DETERMINANT OF ELDERLY POSYANDU UTILIZATION IN WORKING AREAS OF SIX PUBLIC HEALTH CENTERS (PUSKESMAS) OF SEMARANG CITY

In improving the total coverage of elderly healthcare, public health centers (puskesmas) provide services off-building, one of which is elderly posyandu. In Semarang city, the average elderly attendance rate to posyandu was still meager. It impacted healthcare's low coverage and decreased elderlies' health status quality. This study aimed to analyze factors affecting the elderly posyandu utilization in working areas of six puskesmas of Semarang city. This study was quantitative with a cross-sectional design. The population was 42.679 elderlies with 70 elderly samples. The sampling technique was accidental sampling using questionnaires. The univariate analysis used a frequency distribution, while the relationship analysis used the rank spearman test. The study results showed relationships of attitude (p= 0.048), trust (p= 0.000), access (p= 0.000), cadres role (p=0.000), healthcare workers role (p=0.000), family support (p=0.015), facility (p=0.000), and disease susceptibility perception (0.002) to elderly posyandu utilization in working areas of six puskesmas of Semarang city. It is necessary to maximize funding for activities and facilities, innovate the development of gymnastics, conduct a singing together activity, and provide an understanding of disease risk factors.

PARENTS’ SATISFACTION WITH MEASLES RUBELLA IMMUNIZATION SERVICES FOR SCHOOLERS DURING THE COVID-19 PANDEMIC

Background: Measles Rubella (MR) immunization coverage for schoolers in Semarang City decreased to 92.7% in 2020 due to the COVID-19 pandemic. However, in practice, many parents still complain about MR immunization services for schoolers. Aims: This study aimed to determine parental satisfaction with MR immunization services during the COVID-19 pandemic. Methods: This quantitative study used a cross-sectional approach. Purposive and proportional sampling was used to select 102 samples. Data collection was done through questionnaire, and data were analyzed using the chi-square test and importance-performance analysis test. Results: The lowest suitability dimension level was tangibility (81.52%), followed by responsiveness (86.6%). The reliability dimension had the highest average conformity level (92.87%). The priority items for improvement were related to health workers’ compliance with the use of complete personal protective equipment (PPE), spacious immunization service rooms, registration officers’ responsiveness in giving directions, punctual immunizations distribution, polite and friendly registration services officers, as well as health workers’ initiative to remind parents about health protocols. Bivariate analysis showed there was no relationship between respondents’ characteristics and their satisfaction level. Conclusion: Parental satisfaction with MR immunization services for schoolers did not match their expectations; therefore, it is necessary to improve future immunization services

The Influence Of Organizational Factors on Compliance With The Standard Planning Process in Primary Health Care

Background: Planning becomes the most important management function because it arranges all management activities. Non-compliance with the standards of the planning process has an impact on the quality of planning that is unable to bridge needs which ultimately lead to dissatisfaction. PHC as public organizations must meet public service standards. Organizational factors are determinants of organizational performance as they relate to the provision and arrangement of vaious resourcesAims: The purpose of study was to determine affect of organizational factors on compliance with the standards of PHC planning process.Methods: An observational study with cross sectional design. All 56 PHC in the 2 districts in Central Java province (Semarang and Kudus) became the samples. The respondents are officer in charge of the PHC planning programme.. Data collection by interviews using questionnaires and observations. Data were analyzed descriptively and statistically.Results: Only 55.4% of PHCs comply with standard planning process. Weaknesses and inconsistencies still occur at every stage, especially with regard to inaccuracy of time, incomplete and inappropriate data, and low understanding of members of the team. Study shows that the aspect of manpower, infrastructure, organizing and monitoring-evaluation function are positively correlated with adherence to standard planning processes, where monitoring-evaluation factors are the dominant factor.Conclusion: All the gaps identified as the cause of puskesmas non-compliance to the standard planning process can be overcome through increasing staff commitment and competency by providing structured managerial training and routine socialization. Strengthening the monitoring-evaluation function needs to be pursued consistently to ensure the quality of the puskesmas planning process and the implementation of the work plan produce

