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ANALISIS PROSES PERENCANAAN DAN EVALUASI PELAKSANAAN STANDAR PELAYANAN MINIMAL INSTALASI GAWAT DARURAT DI RSUD DR. R. SOETIJONO BLORA Astuti, Sri Widi; Arso, Septo Pawelas; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat

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Hospitals that have Public Service Board status must apply Minimum Service Standards in each service, one of which is emergency service. Emergency unit plays a major role in triage, resuscitation and stabilization. In 2016, 11.36% of total visits are EU visits and in the last three years have increased. The research aim to find out how the planning process and evaluation of implementation EU MSS in RSUD dr. R. Soetijono Blora based on the Indonesia Health Ministry Regulation No. 129 of 2008 because the existing MSS documents are not yet appropriate. This research was a qualitative research with observation and descriptive analytic approach. The data were collected through in-depth interviews and field observation. To then be analyzed using P1-P2-P3 theory. The result of the research is known that in the planning process, the MSS has not been prepared well according to the standard set because of pursuing PSB requirements. The implementation process is not yet optimal so that the MSS indicator listed in the District Government Regulation No. 5 of 2010 has not all been fulfilled. The patient mortality indicator is 0.25% (standard â‰¤ 0.2%), the indicator of ability of life saving has not been measured (standard 100%), the indicator of emergency service providers who are certified valid BLS/PPGD/GELS/ALS 75% (standard 100%) and the indicator of response time in emergency medical service 2.4 minutes which is the result of observation of the researchers (standard â‰¤ 5 minutes). This is due to the many obstacles in its implementation, such as the lack of competence of human resources, lack of infrastructure and bureaucratic complexity. As for the supervision process is still not running regularly and structured. Supervisors are less coordinated, leading to misunderstandings. To overcome this, it is necessary to update the EU MSS policy and to optimize socialization, clarify the jobdesc, preparatory training reports, and active checks on the unit.

EVALUASI PELAKSANAAN PROGRAM PENGENDALIAN PENYAKIT DEMAM BERDARAH DENGUE (P2DBD) DI PUSKESMAS MOJOSONGO KABUPATEN BOYOLALI TAHUN 2018 Faizah, Anis; Suryawati, Chrisardani; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The development Dengue Hemorrhagic Fever (DHF) cases which tends to increase and their widespread distribution is one of the health problems that are of concern in Indonesia. Every year, Mojosongo Public Health Center's working area becomes an increasing number of DHF cases in Boyolali District. The local government has made a prevention and eradication program for DHF, but it is suspected that it has not succeeded in reducing cases of DHF. This study aims to evaluate the execution of the DHF Control Program seen from the input, process, and output variables. This study is a qualitative study using a depth interview method to 12 informants and this study observes on the sub-variables such as facilities, methods, and time. The result of the study on the input variable shows enough power availability but it is constrained from the scheduling of activities and the official report has yet done on every program execution activity. Process variable shows that PSN activities have not done in implemented optimally and there is a delay when dropping the abate powder from District Health Office (DHO) which often received in a state of expiration. Output variable from 5 indicators DHF Control Program is found that 1 indicator has not reached the target which ABJ in Mojosongo Health Center is only 67% with the actual target is 95%. The suggestion given for the problems mentioned is DHO Boyolali expected to fix the abate powder distribution system so that there are no delays and could avoid the expiration dates. It is necessary for the health center to increase the coordination and the communication for all the organizer cadres, DHO, and across sectors for the continuity of the execution DHF Control Program activities, doing official report and accompanying with village government through jumantik cadres on the execution of PSN.

