inclusion criteria, such as were active members of the PMR and were willing to take part in the study. Data collection was carried out using self-administered questionnaires using an online questionnaire application consisting of 20 questions to measure knowledge; 20 questions to measure attitude; and 13 questions to measure behavior. Data were categorized and analyzed using descriptive tests.Results: Most respondents still have lack of knowledge related to the TTD program (56.7%) and its benefits (56.7%). 66% of PMR cadres have a positive attitude towards TTD, but not 100% of PMR cadres consume blood-added tablets regularly.Conclusions Strengthening of knowledge and attitudes towards TTD is needed to improve compliance of TTD consumption among PMR members so that later PMR cadres can become peer educators for other students.ABSTRAKLatar Belakang: penanggulangan anemia dengan pemberian Tablet Tambah Darah (TTD) dengan sasaran remaja putri menjadi fokus pemerintah saat ini. Walaupun sudah mulai berjalan, seringkali ditemukan beberapa kendala dalam pelaksanaan program, diantaranya ketidakpatuhan konsumsi TTD. Di sisi lain, sekolah memiliki potensi sumberdaya untuk meningkatkan optimalisasi program TTD, salah satunya adalah Palang Merah Remaja (PMR) yang dapat menjadi pendidik sebaya tentang masalah kesehatan termasuk anemia bagi siswi lainnya.Tujuan: Penelitian ini bertujuan melihat gambaran pengetahuan, sikap, dan perilaku kader PMR di SMA Negeri 2 Lamongan terhadap program pemberian TTDMetode: Penelitian ini merupakan menggunakan desain cross sectional. Populasi penelitian ini adalah anggota ekstrakurikuler Palang Merah Remaja (PMR) SMAN 2 Lamongan sejumlah 100 orang. Sampel dari penelitian ini adalah 60 siswa anggota PMR yang dipilih dengan metode simple random sampling dan memenuhi kriteria inklusi yaitu merupakan anggota aktif PMR dan bersedia mengikuti penelitian. Pengumpulan data dilakukan dengan menggunakan self-administered questionnaires dengan menggunakan aplikasi kuesioner online yang terdiri dari 20 pertanyaan untuk mengukur pengetahuan; 20 pertanyaan untuk mengukur sikap; dan 13 pertanyaan untuk mengukur perilaku. Data dikategorikan dan dianalisis menggunakan uji deskriptif.Hasil: Sebagian besar responden masih memiliki pengetahuan yang kurang terkait program TTD (56,7%) dan manfaatnya (56,7%). Sebesar 66% kader PMR memiliki sikap yang positif terhadap TTD, namun tidak 100% kader PMR mengonsumsi tablet tambah darah secara rutin.Kesimpulan: Perlu penguatan terhadap pengetahuan serta sikap terhadap TTD untuk meningkatkan kepatuhan konsumsi TTD di kalangan anggota PMR agar nantinya kader PMR dapat menjadi pendidik sebaya bagi siswi lainnya.

Budaya Keselamatan Pasien Berdasarkan Indikator Agency for Healthcare Research and Quality di RSUD Dr. Soetomo Thinni Nurul Rochmah; Maya Weka Santi; Anang Endaryanto; Cita Rosita Sigit Prakoeswa
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 2 (2019): April 2019
Publisher : FORIKES

