Perception Factors, Intentions and Attitudes with Market Community Participation to Prevent Occupational Diseases

An Occupational Disease was a disease caused by work or work environment. One of the efficient and effective strategies for controlling Occupational Disease was the empowerment and participation of the community called Occupational Health Unit (Pos UKK) in the workplace. Based on the data of market health inspection in Pos UKK Imogiri market in March 2017, there were only 67 participants (19.17%) from 365 invited people.: The purpose of this research was to know the internal factors with the community participation in Pos UKK Imogiri market Bantul. This research was a quantitative analytic research with cross sectional design. The population was 365 people and the sample was 150 respondents. The sampling used purposive sampling technique. Kendall Tau test showed that there was a relation between perception and community participation (p value <0.05, r = 0.677); Intentions related to community participation (p value <0.05 r = 0.486); Attitudes related to community participation (p value <0.05 , r= 0.802). F test result showed that the variables of Perception, Intentions and Attitudes related simultaneously to community participation (F value = 387.41> F table = 2.67). The dominant independent variable was Attitudes with the highest Standard Beta Coefficient value was 0.776. Perceptions, Intentions and Attitudes related both partially and simultaneously to community participation; the independent variable that had dominant influence was Attitudes

Path Analysis on the Effectiveness of the Family Hope Program in Improving the Nutritional Status of Children Under Five in Jombang, East Java

Background: Conditional cash transfers (CCT) are one of the most prevalent social assistance programs in low and middle-income countries with the goal of improving for poor families through interventions in health, nutrition and education. Previous study showed that these programs might have helped reduce poverty among program participants. Little is known about the effectiveness of a CCT in Indonesia named Family Hope Program. This study aimed to examine the effect of Family Hope Program on maternal health behavior and children under five nutritional status in poor families, Jombang, East Java. Subjects and Method: This was a retrospective cohort study conducted in Jombang District, East Java, from November to December 2017. A total sample of 210 mothers and their children under five were selected for this study by fixed exposure sampling. The dependent variables were maternal health behavior and child nutritional status. The independent variables were birthweight, history of illness, maternal education, family income, family support, government Family Hope Program, and access to health service. The data were collected by maternal and child book record and questionnaire. The data were analyzed by path analysis. Results: The likelihood of good nutritional status of children under five increased with good nutritional intake (b= 1.9; 95% CI= 1.1 to 2.8; p<0.001), normal birthweight (b= 2.5; 95% CI= 0.9 to 4.1; p= 0.002), rare frequency of illness (b= 1.3; 95% CI= 0.5 to 2.1; p= 0.001), and strong family support (b= 1.5; 95% CI= 0.6 to 2.3; p<0.001). The Family Health Program showed a positive indirect effect on nutritional status of children through improving maternal health behavior. Conclusion: The likelihood of good nutritional status of children under five increases with good nutritional intake, normal birthweight, no history of illness over the past three months, and strong family support. The Family Hope Program is effective in improving child nutritional status by enhancing maternal health behavior and increasing child nutritional intake. Keywords: child nutritional status, maternal health behavior, Family Hope Progra

Effect of Doctor\u27s Personality, Job Characteristic, Payment Method, Facility, on Performance and Quality of Doctor Service

