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All Journal Timorese Journal of Public Health Lontar : Journal of Community Health Media Kesehatan Masyarakat Jurnal Ilmiah Kesehatan Masyarakat
Rina Waty Sirait
Universitas Nusa Cendana
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Manajemen Logistik Obat Antiretroviral Dalam Program Penanggulangan HIV/AIDS Desiderata Jegalus; Rina Waty Sirait; Dominirsep O. Dodo; Yoseph Kendjam
Timorese Journal of Public Health Vol 1 No 2 (2019): June 2019
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/tjph.v1i2.2128

Abstract

One of the points of the HIV AIDS prevention strategy is to increase the availability and affordability of antiretroviral treatment in hospitals or health centers. The emptiness in antiretroviral drugs is a phenomenon that commonly occurs in hospitals or health centers at the district or city level, and Manggarai Regency is one of the districts that experienced this condition from 2013 to 2017. The aim of this study is to explain the situation and the causes of the absence of antiretroviral drugs with a logistic management approach. This type of research is qualitative research. The informants of this study amounted to 8 people from RSUD dr. Ben Mboi, NTT Provincial Health Office, KPAP NTT and KPAD Manggarai. Data collection will take place from February to March 2018. The results are: Antiretroviral drug planning using consumption methods; budgeting and procurement of antiretroviral drugs by the Indonesian Ministry of Health; the storage of antiretroviral drugs is carried out according to the current standards for the storage of medicines; distribution of antiretroviral drugs from the provinces with expeditions and from hospitals to PLWHA with individual prescriptions that are represented by one person; the elimination of antiretroviral drugs was never performed; control of antiretroviral drugs that are adapted to the schedule of taking medication; cause of the absence of antiretroviral drugs due to the lack of specialized staff administering antiretroviral drugs in hospital pharmacies. Management of antiretroviral drugs in Manggarai Regency runs accordingly the logistics management cycle, but there are still some issues that accompany this process. Issues in question include insufficient human resources in terms of quantity and quality, non-procedural implementation and a weak coordination system. It is recommended that improvements be made to the logistical management process of antiretroviral drugs in hospitals, as well as strengthening the coordination and evaluation system of all parties involved in the logistics management of antiretroviral drugs.
Application of Age-friendly Public Health Care in Quality Service for Elderly at Alak Public Health Center Yulia Herda Hadjon; Pius Weraman; Rina Waty Sirait
Lontar : Journal of Community Health Vol 2 No 2 (2020): June 2020
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v2i2.2247

Abstract

One of the efforts to utilize health services is determined by the quality of service, which is perceived to be good if it is felt as expected. The age-friendly public health care is a form of proactive service approach for the elderly, to support the improvement of the quality of life and independence of the elderly. The study aimed to analyze the application of the age-friendly public health center program in the quality of services to the elderly at the Alak Public Health Center in Kupang City in 2019. This is quantitative research with a cross-sectional study design. The sample of this research is 99 people by using an accidental sampling technique. Data collection used questionnaires of expectations and service performance 32 items each. The analysis conducted is univariate using Importance Performance Analysis. The results indicate that service quality on tangible dimensions is 96.37% (very qualified), reliability 96.13% (very qualified), responsiveness 97.06% (very qualified), assurance 97.57% (very qualified), and empathy 97.66% (very qualified). There are two aspects of the service that need to be improved, that is the availability of special facilities for the elderly, especially seats, and the time the public health center starts. It is expected that the Alak Public Health Center as an Aged-friendly Public Health Center can pay more attention to the comfort of the waiting room for the elderly and the timeliness of service commencement.
Faktor Penyebab Keterlambatan Pengajuan Klaim Pasien BPJS Rawat Inap di Rumah Sakit Umum Daerah Soe Honcy Ernesta Nomeni; Rina Waty Sirait; Yoseph Kenjam
Media Kesehatan Masyarakat Vol 2 No 2 (2020): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v2i2.2795