Determinants of Treatment Adherence among Patients with Severe Mental Disorders at the Kedungmundu Primary Health Center in Semarang City

Background: Treatment adherence among patients with severe mental disorders is needed to avoid drop-outs, relapses, and shackling. Kedungmundu Primary Health Center in Semarang City is known to have a low treatment adherence to patients with severe mental disorders. This study aimed to determine the factors associated with treatment adherence among patients with severe mental disorders.Methods: A quantitative study with a cross-sectional approach. The samples were 73 patients with severe mental disorders at The Kedungmundu Primary Health Center. Data were collected using questionnaires and analyzed using frequency distribution analysis and Spearman Rank Correlation Test.Results: The results indicated that knowledge (p = 0,000; r = 0,715), attitudes (p = 0,000; r = 0,839), family support (p = 0,000; r = 0,427), assessment of health workers (p = 0,000; r = 0,456), and the need for health services (p = 0,000; r = 0,716) have a positive correlation with treatment adherence among severe mental disorders patients.Conclusion: Kedungmundu Primary Health Center is suggested to provide psychoeducation to patients and families, improve the implementation of mental health programs, and empower mental health cadres

EVALUASI CONTEXT, INPUT, PROCESS, DAN PRODUCT (CIPP) DETEKSI DINI GANGGUAN JIWA DI PUSKESMAS BANYUURIP

Deteksi dini gangguan jiwa di Puskesmas Banyuurip sebagai tindakan pencegahan dan intervensi dini faktor risiko. Deteksi dini diharapkan mengurangi prevalensi Orang Dengan Gangguan Jiwa (ODGJ) Kabupaten Purworejo yang menempati peringkat tertinggi di Riskesdas 2018 di Jawa Tengah. Pencapaian Puskesmas Banyuurip tahun 2019 adalah 33,02% pada usia produktif dan 80,6 % pada usia lanjut. Capaian tersebut menunjukkan adanya aspek-aspek yang perlu diperbaiki. Tujuan dari penelitian ini adalah mengevaluasi pelaksanaan deteksi dini gangguan jiwa melalui model CIPP. Metode penelitian ini menggunakan wawancara mendalam dan observasi. Penelitian ini merupakan penelitian kualitatif pendekatan deskriptif. Aspek evaluasi meliputi context, input, process dan product. Hasil penelitian pada evaluasi aspek context bahwa kebutuhan, masalah, dan sasaran deteksi dini gangguan jiwa menjadi latar belakang perencanaan. Evaluasi aspek input menunjukkan perencanaan cukup baik walaupun terdapat keterbatasan tenaga, dana, dan infrastruktur. Evaluasi aspek process bahwa pelaksanaan edukasi, rujukan, dan pelaporan kurang optimal dilaksanakan. Evaluasi aspek product dalam kriteria cukup baik dengan beberapa aspek perlu ditingkatkan. Antar aspek memiliki keterkaitan sehingga perbaikan satu aspek harus diikuti oleh aspek lainnya.Deteksi dini gangguan jiwa di Puskesmas Banyuurip sebagai tindakan pencegahan dan intervensi dini faktor risiko. Deteksi dini diharapkan mengurangi prevalensi Orang Dengan Gangguan Jiwa (ODGJ) Kabupaten Purworejo yang menempati peringkat tertinggi di Riskesdas 2018 di Jawa Tengah. Pencapaian Puskesmas Banyuurip tahun 2019 adalah 33,02% pada usia produktif dan 80,6 % pada usia lanjut. Capaian tersebut menunjukkan adanya aspek-aspek yang perlu diperbaiki. Tujuan dari penelitian ini adalah mengevaluasi pelaksanaan deteksi dini gangguan jiwa melalui model CIPP. Metode penelitian ini menggunakan wawancara mendalam dan observasi. Penelitian ini merupakan penelitian kualitatif pendekatan deskriptif. Aspek evaluasi meliputi context, input, process dan product. Hasil penelitian pada evaluasi aspek context bahwa kebutuhan, masalah, dan sasaran deteksi dini gangguan jiwa menjadi latar belakang perencanaan. Evaluasi aspek input menunjukkan perencanaan cukup baik walaupun terdapat keterbatasan tenaga, dana, dan infrastruktur. Evaluasi aspek process bahwa pelaksanaan edukasi, rujukan, dan pelaporan kurang optimal dilaksanakan. Evaluasi aspek product dalam kriteria cukup baik dengan beberapa aspek perlu ditingkatkan. Antar aspek memiliki keterkaitan sehingga perbaikan satu aspek harus diikuti oleh aspek lainny

