District Health Information System on Maternal, Newborn and Child Health How Good Is It? A Case of Deli Serdang and Sumedang Districts

Valid data and information are critical for any health programs, in particular for planning, monitoring and evaluation purposes. District Health Information System is designed to produce routine data on process and output type of indicators at district level. This study, taking place at Deli Serdang and Sumedang districts, has its objectives as to learn about the current practice of DHIS, specifically looking at its process and the availability, quality and utilization of thedata. Methods of data collection include in-depth interview with stakeholders at village, health facility and district levels, examination of existing forms at all levels as well as other documents and reports. Findings suggest that weaknesses of DHIS prevail at each level of the system. Complexity of the system has produced inaccurate and suboptimal the use of generated data and information.Key words : District health information system, inaccurate data and informationAbstrakData dan informasi yang valid sangat penting untuk program kesehatan, terutama untuk perencanaan, pemantauan, dan evaluasi. Sistem Informasi Kesehatan Kabupaten dibuat untuk menghasilkan data rutin tentang indikator proses dan output program kesehatan di tingkat kabupaten. Studi ini, yang dilakukan di kabupaten Deli Serdang dan Sumedang, bertujuan untuk mengetahui proses bekerjanya SIK Kabupaten, serta ketersediaan, kualitas dan penggunaan data yang dihasilkan. Pengumpulan data dilakukan dengan menggunakan beberapa cara, yaitu wawancara mendalam dengan para pemangku kepentingan di desa, fasilitas kesehatan, dan kabupaten, pemeriksaan formulir-formulir yang digunakan disemua tingkatan, dokumen lainnya, serta laporan. Temuan studi menunjukkan adanya kelemahan-kelemahan SIK dalam semua tingkatan. Karena kompleknya, sistem menghasilkan data dan informasi yang tidak akurat, dengan tingkat penggunaan yang rendah.Kata kunci : Sistem informasi kesehatan kabupaten, data dan informasi yang tidak akura

Policy Implementation Analysis of Antenatal Care Services at Puskesmas Negara Ratu and Puskesmas Cempaka Kabupaten Lampung Utara

The Ministry of Health has issued Minister of Health Regulation Number 21 of 2021 to strengthen maternal health services, which regulates health services during pregnancy (antenatal). The Minister of Health\u27s regulation states that antenatal care is carried out at least six times, 2 (two) of which are examinations with a doctor using an Ultra Sonography (USG) device. Community health centers as primary services are expected to be able to provide antenatal services according to standards. The North Lampung Health Service has distributed ultrasound equipment to community health centers in the North Lampung Regency to support the implementation of antenatal services. The research aims to determine the implementation of antenatal care policies at the Negara Ratu Health Center and Cempaka Health Center. This research is qualitative with a case study design; data was collected through in-depth interviews, observation, and document review. The research results show that implementing the antenatal care policy at the Community Health Center has been running according to the 10 T standard, including antenatal care with doctors using ultrasound equipment. However, integrated antenatal care with mental health programs, recording in the mother\u27s KIA book, and reporting K6 coverage by the Community Health Center have not been implemented optimally. Human resources and facilities still need to be improved. Even though most pregnant women support and participate in antenatal care, obstacles, and challenges are still found in encouraging the participation of pregnant women. Efforts are needed to optimize the implementation of antenatal care policies and increase resources and community support to support the implementation of antenatal care policies at Community Health Centers

ANALISIS RISIKO UPCODING TERHADAP KEJADIAN FRAUD DI ERA JKN: TINJAUAN SISTEMATIS

Fraud merupakan tindakan kecurangan yang dilakukan dengan sengaja untuk mendapatkan keuntungan finansial dari program jaminan kesehatan. Kasus perkembangan fraud terus meningkat dari tahun ke tahun. Pada tahun 2017, ICW (Indonesia Corruption Watch) menemukan adanya 49 dugaan fraud yang dilakukan oleh FKRTL dan FKTP. Tujuan dari penelitian ini adalah untuk mengetahui risiko yang disebabkan oleh upcoding terhadap kejadian fraud di era JKN agar dapat menjadi informasi bagi pemangku kebijakan kesehatan terkait kebijakan nasional pencegahan fraud. Penelitian ini merupakan sebuah tinjauan sistematis (systematic review) dengan menggunakan panduan PRISMA dalam penyusunannya. Pencarian artikel didapatkan melalui pubmed, APFJ (Asia Pacific Fraud Journal), dan google scholar. Berdasarkan review artikel penelitian dapat diketahui bahwa upcoding merupakan salah satu potensi fraud yang marak dilakukan oleh petugas di fasilitas pelayanan kesehatan, kejadian upcoding sering diidentikkan dengan peran koder dan DPJP. Bentuk kegiatan upcoding yang sering ditemui adalah adanya perbedaan penggunaan sistem pembayaran yang menyebabkan perbedaan pemahaman antara verifikator, koder dan DPJP tentang diagnosis, kesalahan koder dalam pembacaan diagnosis yang ditulis oleh DPJP, tidak akuratnya kode diagnosis, perbedaan penggunaan perangkat lunak rumah sakit dengan software INA-CBGs yang berpotensi menimbulkan keuntungan bagi pihak rumah sakit

