Determinan Keputusan Pekerja Mandiri menjadi Peserta Jaminan Kesehatan Nasional

Background: National health insurance is mandatory for all Indonesians. In Ogan Ilir Regency, the lowest percentage (24,14%) of its participants in December 2016 was found in Indralaya Utara Sub-district, and self-employed participants in this sub-district were only 6,99%. This study aimed to analyze the determinants of the self-employed’s decision to become national health insurance participants in Indralaya Utara Sub-district. Method: This was a cross-sectional study. The population was self-employed in Indralaya Utara Sub-district. The sample was 108 respondents who were selected using cluster sampling and consecutive sampling techniques. Data analysis was conducted by univariate and bivariate with chi-square statistical test. Results: The results illustrated that 18,52% of respondents decided to become national health insurance participants. Variables with p-value<0,005 were: knowledge about national health insurance (p-value=0,011), trust (p-value=0.000), perception about national health insurance (p-value=0,000), attitude (p-value=0,000), income (p-value=0,002), family support (p-value=0,005). Variables with p-value≥0,005 were: education (p-value=0,234), perception about health facilities (p-value=0,162), distance to health facilities (p-value=0,355), health workers support (p-value=0,112). Conclusion:  In conclusion, percentage of self-employed who decided become national health insurance participants was still small. Associated factors to the decision of self-employed as participants were: knowledge about national health insurance, trust, perception about national health insurance, attitude, income and family support. It is suggested that the Social Security Administrative Body for Health should routinely conduct socialization on national health insurance to improve the percentage of its participation for self-employed and the benefits of national health insurance could be felt by the entire community

Training of The Utilization of Medicinal Plants as Complementary Medicine Among Health Workers

The current community service focused on the use medicinal plants which seemed to increase among families. This program was supported by the 2018 Riskesdas report, which showed that 38.7% of Indonesia’s population had used traditional medicine for treatments. This program sought to discover health workers’ knowledge of family medicinal plant training. This community service was carried out through the mentoring method and involved 25 public health center employees representing each primary healthcare in Ogan Ilir Regency. We selected the sample using the total sampling method. The mentoring session was organized in the form of training related to the concepts of family medicinal plants and how to use them. This training involved a number of lectures and presentations of a model of family medicinal plants. The differences in knowledge of the training participants were measured using a pretest and posttest. The data were analyzed using the t-test. The results showed a difference in health workers’ knowledge before and after the training (p <0.05). There is an increase in the knowledge of primary healthcare workers regarding family medicinal plants

Analisis Implementasi Integrasi Jamsoskes Sumatera Selatan Semesta ke Program Jaminan Kesehatan Nasional di Kota Palembang dari Sisi Stakeholder

Backgound: Based on Presidential Regulation No. 82 of 2018, regional governments that carry out the Regional Health Insurance are obliged to integrate it into JKN (National Health Insurance) Program held by the BPJS (Health Insurance Organizing Agency). Similarly, the Government of South Sumatra Province has suspended the Jamsoskes Sumatera Selatan Semesta Program commercing January 1, 2019 by issuing Circular Letter Number 057/DINKES/SE/2018. This study aimed to analyze the integration implementation of Jamsoskes Sumatera Selatan Semesta into the JKN Program in Palembang City.  Method: This study used qualitative approach through in-depth interviews, literature review and field observations. There were 7 informants selected by purposive technique carry out at the Public Health Office, BPJS Health, Social Service, and Puskesmas (Community Health Center).Result: Communication (Transmission, Clarity and Consistency) in implementing the were carried out quite well because each relevant agency had followed up the Circular Letter and disseminated the information clearly and consinstently to the implementing unit underneath it. Resource, there were still obstacles in the form of funds and limited data poor. Disposition, all parties involved in the integration supported this integration. Bureaucratic Structure, there was no Standard Operational Procedure (SOP) at several relevant agencies to carry out the integration. Distribution of responsibilities was carried out by means of stakeholder coordination meetings.Conclusion: The integration still faces obstacles in the form of limited funds to cover people who have not received health insurance and poor popilation data that has not been verified and validated so that the social service needs to directly improve the community data by conducting data collection on poor people in the Palembang city. Keywords: Integration, Jamsoskes, Nasional Health Insuranc

The Role of Health and Non Health Sector in Expansion the Nhi Membership at Banyuasin Regency