Penguatan Peran Kader Kesehatan dalam Kewaspadaan Terhadap Demam Berdarah Dengue (DBD) Di Kota Semarang

ABSTRAKKasus DBD di Kota Semarang mengalami peningkatan signifikan sejak 2020 hingga tahun 2022. Kecamatan dengan kasus DBD tertinggi di Kota Semarang, antara lain Kecamatan Banyumanik, Kecamatan Semarang Barat, dan Kecamatan Tembalang. Upaya pencegahan seperti program pemberantasan sarang nyamuk dilakukan untuk menekan angka kasus DBD. Upaya tersebut dapat tercapai dengan komitmen dari pemangku kebijakan dan seluruh lapisan masyarakat termasuk kader. Peran kader menjadi perhatian karena sebagai stakeholder kunci yang sangat dekat dengan masyarakat. Tujuan dari pelaksanaan pengabdian ini adalah untuk meningkatkan pemahaman kader dalam kewaspadaan terhadap DBD. Metode pelaksanaan dilakukan dengan sosialisasi dan edukasi kepada kader dari Kelurahan Bulusan, Kelurahan Tembalang, Kelurahan Kramas, Kelurahan Meteseh, dan Kelurahan Rowosari. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan kader atas kewaspadaan terhadap penyakit DBD. Diharapkan Puskesmas Rowosari dapat menindaklanjuti dengan memantau dan melakukan pendampingan kepada para kader kesehatan dalam upaya mendorong masyarakat untuk bekerja sama saling waspada terhadap DBD di Kecamatan Tembalang.Kata Kunci: kader kesehatan, DBD, edukasi, kewaspadaan ABSTRACT DHF cases in Semarang City have increased significantly from 2020 to 2022. Sub-districts with the highest dengue cases in Semarang City include Banyumanik, West Semarang, and Tembalang. Prevention efforts such as mosquito nest eradication programs are carried out to reduce the number of DHF cases. These efforts can be achieved with the commitment of policy makers and all levels of society, including cadres. The role of cadres is important as key stakeholders who are very close to the community. The aim of implementing this service is to  increase the understanding of cadres in awareness of DHF. The method of implementation was carried out by socialization and education to cadres from Bulusan Village, Tembalang Village, Kramas Village, Meteseh Village, and Rowosari Village. The results of the activity showed an increase in cadres' knowledge of DHF awareness. It is expected that Puskesmas Rowosari can follow up by monitoring and providing assistance to health cadres in an effort to encourage the community to work together to be vigilant against dengue in Tembalang Sub-district.Keywords: health cadres, DHF, education, awarenes

Upaya Pencegahan Obesitas Pada Remaja Sekolah Menengah Pertama Di Kecamatan Tembalang Kota Semarang