ANALISIS PELAKSANAAN RUJUKAN RAWAT JALAN TINGKAT PERTAMA PADA PESERTA BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN (Studi Kasus di Puskesmas Neglasari Kota Tangerang) Firdiah, Mutia Rizqa; Sriatmi, Ayun; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The high ratio of refeffals at the Public Health Center of Neglasari is 23,43% which exceeds the standard more than 5%. The results of the preliminary study indicate that the referral in the Neglasari Community Health Center is due to the condition of the patient who is required to be referred, the absence of a change in the condition of the patient causing the patient to be referred, the incomplete medication, the limited health equipment facility in the health services for the BPJS Health participants. The purpose of this study was to analyze the implementation of first referral to BPJS Health participants at Neglasari Public Health Center Tangerang City. This research includes descriptive research using qualitative method. The results showed that most diseases that had to be referred are hypertension, diabetes melitus, heart disease, and leprosy. The availability of doctors is not sufficient if seen from the ratio of the number of doctors to the number of registered participants. The availability of drugs is broadly available, but there are still some drugs that are inadequate supplies such as sugar remedies, heart medicine, high blood pressure medicine, and painkillers. Completeness of health equipment facilities is not yet complete. The doctor’s understanding as a gatekeeper is good. If a patient asks for referral, but if the patient still wants to be referred, the doctor will add “On Request” notes In the referral letter. Suggestion from this research is hopefully Public Health Center of Neglasari can improve health service quality to patient especially BPJS Health patient with addition of health equipment facility. In addition, Puskesmas Neglasari is also expected to assist BPJS Health in socializing the First Outpatient Referral Regulation (RJTP) regulation in accordance with prevailing regulations in BPJS Health. And for the BPJS Health is to review the contents of the credential form on the part of health equipment facilities, and reprogram the primary-care application so that doctors can refer patients appropriately.

ANALISIS PELUANG SINKRONISASI PROGRAM AMBULAN HEBAT SI CEPAT DALAM MENDUKUNG PELAKSANAAN PUSKESMAS MAMPU PONED DI PUSKESMAS BANGETAYU KOTA SEMARANG Yuliastuti, Ika Kurnia; Jati, Sutopo Patria; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (e-Journal) Vol 8, No 1 (2020): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Background : The city of Semarang is included in the top 5 highest maternal mortality rates in Central Java. The Semarang City Government through the Semarang City Health Service seeks to reduce maternal mortality through the establishment of community health centers capable of Basic Emergency Obstetric and Newborn Care (BEMONC) with the support of the establishment of the Ambulan Hebat program. Bangetayu Community Health Center is a community health centers capable of BEMONC that continues to contribute to maternal mortality in the last 3 years with the highest number of high risk pregnant women and the largest number of complications pregnant women. This study aims to analyze the opportunities for synchronizing the Ambulan Hebat program in supporting the implementation of community health centers capable of BEMONC at the Bangetayu Community Health Center.Method : Qualitative research with a descriptive analytic approach through in-depth interviews. The variables studied were elements of partnership (shared interests, openness & trust, clear & measurable goals, willingness to sacrifice, and mutual benefit) by using analysis of supporting factors and inhibiting factors (Force Field Analysis). Result : The results of this study indicate that the Ambulan Hebat Si Cepat program in supporting the implementation of obstetric and neonatal services in the Bangetayu Community Health Center based on the element of partnership has a great opportunity to synchronize. There are 4 elements of partnership that are supporting factors are the aspects of openness & trust, clear & measurable goals, willingness to sacrifice, and mutual benefit.Recomendation : The results of this study suggest that the Semarang City Health Office make policy regulations to regulate program coordination, conduct routine internal coordination, and create operational standards for special coordination procedures.

ANALISIS PELAKSANAAN PROGRAM IMUNISASI DPT- HB- HIB PENTAVALEN BOOSTER PADA BADUTA DI PUSKESMAS KOTA SEMARANG (Studi Kasus pada Puskesmas Halmahera) Rahma, Fanny Pradila; Suryoputro, Antono; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Diphtheria is one of the main causes of child mortality, where 40% occur in children under 5 years of age. The incidence of Diphtheria in Semarang City in 2017 amounted to 2 cases and KLB was one of them in the Halmahera Health Center. As an intervention, the baby is obliged to get basic DPT Immunization 3 times and pentavalent booster immunization up to 24 months of age. The purpose of this study is to describe the description through an analysis of the implementation of the DPT-HB-Hib Advanced Immunization program in Batita in the work area of the Halmahera Health Center. This type of research is qualitative with a descriptive analytic approach. Data collection was carried out by in-depth interviews and observations based on purposive sampling criteria. Subjects in the study were 3 implementing midwives, 1 KIA program coordinator, and a pharmacist as the main informant; Semarang health officer, toddler parents, gasurkes and cadres as triangulation informants. The variables studied are resources, funding, methods, infrastructure, planning, organizing, implementing, evaluating, and environment.The result of this study is the implementation of pentavalen immunisation in Halmahera Health Center was not optimum. The coverage of its program was only 32,8% from January until June 2017. Thus, there still about 49,7% infants had not been receiving booster immunization during January-June 2017 there. There also lacks including the knowledge of the midwives, Kader’s contributions towards the program, infants’ presence and the immunization program schedulling.