ANALYSIS IMPLEMENTATION OF THE SUPERVISION ROLE COMMISSION IX OF DPR RI IN THE HEALTH PROGRAM FOR THE 2014-2019 PERIOD: CASE STUDY IN THE PRIMARY CARE DOCTOR PROGRAM

Prolonged health problems have been recurring for a long time have raised questions about health program and its supervisory. The supervisory function carried out by Commission IX of the DPR RI on its partners from the government continues to be carried out in various ways. However, analysis has never been conducted to assess whether the various supervisory activities have been effective. This study uses a qualitative method based on phenomena, symptoms, facts, or social informants. Informants are determined directly based on the principles of appropriateness and adequacy. The data is then converted into transcript form, then analyzed, and a Logical Framework is created. This study shows that Commission IX\u27s supervision of the Primary Care Doctor (Dokter Layanan Primer/DLP) Program is ineffective because the program is regulated in the Medical Education Law which is a product of Commission X DPR RI and involves The Ministry of Research and Education (Kemenristekdikti), which is not a working partner of Commission IX DPR RI. Supervision by Commission IX of DPR RI on work partners can positively influence partners\u27 performance improvement. However, it is difficult to conclude that the increase in performance is entirely due to oversight from Commission IX of DPR RI. The supervisory function of Commission IX DPR RI for the DLP Program did not work effectively because the program was regulated in the Medical Education Law which was a product of Commission X DPR RI and involved Kemenristekdikti which was not a working partner of Commission IX DPR RI

Pengaruh Perilaku Kepemimpinan terhadap Motivasi Kerja Pegawai di Rumah Sakit

Peningkatan kinerja pegawai akan membawa keberhasilan bagi organisasi sehingga dapat mempertahankan pelayanan kepada masyarakat. Oleh karena itu, peningkatan kinerja personel merupakan salah satu tantangan terpenting manajemen, karena pencapaian tujuan tergantung pada seberapa baik kinerja sumber daya manusianya. Badan tersebut didirikan karena memiliki tujuan yang ingin dicapai. Pencapaian tujuan rumah sakit, di sisi lain, membutuhkan sikap atau perilaku orang-orang yang bertanggung jawab dan berkinerja baik. Arikel penelitian ini bertujuan untuk mengetahui dan menganalisis pengaruh perilaku kepemimpinan terhadap motivasi kerja pegawai di Rumah Sakit. Pendekatan penelitian ini menggunakan deskriptif kualitatif. Metode penulisan menggunakan analisis deskriptif dan sumber penulisan menggunakan sumber data primer dari buku, jurnal, dan literatur lain yang relevan dengan penulisan karya ilmiah ini. Hasil penelitian ini menunjukkan indikator untuk mencapai kinerja yang memuaskan dari seorang pegawai rumah sakit adalah dari kuantitas, kualitas, ketepatan waktu, kehadiran, dan kemampuan bekerja sama

ANALYSIS IMPLEMENTATION OF THE SUPERVISION ROLE COMMISSION IX OF DPR RI IN THE HEALTH PROGRAM FOR THE 2014-2019 PERIOD: CASE STUDY IN THE PRIMARY CARE DOCTOR PROGRAM

Prolonged health problems have been recurring for a long time have raised questions abouthealth program anditssupervisory. The supervisory function carried out by Commission IX of the DPR RI on its partners from the government continues to be carried out in various ways. However, analysis has never beenconducted to assess whether the various supervisory activities have been effective. This study uses a qualitative method based on phenomena, symptoms, facts, or social informants. Informants are determineddirectly basedon the principles of appropriateness and adequacy. The data is then converted into transcript form, then analyzed, and a Logical Framework is created. This study shows that Commission IX's supervision of the Primary Care Doctor (Dokter Layanan Primer/DLP) Program is ineffective because the program is regulated in the Medical Education Law which is a product of Commission X DPR RI and involves The MinistryofResearchandEducation(Kemenristekdikti), which is not a working partner of Commission IX DPR RI. Supervision by Commission IX of DPR RI on work partners can positively influence partners' performance improvement. However, it is difficult to conclude that the increase in performance is entirely due to oversight from Commission IX of DPR RI. The supervisory function of Commission IX DPR RI for the DLP Program did not work effectively because the program was regulated in the Medical Education Law which was a product of Commission X DPR RI and involved Kemenristekdikti which was not a working partner of Commission IX DPR RI

