Ratna Dwi Wulandari
Department of administration and health Policy, Faculty of Public Health, Universitas Airlangga

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RECOMMENDATIONS FOR POSYANDU UTILIZATION IMPROVEMENT AMONG MOTHERS OF UNDER-FIVE CHILDREN BASED ON TOTAL CUSTOMER SACRIFICES ANALYSIS Mukaromah, Nurul Hidayatul; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 3, No 1 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.749 KB) | DOI: 10.20473/jaki.v3i1.1489

Abstract

ABSTRACT                The coverage of under-five children weighed is an indicator of community participation in Posyandu. During 2012 until 2014, Puskesmas Kenjeran had not reached the target of this indicator. The objective of this study is to arrange recommendations for Posyandu utilization improvement based on total customer sacrifice analysis. This was a quantitative analytical study with observational approach and cross sectional design. The sampling was calculated by using multistage random sampling method. The interviews through instrument were conducted to 112 respondents to obtain information on Posyandu utilization and respondents sacrifice required to utilize Posyandu. The results showed that respondents thought time was the greatest sacrifice among monetary, energy, and psychological sacrifices. Spearman correlation test on any sacrifice required showed significant correlation (p<0.05), except for monetary sacrifice.This study concluded that even total customer sacrifices was very small, but the huge expense of time spent still made respondents to be less likely to utilize Posyandu. Therefore, efforts are needed to reduce the magnitude of the sacrifice required by community utilizing Posyandu in Puskesmas Kenjeran area. Keywords: Posyandu utilization, total customer sacrifices, under-five children                    weighed
ASSESSMENT OF COORDINATION BETWEEN UNITS IN HOSPITAL BY HIGH PERFORMANCE WORK PRACTICES Sari, Intan Permata; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 3, No 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (69.023 KB) | DOI: 10.20473/%J. Vol%V. No.%I. 2015. Hal.%P

Abstract

ABSTRACTThe survey about coordination in hospital showed that the coordinaton between units have low score including the lack of communication and problem solving between units. The objectives of this study is to describe coordination in hospital considered by high performance practices that consist of 5 items : selection for cross-functional teamwork, rewards for cross-functional teamwork, cross-functional teamwork conflict resolution, cross-functional meetings, and cross-functional boundary spanner. This research is descriptive study using cross sectional design. Samples or respondents are 16, selected using purposive sampling according to the units which their function and job still related with the medical service in the hospital. The result showed that there are a specific criteria to select their employee. The most responden said that education level is the most important criteria for the selection. There is a reward for the best employee those are trophy and some money given to the best employee and the best group of the months. There is conflict resolution through the meeting with the supervisor and director to discuss their problems. There is functional meeting that is weekly report, and there is boundary spanner to coordinated with the other unit if they have problems. This study conclude that coordination in hospital can complete four items of performance work practice, but aspect cross-functional meetings still not working properly. Therefore, it needs to be repaired because this meeting is important to discuss about development of the medical service in this hospital.Keywords :Coordination, high performance work practices, medical service
ASSESSMENT OF HEALTH CENTERS AND HOSPITALS ABOUT THE EFFECTIVENESS OF MATERNAL REFERRAL SYSTEM IN SURABAYA DISTRICT Yonara, Stevie; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 3, No 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.287 KB) | DOI: 10.20473/%J. Vol%V. No.%I. 2015. Hal.%P

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ABSTRACT More than 80.0% maternal deaths occured in hospital in Surabaya between 2012-2014. Most of them who died in hospital were referral patients from midwife, private clinics, and public health centers. This study assessed the effectiveness of maternal referral system based on perspective of public health centers and hospitals in Surabaya. This was a descriptive cross sectional study. Samples were 43 public health centers in Surabaya and two main referral destination hospitals. Data was collected by interviewing one representative midwife in each public health center and hospital. This study showed that a total of 81.4% health centers assess that maternal referral system in Surabaya District was quite effective. While, one of the hospital assessed quite effective, and the other assessed less effective. The reason was because public health centers difficulty to contacting hospitals about referral, hospitals often rejected referral case, pregnant women often do self-referral to hospital, and incompatibility referral reason by most of public health centers. So it was necessary to repair maternal referral system at Surabaya based on identification of each variables in effectiveness of maternal referral system.Keywords: effectiveness, hospitals, maternal refferal system, public health center
Does Health Insurance Affect the Completeness of Antenatal Care? Wulandari, Ratna Dwi; Laksono, Agung Dwi
Unnes Journal of Public Health Vol 10 No 2 (2021): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v10i2.38096