Abstract

Problems commonly found in submitting insurance claims are incomplete documents, follow-up claims, the mismatch of the rates submitted by the hospital with the INA-CBGs rates or those paid by BPJS Kesehatan, irregularities in the coding of disease diagnoses, and the delay in claiming payments by BPJS Kesehatan. Based on the preliminary study at Soe Public Hospital in October 2019, there were still several administrative problems in submitting claims for JKN program. It was proven by the fact that there were still patients with JKN who did not bring a copy of their BPJS Kesehatan cards and the referral letter determined by BPJS Kesehatan when registering for a treatment. The aim of this study is to determine the factors causing the delay in submitting claims for inpatients with BPJS at Soe Public Hospital in 2020.This was a qualitative descriptive study. The population in this study was staff who are directly involved in the insurance claiming process. The sample was selected using purposive sampling technique that consisted of one assembling staff, one coding staff, two internal verifiers and one BPJS Kesehatan verifier. The results of the study indicated that the process of submitting claims for patients with BPJS Kesehatan by Soe Public Hospital did not carry out in a comprehensive and integrated manner because of incomplete medical record status, lack of coordination and teamwork between staff who record medical status that involves assembling staff, coding staff, and hospital verifier. This made a delay in submitting claims for inpatients with BPJS Kesehatan. There were also other obstacles found in the process of submitting claims for inpatients with BPJS Kesehatan at Soe Public Hospital. It is suggested that hospital managers need to evaluate staff who are responsible for submitting claims for inpatients with BPJS Kesehatan regularly and to assess the strengths and weaknesses of each staff.
Manajemen Logistik Obat di Instalasi Farmasi RSUD Waibakul Kabupaten Sumba Tengah Gracewati Rambu Ladu Day; Muntasir Muntasir; Rina Waty Sirait
Media Kesehatan Masyarakat Vol 2 No 3 (2020): Media Kesehatan Masyarakat (Desember)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v2i3.3014

Abstract

Drug logistics management in the hospital consists of the stages of selection, planning, procurement, acceptance, storage, distribution, destruction, and control, and administration, which must be well-coordinated to function. This study was to determine the description of drug logistics management in the Pharmacy Installation of Waibakul Hospital, Central Sumba Regency. The method used in this research was qualitative. Data were collected by interviews. The results of the study explained that the management of drug logistics at the Waibakul Hospital Pharmacy Installation was already running according to Pharmaceutical Service Standards in Hospitals in Permenkes No.72 of 2016, but it was ineffective as obstacles were identified in each management stage. Constraints in planning were insufficient budget, frequent changes of doctors, and the ineffective use of consumption methods. In procurement, the budget was still lacking, procurement team was not from the hospital and the issue of internet networks in Waibakul Regional Hospital. In admissions, lack of human resources, and drug arrival time over the office hours, lack of infrastructure supporting drug storage such as cabinets, refrigerators, AC, pallets, trolleys, and printers, and medicine warehouse. The study also found the lack of human resources in pharmaceutical warehouses and drug distribution. In the extermination stage, no room was available for storing expired drugs and damaged drugs, and the time for drug culling was longer leading to an accumulation of medical waste.
Pemanfaatan Upaya Kesehatan Perorangan (UKP) oleh Peserta Jaminan Kesehatan Nasional di Wilayah Kerja Puskesmas Tarus Desnel Natalia Lende; Rina Waty Sirait; Dominirsep O. Dodo
Media Kesehatan Masyarakat Vol 3 No 1 (2021): Media Kesehatan Masyarakat (April)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v3i1.3058