The Relationship Between Age and Clinical Manifestations and the Severity of COVID-19 in Bengkulu Province in 2020

Penyakit menular COVID-19 yang disebabkan oleh virus SARS-CoV-2 dapat menyerang semua kelompok umur. Gejala dapat bervariasi dari asimtomatik hingga parah dan kritis. Perbedaan gejala klinis dapat terjadi karena perbedaan distribusi, maturasi dan fungsi reseptor virus SARS-CoV-2. Gejala klinis ini akan menentukan tingkat keparahan COVID-19. Penelitian ini bertujuan untuk menganalisis hubungan usia dan gejala klinis dengan derajat keparahan COVID-19 di Provinsi Bengkulu Tahun 2020. Penelitian ini menggunakan penelitian analitik observasional dengan desain cross sectional. Pengambilan sampel menggunakan teknik consecutive sampling dan didapatkan sebanyak 109 subjek yang merupakan pasien COVID-19 di Provinsi Bengkulu pada bulan Maret hingga Desember 2020. Penilaian gejala klinis menggunakan formulir investigasi epidemiologi COVID-19. Derajat keparahan ditentukan berdasarkan Pedoman Pencegahan dan Pengendalian COVID-19 oleh Kementerian Kesehatan Republik Indonesia. Hubungan antara kedua variabel dianalisis dengan menggunakan uji Spearman Rank. Hasil penelitian ini menunjukkan bahwa terdapat hubungan yang bermakna antara faktor usia pasien COVID-19 dalam menentukan derajat keparahan COVID-19 (p=0,000; p<0,05). Kesimpulan penelitian ini menunjukkan bahwa usia dapat menjadi faktor risiko yang terkait dengan gejala klinis dan tingkat keparahan pada pasien COVID-19. Meskipun pasien usia 0-18 tahun lebih ringan dibandingkan dengan usia di atas 18 tahun

ANALYSIS OF THE NEED FOR LEGAL PROTECTION FOR DOCTORS IN TELECONSULTATION SERVICES TOWARDS THE COVID-19 ENDEMIC IN INDONESIA

Teleconsultation is a form of telemedicine that has developed rapidly during the COVID-19 pandemic. Clinical teleconsultation provides remote clinical consultation services to assist in establishing a diagnosis, and/or providing treatment considerations/advice. There are several issues in telemedicine, including ethical and legal issues. This study aims to find ethical and legal issues related to teleconsultation services after the COVID-19 pandemic. This research uses normative legal research methods. The laws and regulations that are reviewed by the researcher are those that are still valid in the Republic of Indonesia until June 2022. Researchers compare teleconsultation regulations and laws that were in effect during the pre-pandemic COVID-19 period with those that were in effect during the pandemic. Moreover, researchers examine ethical and legal issues that will arise during the COVID-19 endemic period. In conclusion, if the regulations during the pre-pandemic period are reimplemented during the endemic period, ethical and legal issues will arise. The issues vary from teleconsultation can only be provided by medical facilities like hospitals instead of direct consultation between doctor and patients. Furthermore, the applications must be legally issued and registered by the government, particularly from the ministry of health. Diagnosis enforcement does not follow professional standards in  terms of physical examinations is also an issue. Besides, there are more issues such as electronic prescription is not allowed and doctors must be able to prove that there are no intentional factors in the cases of patients’ data leakage and medical record hacking. In this way, the government is expected to make basic changes in the existing teleconsultaion laws and regulations or to make specific teleconsultation laws and regulations with the purpose of providing legal protections for doctors

Evaluation of the Productive Age Health Services Implementation in Bekasi City

AbstractIntroduction: Productive-age health services in Bekasi have not reached the standard target of 100%. By 2023, the percentage of productive-age health services was 27.96%. Therefore, this study aims to conduct a formative evaluation of the implementation of productive-age health services in Bekasi City based on the logical framework, especially in the Mustika Jaya Community Health Centre and Rawa Tembaga Community Health Centre.Methods: This was a qualitative study with a case study design conducted over two weeks. The data were collected through in-depth interviews. The informants were selected based on the principles of appropriateness and adequacy.Results: The study found that while health equipment, funding, and human resources are generally adequate, challenges persist in data management and human resource capacity-building. The recording and reporting system, SI-PTM, requires improvement in integrated data management. There is a need for increased awareness among the target population through innovative outreach programmes. The short-term goal of productive-age health services aligns with the long-term vision outlined in RPJMD.Conclusion:  The implementation of productive-age health services in Bekasi City requires further improvement to achieve the 100% minimum health service standard. Community Health Centers in Bekasi City can enhance cross-program and cross-sectoral collaboration with productive-age health services, increase people's awareness with an innovative outreach, and ensure that human resources in productive-age health services receive training.