Backgroud: Based on BPJS Kesehatan of Palembang's membership data on NHI era, the lowest percentage is Banyuasin Regency, that is 36,33% (registered member is 338.075 people/total population 930.523 people).One of the strategies in the expansion of membership is the integration between institutions (Partnership with other sectors).The aim from this study is to analyze role of partnership in health and non health sector in case to expand the membership of NHI in Banyuasin Regency. Method: This study is a qualitative study. Data were obtained through indeepth interview and observation. Analysis data is content analysis. Result: The partnership that exist between health and non health sector with BPJS Kesehatan had the type of membership, that is ‘Partnerships'. The communication that established regularly and nicely and activities are planned joint unrealized. Non health sector and BPJS Kesehatan have been sharing the data, but the data are involved is not accurate. This partnership had a MoU and decree, but it wasn't downgraded to other relevant agencies. The participation of key stakeholders are good and the partner act flexible with the change of rules and tasks. Vision and mission of special joint expansion membership and roles distribution wasn't written and there is the party who haven't believe that UHC in 2019 will be achieved. Conclusion: The partnership that exist between health and non health sector with BPJS had done. However, there was still the lack. Sugesstion for this study is to be better for the agreement of joint vision and mission and roles distribution to be written. It is better for the local goverment to continiouing the MoU to other relevant agencies and intertwining of good coordination among partners

SOCIO-ECONOMIC AND DEMOGRAPHIC FACTORS AFFECTING CONTRACEPTIVE USE IN WOMEN: EVIDENCE FROM THE INDONESIAN NATIONAL SOCIOECONOMIC SURVEY (SUSENAS)

BACKGROUND: Family planning program plays an important role in safe motherhood. Birth spacing and correct choice of contraceptive determine maternal health and the quality of family. However, the current user of contraceptive in Indonesia among women of reproductive age is low compared with other ASEAN countries (60%). This study aimed to determine the social, economic, and demographic factors that affect contraceptive use in Indonesia. SUBJECTS AND METHOD: This was a cross-sectional study using secondary data derived from the national socio-economic survey (SUSENAS) in 2014. A sample of 61,970 married women was selected for this study. The dependent variable was contraceptive use. The inde-pendent variables included maternal age, number of living children, family income, maternal schooling, maternal employment status, rural urban residence, and region of residence. Multiple logistic regression analyses were used to estimate the effects of socio-economic and demographic variables on contraceptive use. RESULTS: Only 39% of married women in Indonesia used contraceptive. The most popular contraceptive method used was injection (55%). Factors affecting contraceptive use were maternal age over 30 years (OR = 1.11; 95%CI 1.05 to 1.17; p2 (OR = 1.5; 95%CI 1.48 to 1.68; p<0.001), secondary school (OR = 0.92; 95%CI 0.89 to 0.96; p<0.001), family income quintile 5 (OR = 0.89; 95%CI 0.84 to 0.94; p<0.001), work outside (OR= 0.88; 95%CI 0.85 to 0.91; p<0.001), living in urban area (OR = 0.86; 95%CI 0.83 to 0.89; p<0.001), residing in Java/Bali (OR = 1.41; 95%CI 1.35 to 1.47; p<0.001). CONCLUSION: Maternal age over 30 years, number of children >2, and residing in Java/Bali, increase the likelihood of contraceptive use. Secondary school, family income quintile 5, work outside, and living in urban area, decrease the likelihood of contraceptive use. Family planning policy, information, education, and communication programs should consider these determinants of contraceptive use. Keywords: contraceptive use, women, socio-economic demographic factors, Susena

ANALISIS BESARAN BIAYA KAPITASI DAN PREMI BERDASARKAN BIAYA KLAIM DAN UTILISASI JPK PT JAMSOSTEK DIY

Introduction: Debate on the issue of contributory SocialSecurity Agency (BPJS) for health have yielded disappointingresults. The majority of workers wanting health insurancedues BPJS as lowHowever, the premium that is too lowresulting in payments to health care provider also low. Theamount of the payment of low will affect the quality of servicesand satisf action participants over a health care benefitprogram.Methods: This study is a descriptive research design with acase study involving two data sources, primary and secondarydata. Primary data obtained through interviews and secondarydata obtained from reports the DIY branch office PT.Jamsostek.Results: Based on data of claim costs and utilization of service:In 2008, capitation Rp1.876,00 PMPM and premium Rp11.070,00;in 2009, capitation Rp1.973,00 PMPM and premium Rp11.085,00;in 2010, capitation Rp2.398,00 PMPM and premium Rp13.425,00;in 2011, capitation Rp2.403,00 PMPM and premium Rp14.921,00;in 2012, capitation Rp3.416,00 PMPM and premium Rp15.923,00.Perceptions of the family physician capitation date suggeststhat capitation received lower with the services they have toprovided.Conclusion: The capitation and premium is calculated usingdata cost of claims and the utilization of its value lower thanstandard the capitation and premiums set on PT Jamtsostekbranch DIY and PT Askes. The results of calculation of cost acapitation is also lower than the amount of capitation andpremium on the implementation of the National Health Insurance(JKN) in 2014 who sets capitation Rp8.000,00 to Rp10,000,00PMPM. Need of further studies concerning the benefit serviceclinic 24 hours in effect in jamsostek; an absence of adjustmentbetween magnitudes payment the capitation with the openservice and performance the doctors family.Keywords: capitation, premium, family physician perception