Abstract

The antenatal treatment has been ineffective in reducing maternal mortality. Therefore, this study aimed to examine health insurance effect on Indonesia's antenatal care quality. The 2017 Indonesian Demographic and Health Survey data were processed. Moreover, a sample size of 15,351 participants was selected using the analysis unit of study for women aged 15 to 49. In the final stage, Binary Logistic Regression was used, while other variables examined besides antenatal treatment included health insurance, residence, age, marital, education, parity, and wealth. Based on the complete category of antenatal care visits, women that did antenatal care visits were ≥ four, occupied by both types of health insurance ownership. The multivariable analysis indicated that health insurance ownership affects antenatal care completeness as insured women were 1.394 times higher than uninsured women (OR= 1.394; 95% CI= 1.257-1.546). Result showed other determinant variables, namely age, education, parity, and wealth were also found. In conclusion, health insurance gives Indonesian women a better possibility of receiving complete antenatal care.
Correlation Of Patient Characteristics And Patient Satisfaction With Patient Loyalty In Public Health Center Cahyani, Nadia Rifqi; Wardani, Tusy Novita Dwi; Wardhani, Hanifiya Samha; Wulandari, Ratna Dwi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v6i3.608

Abstract

In today's competitive world, success in healthcare depends on the patient. Characteristics, satisfaction and loyalty of patients are some of the important factors that are the key to success in health services. This study aims to determine the relationship between patient characteristics and patient satisfaction with patient loyalty. This research is an analytic survey research with a cross-sectional design. The research was conducted at Jatiwates Health Center Tembelang Jombang, East Java, Indonesia. The instrument used in this study is a questionnaire with a sampling technique carried out by random sampling in proportion. Data analysis was performed by statistical tests, namely chi-square test and regression test to see the effect of patient characteristics and patient loyalty. The results of this study found that there was a relationship between patient characteristics, namely education (p-value = 0.015) and occupation (p-value = 0.024) with patient loyalty. Meanwhile, patient satisfaction is not related to patient loyalty (p-value = 0.186). This shows that there is a significant relationship between patient characteristics and loyalty. Health centres need to know the characteristics and patients.Abstrak: Pada dunia yang kompetitif seperti saat ini, keberhasilan pada layanan kesehatan bergantung pada pasien. Karakteristik, kepuasan dan loyalitas pasien merupakan beberapa faktor penting yang menjadi kunci keberhasilan pada pelayanan kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik pasien dan kepuasan pasien dengan loyalitas pasien. Penelitian ini adalah penelitiansurvei analitik dengan desaincross sectional. Penelitian dilakukan diPuskesmas Jatiwates Tembelang Jombang, Jawa Timur, Indonesia. Instrumen yang digunakan pada penelitian ini yaitu kuisioner dengan teknik pengambilansampel dilakukan dengan sampling acaksecara proporsi. Analisis data dilakukan dengan uji statistik yaitu uji chi-square dan uji regresi untuk melihat pengaruh dari karakteristik pasien dan loyalitas pasien. Hasil dari penelitian ini yaitu didapatkan bahwa adanya hubungan antara karakteristik pasien yaitu pendidikan (p-value =0,015) dan pekerjaan (p-value=0,024) dengan loyalitas pasien. Sedangkan untuk kepuasan pasien tidak berhubungan dengan loyalitas pasien (p-value=0,186). Hal ini menunjukkan bahwa adanya hubungan yang signifikan antara karakteristik pasien dengan loyalitas. Public Health Center perlu mengetahui karakteristik dan kepuasan pasien untuk memenuhi perspektif pasien dalam pemberian layanan yang nantinya akan berdampak pada loyalitas pasien.