In the National Standard for Accreditation of Hospitals (SNARS) 2018, patient safety is one of the standards of assessment. The purpose of this study was to assess the fair and open culture in the patient safety culture survey, with the aim of assessing the culture of reporting and learning in Dr. Soetomo Hospita, Surabaya. This research was an observational study with a total sample of 406 employees spread across 34 installations and 11 fields / sections, with the same proportion. Data was collected using Hospital Survey on Patient Safety Cuture issued by AHRQ (Agency for Healthcare Research and Quality), which consisted of 12 dimensions. The results showed that the majority of employees had assessed the 12 AHRQ dimensions well, but there were several dimensions that still received poor ratings such as openness of communication, bad = 25.4%, frequency of incident reporting, rarely = 27.8% and staffing, less 39.6%; it is necessary to develop a culture of not blaming if someone reports an incident, and changes in staffing to suit the workload. Keywords: Agency for Healthcare Research and Quality, patient safety, hospital ABSTRAK Dalam Standar Nasional Akreditasi Rumah Sakit (SNARS) 2018, keselamatan pasien merupakan salah satu standar penilaian. Tujuan penelitian ini adalah untuk menilai budaya adil dan terbuka dalam survei budaya keselamatan pasien, dengan tujuan menilai budaya pelaporan dan pembelajaran di RSUD Dr. Soetomo Surabaya. Penelitian ini merupakan studi observasional dengan total sampel 406 karyawan yang tersebar di 34 instalasi dan 11 bidang/bagian, dengan proporsi yang sama. Data dikumpulkan menggunakan Hospital Survey on Patient Safety Cuture yang dikeluarkan oleh AHRQ (Agency for Healthcare Research and Quality), yang terdiri atas 12 dimensi. Hasil penelitian menunjukkan bahwa sebagian besar karyawan telah menilai baik pada 12 dimensi AHRQ, namun terdapat beberapa dimensi yang masih mendapat penilaian buruk seperti keterbukaan komunikasi, buruk=25,4%, frekuensi pelaporan insiden, jarang=27,8% dan staffing, kurang=39,6%; maka perlu dikembangkan budaya tidak menyalahkan jika ada yang melaporkan insiden, dan perubahan susunan kepegawaian agar sesuai dengan beban kerja. Kata kunci: Agency for Healthcare Research and Quality, keselamatan pasien, rumah sakit

Improving Nutrition Services to Reduce Plate Waste in Patients Hospitalized Based on Theory of Constraint Thinni Nurul Rochmah
Amerta Nutrition Vol. 4 No. 4 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i4.2020.335-341

Background: Highly plate waste in hospitalized patients has become a problem in Hospitals’ nutrition service department, this causes adding treatment time for patient’s recovery and making the hospital service inefficient.Objectives: This research strives to develop a set of recommendations to improve the nutrition department service quality by reducing plate wastes in hospitals. Methods: This research uses a cross-sectional approach. The constraint causing analysis is done by observing dominant waste in each menu’s component and conducting FGD with the management team, nutrition department, and other related departments. The research population is 3000 plates.Results: One of the success indicators in the hospital’s nutrition services is less than 20% of plate waste. It was found that 26,65% or 327 of 1230 observed plates have more than 20% plate waste. The constraint was set with low scale value, food’s aroma, with 2,7 which make food’s aroma as a first priority problem to solve.Conclusions: The solution recommendation about constraint causes was sent to the nutrition department and hospital directors to review the hospital’s policies and SOP. The improvement can be focused on the hospital’s internal policies, Standard Operating procedures, employee competencies, obedience to set procedures, and also chefs and cooks skill

Community Satisfaction on The Utilization of E-health Information System in Surabaya City Martha, Tiara Sandi Ayu Diea; Rochmah, Thinni Nurul
Public Health Perspective Journal Artikel Inpres December 2021
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

E-health is an online patient registration tool at the Primary Health Centre in Surabaya City. Monitoring the level of community satisfaction is needed to ensure that e-health continues to function properly. This study aims to determine the level of community satisfaction on the utilization of e-health information systems in Surabaya City and what factors influence it. The design of this research is associative with a quantitative approach. Data was collected using a questionnaire online with an accidental sampling technique on 385 respondents. Data analysis is using statistical descriptive and multiple linear regression tests. The results of this study indicate that most users are very satisfied with the e-health information system. Age (p=0018), gender (p=0.000), and sources of information (p=0.000) influenced community satisfaction on the utilization of e-health information systems. Based on these results, it is necessary for the government to maintain the quality of e-health and make e-health as a pilot for other cities or regions in Indonesia.