HAND HYGIENE KNOWLEDGE AMONG HOSPITAL HEALTH WORKERS IN PALEMBANG DURING COVID-19 ERA

Background: Hand hygiene is the simplest practical method of preventing cross-infection. Knowledge of hand hygiene plays a vital role in determining adherence to hand hygiene. Nosocomial infection is an infection that occurs in patients in hospital.Aims: This study aims to analyze the knowledge of health workers regarding hand hygiene in Palembang hospitals during Covid-19 era.Methods: This study used a cross-sectional design with 300 health workers who worked in hospitals in Palembang. They are selected by simple random sampling. Data were collected using online questionnaire during October 2020.Results: The majority of respondents were female (88.67%), with the majority age group 30-39 years (43.67%), the majority of respondent came from nurses (63%), work in inpatient rooms (27.33%). A total of 80.67% of respondents have received formal training related to hand hygiene. 96% used alcohol-based hand rub. About 15.33% of respondents indicated good knowledge, moderate knowledge (80.33%), and less knowledge (4.3%) regarding hand hygiene. The difference in health workers' profession was significantly related to the level of knowledge about hand hygiene (p <0.05).Conclusion: There are differences in the level of knowledge about hand hygiene in each type of health worker professionKeywords: Hand Hygiene; Knowledge; Health Workers; Onlin

Importance Performance Analysis Kualitas Pelayanan Kesehatan Klien Rawat Jalan Peserta Jaminan Kesehatan Nasional

Health care usually is focused on first-level health services (Puskesmas) to reduce the cost of health care covered by the BPJS Kesehatan. The quarterly visiting data of Jaminan Kesehatan Nasional (JKN) participants in the Inderalaya Puskesmas show a fluctuating trend. The objective of this study is to analyze the level of attribute towards the quality of health care service to the outpatient covered by JKN in the Inderalaya Puskesmas throughout 2018. This study employs a quantitative descriptive research method using Importance-Performance Analysis (IPA). The sample of this study were 122 JKN participants chosen by accidental sampling in the site. Data gathering was conducted with the questionnaires of expectation and reality consisting of eight quality dimensions and 30 attributes of statements. The overall conformity level in this study is 94.16%. The study found many respondents are dissatisfied with five care namely effectiveness (93.14%), physical/direct evidence (91.93%), reliability (93.86%), responsiveness (93.07%), and insurance (93.24%). Results of the cartesian-diagram analysis suggest that from 30 attributes, there were four attributes in the A quadrant, 12 attributes in the B quadrant, 11 attributes in the C quadrant, and three attributes in the D quadrant

Determinant of Health Services Utilization by Persons with Disabilities in Palembang City

The issue of PWDs (Person with Disabilities) is a human right issue. Stigma and discrimination from the community as well as health workers often become obstacles for PWDs in utilization of health services. The study aimed to determine the determinants of health services by PWDs in the city of Palembang. This study used cross sectional study design. The samples of this study were 103 samples of PWDs selected by cluster random sampling. The analysis methods of this study were bivariate using chi-square as well as multivariate test using multiple logistic regression tests. The study found that PWDs who utilize health care services are female, high income, easy access to health services, low health care cost and a positive attitude towards services health. The most influential variables on the utilization of health services is a positive attitude towards health services. The utilization of health services by PWDs in Palembang city has not optimal. It is hoped the goverrment will review the existing in health services so that a friendlier situation and region of PWDs can be created

Analysis Planning and Procurement of Drugs at Public Health Center (Phc) Pembina Palembang

Background : Planning and procurement of drugs are important step in fulfilling the need for drugs in a health service. Of the 96 types of demand for drugs and medical equipment, the proposed Pembina Palembang Public Health Center in January 2010 there are 43 types of drugs that are not being met in accordance with the request. The purpose of this study is to investigate in-depth information about the planning and procurement of drugs at Pembina Palembang PHC. Method : This research is a descriptive qualitative approach. The method used in this study are in-depth interviews and observation. To see the validity of the data to test the validity of the triangulation. Results of the interviews are grouped in the same category that is based on the planning and procurement of drugs. Result : The result showed that in the choice of drugs still have a non-generic drugs. Estimation method of drugs used in Pharmaceutical Warehouse of Palembang City (PWC) are consumption method and epidemiology method. Drug procurement system and the way have done at the Pembina PHC are two of the centralized system (from Palembang City Health Office) and decentralization (direct purchase of specialists doctor on request.) Conclusion : Planning and procurement of drugs at the Pembina Palembang PHC has good and most are in accordance with the applicable rules .Health Department is expected to remain drug use generic drugs and conducted training on drug management to all officers of pharmacy health centers