ABSTRAKPrevalensi sindrom metabolik pada remaja yang mengalami obesitas di Kota Semarang memiliki persentase 68,4%. Tren pola konsumsi remaja yang menyukai minuman manis, pola tidur yang kurang terjaga dan kebiasaan makan di malam hari menjadi faktor penyebab obesitas. Overweight dan Obesitas memiliki risiko mengalami penyakit tidak menular seperti Diabetes, penyakit jantung iskemik dan kanker. Keterlibatan remaja sebagai generasi kekinian akan berdampak terhadap keberhasilan pengendalian dan pencegahan obesitas. Tujuan dari pelaksanaan pengabdian ini adalah untuk meningkatkan pengetahuan remaja dalam pencegahan dan pengendalian obesitas. Metode pelaksanaan dilakukan dengan sosialisasi dan edukasi kepada 44 siswi di SMP Islam Nurus Sunnah Kecamatan Tembalang. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan siswi SMP Islam Nurus Sunnah dalam mencegah Obesitas. Diharapkan pihak sekolah SMP Islam Nurus Sunnah dapat menindaklanjuti dengan memantau dan melakukan pendampingan kepada para siswi dalam menerapkan pola hidup bersih dan sehat serta pilar gizi seimbang. Kata Kunci: obesitas, remaja, penyakit tidak menular, pola hidup sehat  ABSTRACTThe prevalence of metabolic syndrome in obese adolescents in Semarang City is 68.4%. Trends in adolescent consumption patterns that favor sugary drinks, poor sleep patterns and eating habits at night are factors that cause obesity. Overweight and obesity have a risk of non-communicable diseases such as diabetes, ischemic heart disease and cancer. The involvement of adolescents as the current generation will have an impact on the success of obesity control and prevention. The purpose of this community service is to increase adolescents' knowledge in obesity prevention and control. The method of implementation was carried out by socialization and education to 44 female students at Nurus Sunnah Islamic Junior High School, Tembalang District. The results of the activity showed an increase in the knowledge of Islamic Junior High School Nurus Sunnah students in preventing obesity. It is expected that the school of SMP Islam Nurus Sunnah can follow up by monitoring and providing assistance to students in implementing a clean and healthy lifestyle and balanced nutrition pillars. Keywords: obesity; adolescence; non-communicable diseases; healthy lifestyle

Pemberdayaan Kader Dalam Manajemen KIPI Pada Vaksinasi Covid-19 Di Wilayah Kerja Puskesmas Bandarharjo

Indonesia targeting that at least 70% of the population vaccinated and formed the herd immunity. However, there are several challenges in reaching that target, such as the anti-vaccine movements, disinformation or hoaxes, fear of the Adverse Event Following Immunization (AEFI), and fear of needles. Based on the preliminary study, the area of Bandarharjo Public Health Centre was in the lowest 3rd place related to the COVID-19 vaccination coverage in Semarang. This was due to lack of education to the community regarding the vaccination, the high resistance to vaccination due to concerns about AEFI, and so on. Health cadres are one of the main actors in the supporting the health programs in PHC, therefore the role of health cadres need to be optimized in education and management of AEFI related to COVID-19 vaccination. This community service program was carried out offline in 30 health cadres in the working area of Bandarharjo PHC. The activity began with a pre-test, continued with the presentation of the topic, discussion session, and ends with post-test. The results of the pre-test and post-test showed that there was an increase in the knowledge of cadres between before the presentation and after the presentation session. Health cadres also received booklets containing general information about COVID-18 vaccination and also related to AEFI. Booklets given to cadres not only to increase their knowledge but also can be used to educate the community. Hopefully, with the increase in knowledge and understanding of cadres, the community will be easily get the right information. The health cadres commitment to educate the community regarding COVID-19 vaccination also hoped to increase the community knowledge related to the vaccination and also the willingness of community to receive the COVID-19 vaccination, especially in the working area of Bandarharjo PHC, Semarang City, Central Java Province

Penguatan Peran Kader Kesehatan dalam Mendukung Program Vaksinasi COVID-19 Dosis Lanjutan di Puskesmas Tlogosari Kulon Kota Semarang

