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Journal : Media Kesehatan Masyarakat

Hubungan Tingkat Pengetahuan Akseptor Keluarga Berencana dan Peran Tenaga Kesehatan dengan Minat Penggunaan Kontrasepsi Jangka Panjang (MKJP) Maria T. E. Koba; Frans G. Mado; Yoseph Kenjam
Media Kesehatan Masyarakat Vol 1 No 1 (2019): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v1i1.1515

Abstract

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.
Determinan Pemanfaatan Kartu Jaminan Kesehatan Nasional (JKN) di Wilayah Kerja Puskesmas Manutapen Kecamatan Alak Kota Kupang Helena Doko; Yoseph Kenjam; Enjelita M. Ndoen
Media Kesehatan Masyarakat Vol 1 No 2 (2019): Media Kesehatan Masyarakat (Desember)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v1i2.1951

Abstract

To achieve Universal Health Coverage (UHC) for the entire population, the Indonesian government took the initiative to establish a public health insurance system through JKN for individual health. The JKN program managed by BPJS, intended to provide health protection for participants to obtain health care benefits and protection to meet the basic health needs. However, the use of JKN cards in community health centers (Puskesmas) remains low. This study was to investigate the determinants of JKN card utilization in Puskesmas Manutapen in 2019. The research is was quantitative study using a cross-sectional design. The sample consisted of 85 people obtained by a purposive sampling technique. Data analysis employed using univariate and bivariate methods with the chi-square test. The results showed that factors related to JKN card utilization were knowledge (ρ =0.023), income (ρ = 0.037), the availability of facilities and infrastructure (ρ = 0.043), and disease complaints (ρ = 0.041), while unrelated factor was family support (ρ= 0.662). The community should maximize the use of JKN card to obtain comprehensive health services, not only for treatment, but also for prevention to improve their health status. To achieve Universal Health Coverage (UHC) for the entire population, the Indonesian government took the initiative to establish a public health insurance system through JKN for individual health. The JKN program managed by BPJS, intended to provide health protection for participants to obtain health care benefits and protection to meet the basic health needs. However, the use of JKN cards in community health centers (Puskesmas) remains low. This study was to investigate the determinants of JKN card utilization in Puskesmas Manutapen in 2019. The research is was quantitative study using a cross-sectional design. The sample consisted of 85 people obtained by a purposive sampling technique. Data analysis employed using univariate and bivariate methods with the chi-square test. The results showed that factors related to JKN card utilization were knowledge (ρ =0.023), income (ρ = 0.037), the availability of facilities and infrastructure (ρ = 0.043), and disease complaints (ρ = 0.041), while unrelated factor was family support (ρ= 0.662). The community should maximize the use of JKN card to obtain comprehensive health services, not only for treatment, but also for prevention to improve their health status.
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.
Faktor yang Berhubungan dengan Kinerja Perawat di Rumah Sakit Umum Daerah Kefamenanu Kabupaten Timor Tengah Utara Marcelinus Tulasi; Masrida Sinaga; Yoseph Kenjam
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.v3i1.2990

Abstract

The quality of health services is inseparable from the role of medical and non-medical personnel, including nurses. In providing health services, one of the most potential human resources in the hospital are nurses. Good nurse performance is a determining factor for the hospital image in the community. The performance also supports the achievement of organizational goals. Factors affecting nurse performance can be categorized into individual (abilities and skills), psychological (motivation, perceptions, attitudes, personality and learning) and organizational factors (resources, leadership, compensation, workload, rewards, job structure and design). This study aimed to analyze the relationship between motivation, compensation, reward and workload with nurse performance at Kefamenanu Hospital, North Central Timor Regency. This research is an analytical survey with a cross-sectional design. The population in this study consisted of 153 nurses at Kefamenanu Hospital. A total sample of 61 people was selected using a simple random sampling technique. The data were analyzed with the Chi-Square test. The results showed that there was a relationship between motivation (p-value = 0,000), compensation (p-value = 0.002) reward (p-value = 0,000) and workload (p-value = 0.004) with the performance of nurses. The hospital needs to make policies to increase nurse performance such as preparing a proper reward system and balancing the workload.
Mutu Pelayanan Kesehatan Puskesmas Pasir Panjang Pasca Akreditasi Lusia D. I. Fernandez; Yoseph Kenjam; Dominirsep O. Dodo
Media Kesehatan Masyarakat Vol 3 No 3 (2021): Media Kesehatan Masyarakat (Desember)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v3i3.3856

Abstract

In order to maintain the quality of health services at the health center running maximally, it is necessary to improve performance and sustainable improvement. The Pasir Panjang Health Center has obtained the "Utama" accreditation status in 2018. After the Health Center is accredited, it is hoped that the quality of health services will improve. The purpose of this study was to determine the quality of health services at the Pasir Panjang Health Center after accreditation is implemented. This study used a quantitative method with a cross sectional survey design. The research sample consisted of 34 respondents who were selected by purposive sampling technique. The results of the study found that after accreditation, the quality of health services at Pasir Panjang Health Center obtained the following results: the dimensions of technical competence 83,29%, effectiveness, 82,64%, continuity 82,54%, security 82,64%, information 82,50%, accuracy time 78,23%, and human relations 82,11%. Seeing the results of this study, the Pasir Panjang Health Center must implement a sustainable quality management system to maintain the good quality of its services, including regulating the disciplinary behavior of health care workers, given that the dimension of timeliness received the lowest assessment from the respondents.
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.