ANALISIS TINGKAT KEPUASAN PASIEN TERHADAP KUALITAS PELAYANAN RAWAT JALAN DI PUSKESMAS DUREN DAN PUSKESMAS BERGAS KABUPATEN SEMARANG TAHUN 2017 Einurkhayatun, Biyanda; Suryoputro, Antono; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Puskesmas (Community Health Clinic) as the Unit of Technical Implementation Health become the spearhead of health service. Puskesmas are required to improve the quality of performance in providing services. Outpatient is one of the services provided by Puskesmas. The number of outpatient visits in Puskesmas Semarang has decreased in the past two years. Puskesmas Duren and Puskesmas Bergas experienced as the highest decreased number of patient visits. There is still found some complaints such as long waiting times, the waiting room less comfortable,and less friendly officer. This study aims to determine the level of satisfaction and suitability between expectation and reality received by patients to outpatient services in Puskesmas Duren and Puskesmas Bergas of District Semarang based on the dimension aspects of service quality. This research use descriptive analytic method with cross sectional design. The sample of this research was 100 respondents. Data analysis used Importance Performance Analysis. The results of this study indicate the level of suitability between expectations and reality to the overall dimension of service quality is 79.70%. While the level of suitability of each dimension include tangible of 81.94%, reliability of 79.36%, responsiveness of 77.00%, assurance of 79.44%, and empathy of 80.88%. Suggestions for the puskesmas such as comfort the waiting room, adding supporting facilities, increasing the number of waiting chairs, adding information media, maximizing preventive promotive effort, be on time, the doctors deliver the results of examination and provide information about patient illness, polite and friendly in providing services, and effective communication.

ANALISIS STRATEGI DINAS KESEHATAN KOTA SEMARANG DALAM PENYELENGGARAAN PELAYANAN KESEHATAN ORANG DENGAN RISIKO TERINFEKSI HIV Kaminang, Megawati Ayu Zharani; Jati, Sutopo Patria; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat

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Target for achievement data of the minimal operational standart for 2017 in Semarang City Health Services for People with an HIV risk is 89.55%. Meanwhile, the number of HIV casses in Semarang City in the last three years continues to increase. The aim of the researchers was to describe the strategy of the Semarang City Health Service in administering health services for people at risk of HIV infection. The research is qualitative study with a descriptive method. The main informants were the holders of HIV programs in Semarang Health Office, with triangulation that is HIV program holders in Bandarharjo and Lebdosari Puskesmas, program and monitoring-evaluation holders of Semarang Aids Prevention Commission. The results of the study found that the internal factors is an illustration of the strengths and weaknesses of the Semarang Health Office. Strengths and weaknesses possessed by Semarang Health Office namely marketing and promotion that have been carried out by utilizing technology, human resources for these services have already received training, financial resources have been provided through the APBD and APBD and production-operation activities already exist in the Semarang City. External factors as an illustration of the opportunities and threats of the Semarang Health Office, namely partners already owned by the Semarang Health Office in supporting this program, demographic environment, economic and political environment and law. The results of the situation analysis led the Semarang Health Office to be in an "aggressive" position in strategy quadrant which indicates that the organization has strengths and opportunities where these advantages in supporting organizational policies grow more aggressively. The alternative strategy that can be applied by the Semarang Health Office is to improve acces and facilities for HIV services in Semarang city.