Abstract

To overcoming gaps in the utilization of health services by the poor, the government implements of National Health Insurance (JKN) program which is managed by BPJS Kesehatan. The Public Health Center (Puskesmas) was formed to reach the wider community, from the existence of the puskesmas and JKN, it’s hoped that the government's goals to achieve community welfare can be achieved. However, the utilization of puskesmas by JKN participants is still low. The purpose of this study was to determine the factors related to the utilization of health services by JKN participants in the working area of ​​Puskesmas Tarus. This type of the research is a quantitative study using a cross sectional design. The sample consisted of 100 people using the accidental sampling technique. Data analysis was performed using univariate and bivariate analysis with the spearmen correlation test. The results showed that the factors related to the utilization of health services by JKN participants were attitude (r=0.940; ρ=0,000), perception of pain (r=0.270; ρ=0.007), family support (r=0.340; ρ=0.001), and assessment of health centers (r=0,265; ρ=0.008), while the unrelated factor was knowledge (r=0.063; ρ=0.536). BPJS Kesehatan and puskesmas are expected to cooperate in providing related to the use of JKN. Puskesmas are expected to improve facilities and infrastructure so that the utilization of health service at the puskesmas can be increased.
Hubungan Mutu Pelayanan dengan Tingkat Kepuasan Pasien Rawat Inap di Puskesmas Pasir Panjang Kota Kupang Nurulsiam Siwa Salasim; Rina Waty Sirait; Masrida Sinaga
Media Kesehatan Masyarakat Vol 3 No 1 (2021): Media Kesehatan Masyarakat (April)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v3i1.3479

Abstract

Quality of service is one of the elements that can affect patient satisfaction when accessing health services at Primary Health Care (PHC). Dissatisfaction may indicate the low quality of PHC services. This study aims to determine the relationship of service quality with the level of satisfaction in inpatients at the Pasir Panjang PHC, Kupang City. This research was an analytical survey with a cross-sectional design. The sample of this study consisted of 118 inpatients selected by simple random sampling. The data were collected by using a questionnaire on the quality of health services and patient satisfaction with 42 items. The data analysis performed was bivariate analysis using the chi-square test. The results showed that there was a relationship between the dimensions of direct evidence (tangible), reliability, responsiveness, assurance and empathy with the satisfaction level of inpatients. PHC needs to widen the family waiting room, provide services according to the schedule to prevent the delays, and ask whether the treatment conducted meets the expectation of patients.
Tingkat Kepuasan Pasien Rawat Jalan terhadap Pelayanan Kefarmasian di Puskesmas Oesapa Kota Kupang Karolina Lawan; Petrus Romeo; Rina Waty Sirait
Media Kesehatan Masyarakat Vol 4 No 1 (2022): Media Kesehatan Masyarakat (April)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v4i1.3780

Abstract

Service quality is an element that can affect patient satisfaction while undergoing health services at the publich health center. To achieve the quality of service, the effectiveness of achieving its goals will be judged by how good the quality of services is. Patient satisfaction in health services is measured by five indicators, namely reliability, responsiveness, assurance, empathy and appearance. These five aspects are closely related to humans as service providers, so that the assessment of the level of satisfaction is very subjective both from the perspective of the community (patiens) and aspect of the assesment. The purpose of this study was to determine the satisfaction of outpatiens with pharmaceutical services at the public health center Oesapa. The method used in this research is descriptive analytic. The sample in this study amounted to 100 people. The sampling technique used an accidental sampling approach. The results showed that the sub-variable level of patient satisfaction on the realibility dimension was included in the satisfie category (75,65%), the empathy dimension was included in the quite satisfied category (60,06%), the responsiveness dimension was included in the quite satisfied category (60,70%), the assurance dimension is included in the satisfied category (78,10%), and the appearance dimensionis includedin the satisfied category (78,70%).
Efektivitas Pemanfaatan Dana Bantuan Operasional Kesehatan untuk Program Kesehatan Ibu dan Anak di Puskesmas Melolo, Kabupaten Sumba Timur Anggreany Dean R. Manu; Erni E. Pua Upa; Rina Waty Sirait
Media Kesehatan Masyarakat Vol 4 No 1 (2022): Media Kesehatan Masyarakat (April)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v4i1.3833