ANALISIS NEED DAN DEMAND PELAYANAN KESEHATAN PADA PUSKESMAS SIWALANKERTO KOTA SURABAYA DI ERA JKN Eriska Haning; Thinni Nurul Rochmah; Ira Ummu Aimanah
Buletin Penelitian Sistem Kesehatan Vol 21 No 3 (2018): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

GHealth is an important thing needed by man to sustain all activities of his life. The phenomenon of people who prefer to seek treatment abroad than using domestic health services becomes a big challenge. This challenge can be answered with the improvement of quality in all areas, especially in health field. Thus, this will help healthcare providers define strategies to meet community health needs. The aim of this research was to determine the need, demand and value of public health services in Puskesmas Siwalankerto, Surabaya. This was observational research using cross sectional approach. Data collection technics using questionnaires and data processed using descriptive statistical tests. The population was the communities located in the region of Siwalankerto health centers, Surabaya. With a sample size of 50 people. This research was conducted on May 2016. Results of this research that need indicate that the main needs of respondents related to public service is quality and access. Community Demand is a service of dental care and general medical treatment which is provided by Puskesmas Siwalankerto. Abstrak Kesehatan merupakan hal penting yang dibutuhkan oleh manusia untuk menopang semua aktivitas hidupnya. Fenomena masyarakat yang lebih memilih untuk berobat keluar negeri dibandingkan menggunakan layanan kesehatan dalam negeri menjadi sebuah tantangan besar. Tantangan ini dapat dijawab dengan peningkatan mutu dalam segala bidang khususnya bidang kesehatan. Maka, hal inilah yang akan membantu penyedia jasa layanan kesehatan dalam menetapkan strategi untuk memenuhi kebutuhan masyarakat di bidang kesehatan. Tujuan penelitian adalah untuk mengetahui need, demand dan utility pelayanan kesehatan masyarakat di wilayah kerja Puskesmas Siwalankerto, Surabaya. Jenis penelitian observasional dengan pendekatan cross sectional. Teknik pengumpulan data dengan menggunakan kuesioner terstruktur dan diolah menggunakan uji statistik. Populasi adalah masyarakat yang tinggal di wilayah kerja puskesmas Siwalankerto, Surabaya. Dengan jumlah sampel 50 orang. Penelitian dilakukan pada bulan Mei 2016. Hasil penelitian terkait need menunjukkan bahwa kebutuhan utama responden terkait fasilitas pelayanan kesehatan adalah kualitas dan jarak ≤ 3 km. Demand masyarakat adalah pelayanan poli gigi dan poli umum yang disediakan oleh Puskesmas Siwalankerto

Co-Authors Afifah Nasyahta Dila Alissa Sita Pertiwi Anang Endaryanto Andini Yulina Pramono Andri Sofa Armani Anggun Wulandari Anis Wulandari Annisa Fitria Aqsha Yuldan Arifada Ashri Nur Istiqomah Atika Binti Utari Ayu Kumalasari Bangun Trapsila Purwaka Candra Setyawati Chatarina Umbul Wahyuni Cita Rosita Sigit Prakoeswa Dewi Retno Suminar Dinda Rahmaniar Djazuly Chalidyanto Djazuly Chalidyanto Elita Halimsetiono Eriska Haning Ernawaty Ernawaty Farida Ilmah Fauziah Rizki Andini Ghea Sekar Palupi Herti Maryani I Gusti Bagus Wiksuana Imas Sayyidati Hadidah Ira Ummu Aimanah Iwan Setiawan Lailatul Maghfiroh Linda Augustien Makalew Liza Pristianty Martha, Tiara Sandi Ayu Diea Maya Sari Dewi Maya Sari Dewi Maya Weka Santi Maya Weka Santi Maznah Dahlui Merryana Andriani Mochammad Bagus Qomaruddin Muhammad Noor Fakhruzzaman Nabilah Bilqis Ni Ketut Ardani Novianti Indah Fatmawati Nuzulul Kusuma Putri Pipin Eri Agustina Rahmafika Cinthya Afro Sinta Dewi Lestyoningrum Siti Fatonah Stefania Widya Setyaningtyas Susi Hidayah Titik Maimanah Trias Mahmudiono Ulfia Hazna Safira Umi Athiyah Widodo Jatim Pudjirahardjo Yayuk Estuningsih YOHANES WAHYU WALUYO Yurike D Adhela

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