Analisis Pemanfaataan Dana Bantuan Operasional Kesehatan (BOK) di Puskesmas Jetak Kabupaten Semarang Putri, Sefira Salsabila; Jati, Sutopo Patria; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 1 (2020): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

This study aims to determine the utilization of health operational assistance funds in Semarang district Jetak health center. The research design used was descriptive analytic research. This research was carried out by conducting in-depth interviews with 6 informants involved in the utilization of health operational aid funds at the health center in Jetak District, Semarang. Data collection techniques used are in-depth interviews and document review. The data analysis technique consists of four stages, namely data collection, data reduction, data presentation and conclusion drawing. Validity test data used is the source triangulation method. The results showed that indicators of budgetary participation in the utilization of health operational aid funds in jetak health centers were not good because there was no effective leadership. For indicators of budget target clarity it is already good because it is in accordance with the technical guidelines and lattices of the Semarang district health office. Then the budget evaluation indicators are still lacking because the mini workshop has not been optimally implemented. Whereas indicators for budget target difficulties are also lacking because there is no proper roadmap and planning yet.

Analisis Hubungan Budaya Organisasi dengan Komitmen Organisasional Perawat Rawat Inap di Rumah Sakit Islam Sultan Agung Semarang Fachrudin, Nur Millati Hanifah; Arso, Septo Pawelas; Fatmasari, Eka Yunila; Sriatmi, Ayun
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Organizational culture is often used as one of the determinants of tools and keys to success or failure of an organizational strategy achievement. Another thing that is closely related to organizational culture is organizational commitment. The harmony of goals achieved between employees and organizations through culture will build an organizational commitment in the employee. The purpose of this study was to determine the related of organizational culture variables with organizational commitments of inpatient nurse at Sultan Agung Islam Hospital. The method of this research was using explanatory research with cross sectional approach. The population was all nurses in inpatients unit at Sultan Agung Islam Hospital with 70 people as sample. The analysis of the data was employed univariate and bivariate analysis with Rank Spearman test. The results obtained all independent variables related with the dependent variable. The independent variables related to the commitment of the organization of inpatient nurses at Sultan Agung Islam Hospital and have strong relation strength are innovation and risk taking courage (p value 0,001 and rs = 0,584) and aggressiveness (p value 0,001 and rs = 0,500) while the independent variable related to organizational commitment and have weak relation strength is attention to detail (p value 0,018 and rs = 0,281), orientation to result (p value 0,001 and rs = 0,472), human orientation (p value 0,005 and rs = 0,335), team orientation (p value 0,001 and rs = 0,465) and stability (p value 0,001 and rs = 0,425).

Analisis Peluang Sinkronisasi Program Ambulans Hebat Si Cepat dalam Mendukung Pelaksanaan Puskesmas Mampu PONED di Puskesmas Bangetayu Kota Semarang Yuliastuti, Ika Kurnia; Jati, Sutopo Patria; Fatmasari, Eka Yunila
Jurnal Ilmiah Mahasiswa Vol 10, No 2 (2020): Jurnal Ilmiah Mahasiswa
Publisher : Jurnal Ilmiah Mahasiswa

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Background : The Semarang City is included in the top 5 highest maternal mortality rates in Central Java. The Semarang City Government through the Semarang City Health Service seeks to reduce maternal mortality through the establishment of community health centers capable of Basic Emergency Obstetric and Newborn Care (BEMONC) with the support of the establishment of the Ambulans Hebat program. Public Health Services of Bangetayu is a community health centers capable of BEMONC that continues to contribute to maternal mortality in the last 3 years with the highest number of high risk pregnant women and the largest number of complications pregnant women. This study aims to analyze the opportunities for synchronizing the Ambulan Hebat program in supporting the implementation of community health centers capable of BEMONC at the Bangetayu Community Health Center.Methods : Qualitative research with a descriptive analytic approach through in-depth interviews. The variables studied were elements of partnership (shared interests, openness & trust, clear & measurable goals, willingness to sacrifice, and mutual benefit) by using analysis of supporting factors and inhibiting factors (Force Field Analysis).Result : The results of this study indicate that the Ambulan Hebat Si Cepat program in supporting the implementation of obstetric and neonatal services in the Public Health Center of Bangetayu based on the element of partnership has a great opportunity to synchronize. There are 4 elements of partnership that are supporting factors are the aspects of openness & trust, clear & measurable goals, willingness to sacrifice, and mutual benefit.Conclusion : The results of this study suggest that the Health Office of Semarang City make policy regulations to regulate program coordination, conduct routine internal coordination, and create operational standards for special coordination procedures.

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