Abstract

Maternal mortality ratio in East Nusa Tenggara fluctuated from year to year. In 2016 the maternal mortality rate was 131 per 100,000 live births, in 2017 it was 120 per 100,000 live births and in 2018 it was 161 per 100,000 live births. Health efforts are needed to overcome these problems. One of the efforts made is the provision of a Special Allocation Fund (BOK Funds) to improve the quality and access to health services aimed at reducing maternal, infant and child mortality, overcoming nutritional problems, controlling disease and environmental health, especially in areas that have many health problems. The purpose of this study was to determine the effectiveness of the use of BOK funds for the MCH program at Puskesmas Melolo, East Sumba Regency in 2020. This research is a descriptive qualitative research. There were 4 informants in this study, namely the head of the puskesmas, the person in charge/manager of the BOK funds, the KIA coordinator and the person in charge for the health of UKS/youth Data were collected by conducting in-depth interviews and observations and analyzed qualitatively. The results showed that the absorption of BOK funds for the MCH program at the health center reached 80% or Rp180,760,000 from the target of Rp. 225,950,000 that was set at 100%. MCH efforts have been carried out in accordance with the technical guidelines for the use of BOK funds. The use of BOK funds for the MCH program at puskesmas has been effective. It is expected that each program manager will use the funds in accordance with the existing technical guidelines.
Satisfaction Level of Outpatients at Lengko Ajang Public Center, East Manggarai Regency Yosefina Jelina; Yoseph Kenjam; Rina Waty Sirait
Lontar : Journal of Community Health Vol 4 No 2 (2022): Juni 2022
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v4i2.4479

Abstract

Service quality is an element that can affect patient satisfaction while undergoing health services at the public health center. Patient satisfaction in health services is measured by five indicators: tangible, responsiveness, reliability, empathy, and assurance. These five aspects are closely related to humans as service providers and assessed very subjectively from the perspective of the community (patients) and aspect of the assessment. This study aimed to determine outpatients' satisfaction at the Lengko Ajang Puskesmas, East Manggarai Regency. The method used in this research is descriptive-analytic. The sample in this study amounted to 79 outpatients at Lengko Ajang Puskesmas. The sampling technique used purposive sampling. The result showed that outpatients' satisfaction at the Lengko Ajang Puskesmas was in the very satisfied category for tangible, reliability, empathy, and assurance dimensions. Only was the responsiveness dimension in the satisfied category. Overall, the satisfaction level of outpatients at the Lengko Ajang Puskesmas is in the very satisfied category and therefore needs to be maintained by the provider
Implementation of Brigade Kupang Sehat Policy in Reducing Maternal and Child Mortality Ratio in Kupang City Try Sutyo Sanjaya Pali; Yoseph Kenjam; Rina Waty Sirait
Media Kesehatan Masyarakat Vol 4 No 1 (2022): Media Kesehatan Masyarakat (Special Issue)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v4i3.4162

Abstract

Brigade Kupang Sehat (BKS) is a program of the Kupang City Health Office specifically providing emergency services to all residents of Kupang City for free for 24 hours. The purpose of this study was to determine the implementation of BKS policy in reducing maternal and child mortality in Kupang City. The method used in this research was qualitative. Data were collected by interview. Four informants were selected by applying purposive sampling technique. The results showed that BKS has an emergency program to help reduce maternal and child mortality. BKS provided medical equipment, transportation/ambulance equipped with a midwife kit, response time, pregnancy check-ups, and postpartum services including family planning services after giving birth, collaboration with public health center and hospitals for referral process, and socialization about the function and role of BKS. Obstacles experienced by BKS included economic factors and a lack of knowledge in pregnant women in choosing a place of delivery. BKS also noted that pregnant women had a complete opening at home, had no pink books or MCH, refusal from pregnant women or families to be referred to better health facilities. The socialization of BKS is needed to increase the awareness of residents of its services, especially for those with low income.
Co-Authors Anggreany Dean R. Manu Anna Henny Talahatu Desiderata Jegalus Desnel Natalia Lende Dominirsep O. Dodo Erni E. Pua Upa Erny Erawati Pua Upa Friska Rosiana Atolo Gracewati Rambu Ladu Day Honcy Ernesta Nomeni Indriati Andolita Tedju Hinga Joece Paulin Rambu Loda Karolina Lawan Masrida Sinaga Muntasir, Muntasir Nurulsiam Siwa Salasim Patricia Adhica Ahoinnai Petrus Romeo Posidius Eriksius Soli Wele Sunia Tungga Tadeus A. L. Regaletha Theofilus Suri Try Sutyo Sanjaya Pali Weraman, Pius Yosefina Jelina Yoseph Kendjam Yoseph Kenjam Yulia Herda Hadjon