Percepatan vaksinasi COVID-19 di Kota Semarang telah dilakukan pada kelurahan yang memiliki kasus COVID-19 tinggi di tahun 2021 seperti Kelurahan Tlogosari Kulon, Muktiharjo Kidul, Pedurungan Tengah, dan Palebon. Pemerintah telah menyediakan sarana prasarana untuk memudahkan masyarakat mendapatkan vaksinasi COVID-19 dosis lanjutan, namun tetap dibutuhkan partisipasi aktif masyarakat untuk  mendukung program percepatan vaksinasi COVID-19.Para kader kesehatan yang menghadapi masyarakat secara langsung seringkali mengalami kebingungan ketika menghadapi pertanyaan dari masyarakat mengenai vaksinasi COVID-19 dosis lanjutan. Sehingga peningkatan pengetahuan kader kesehatan  sangatlah penting agar kader dapat melakukan edukasi kepada masyarakat mengenai vaksinasi COVID-19 dosis lanjutan . Dalam rangka penguatan peran kader kesehatan di wilayah kerja Puskesmas Tlogosari Kulon Kota Semarang, dilakukan kegiatan pengabdian masyarakat yang dijalankan oleh Bagian Administrasi dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Diponegoro. Kegiatan terdiri dari kompetisi video edukasi terkait vaksinasi booster untuk memicu  kreativitas kader dalam menyusun media edukasi, dengan sosialisasi kepada peserta untuk memperkaya pengetahuan kader kesehatan wilayah Puskesmas Tlogosari Kulon mengenai vaksinasi COVID-19 dosis lanjutan. Kegiatan berjalan dengan baik dan peserta menunjukkan antusiasme yang cukup tinggi untuk berpartisipasi dalam proses kegiatan pengabdian. Diharapkan Puskesmas Tlogosari Wetan dapat terus memantau kendala yang dihadapi kader dan memberikan apresiasi kader kesehatan atas upayanya mendorong masyarakat untuk mendapatkan vaksinasi COVID-19

EFEKTIVITAS MEDIA “KAMPUNGKU-RUMAHKU” SEBAGAI SARANA PENDUKUNG PENCATATAN DAN PEMANTAUAN IMUNISASI DI KABUPATEN TEGAL

Pencatatan dan pemantauan imunisasi yang selama ini dilakukan oleh kader posyandu masih belum optimal. Upaya dalam meningkatkan hasil pencatatan dan pemantauan imunisasi yang baik dan berkualitas dilakukan dengan penggunaan media poster “KampungKu-RumahKu”. Penelitian ini bertujuan untuk menilai efektivitas media "Kampungku-Rumahku" sebagai alat yang mendukung pencatatan dan pemantauan imunisasi dasar lengkap di Kabupaten Tegal dengan membandingkan kelompok kader yang sudah menggunakan dan belum menggunakan media “KampungKu-RumahKu”. Penelitian ini menggunakan metode kuantitatif dengan pendekatan studi cross-sectional. Populasi penelitian ini sebanyak 1019 kader dan sampel penelitian ini terdiri dari 150 kader yang dipilih secara simple random sampling di tiga puskesmas yang telah diberi pelatihan media poster “KampungKu-RumahKu” yaitu Puskesmas Slawi, Puskesmas Kedungbanteng, dan Puskesmas Kramat. Analisis data menggunakan uji Mann-Whitney untuk membandingkan variabel yang diteliti. Hasil penelitian menunjukkan bahwa kinerja (sig=0,021), persepsi (sig=0,001), sikap (sig=0,009), motivasi (sig=0,000), sarana dan prasarana (sig=0,006), serta beban kerja (sig=0,000) terhadap pencatan dan pemantauan imunisasi kader memiliki perbedaan signifikan antara kader yang sudah menggunakan dan belum menggunakan media "KampungKu-RumahKu". Tidak ada perbedaan pada variabel pengetahuan (sig=0,200) dan imbalan (sig=0,169) di kedua kelompok kader. Dengan demikian, penelitian ini menghasilkan temuan yang mendukung penggunaan media "KampungKu-RumahKu" sebagai alat pendukung yang efektif dalam meningkatkan kinerja dan kesadaran kader posyandu dalam pencatatan dan pemantauan imunisasi di Kabupaten Tegal