Background: Doctors generally do not work permanently at hospitals. Doctors are expected to deliver quality medical service at the hospitals. However, hospitals often find it difficult to exercise efective managerial control over the quality of medical services. This study aimed to investigate the effect of doctor\u27s personality, job characteristic, payment method, facility, on performance and quality of doctor service.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was carried out at Dr. Moewardi Hospital and PKU Muhammadiyah Hospital, Surakarta, from March to May 2017. A sample 182 study subjects consisting of 26 doctors, 26 nurses, and 130 patients, were selected for this study by simple random sampling. The dependent variable was quality of doctor service. The independent variables were doctor\u27s personality (extrovert vs. introvert), doctor\u27s carefulness, proactive attitude, self-efficacy, autonomy, performance feedback, supervisor support, payment method, work site (private vs. public), and performance. Questionnaire was used to collect data. Path analysis was employed to analyze the data.Results: Good quality of doctor service was directly affected by good performance (b=0.64, SE=0.11, p<0.001), private work site (b= 2.85, SE=0.66, p<0.001), and strong self-efficacy (b=0.21, SE=0.07, p=0.006). Good work performance was affected by extrovert personality (b=0.08, SE= 0.06, p=0.186), careful attitude (b=0.30; SE=0.09; p=0.001), proactive personality (b=−0.17; SE=0.05; p=0.001), strong self-efficacy (b=0.27; SE=0.07; p<0.001), autonomy (b=0.16; SE=0.06; p=0.015), performance feedback (b=0.43; SE=0.13, p<0.001), supervisor support (b=0.14, SE=0.06, p=0.018), payment method (INA CBGs) (b= −2.29; SE= 0.66; p<0.001), and private work site (b= -0.26, SE= 0.68, p=0.696).Conclusion: Good quality of doctor service is directly affected by good performance, private work site, and strong self-efficacy.Keywords: quality, doctor\u27s service, performance, path analysisCorrespondence: Heni Hastuti. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: [email protected] Mobile: +6281904534310.The Journal of Health Policy and Management (2017), 2(1): 42-55https://doi.org/10.26911/thejhpm.2017.02.01.0

Context, Input, Process, Product Analysis in the Implementation of Iron Supplementation Program in Banyumas, Central Java

Background: Iron supplementation program has been implemented in Banyumas, District, Central Java, but the prevalence of anemia in pregnant women remains as high as 55.37%. The Banyumas District Health Office has launched an ad hoc (temporary) iron supplementation program, namely Hemafort, in order to reduce anemia prevalence. This study aimed to investigate the factors that determine the effectiveness of the iron supplementation program for pregnant women in Banyumas, Central Java.Subjects and Method: This was a qualitative study with case study approach, and CIPP (context, input, process, product) framework. This study was conducted Wangon II and South Purwokerto Health Centers from October to November 2016. Informants were selected by purposive sampling including midwives, nutritional program managers, pharmacists, head of nutrition section, and pregnant women. The data were collected by in-depth interview, observation, and archival review. The data were analyzed by a multiple case study. The data were validated by data source triangulation.Results: The iron tablets coverage for pregnant women reached 94.88% and 89.26% in 2014 and 2015, respectively, in Banyumas. The minimal target of iron coverage for pregnant women was 90%. There was no local government policy or standard operating procedure (SOP) that regulated the efforts to tackle anemia problems in pregnant women. The number of health personnel in charge of nutrition and their competence were sufficient. But reliable budget to tackle anemia problem did not exist. Spending district budget was an exit strategy to take when there was deficiency in central budget allocation. The number of iron supplementation tablets was not guaranteed.Conclusion: The effectiveness of iron supplementation program for pregnant women depends on the existence of relevant policy, SOP, allocation of sufficient and reliable budget, as well as adequate supply of iron tablets.Keywords: iron supplementation tablets, pregnant women, local government, budgetCorrespondence: Purwati. Faculty of Health Sciences, Muhammadiyah University at Purwokerto, Central Java. Email: [email protected]. Mobile: +6285735145236.Journal of Health Policy and Management (2016), 1(2): 113-120https://doi.org/10.26911/thejhpm.2016.01.02.0

Aplikasi Model PRECEDE-PROCEED Pada Perencanaan Program Pemberdayaan Masyarakat Bidang Kesehatan Berbasis Penilaian Kebutuhan Kesehatan Masyarakat

Pemberdayaan masyarakat bertujuan untuk meningkatkan partisipasi masyarakat dalam program kesehatan. Model PRECEDE-PROCEED Green danKreuterdigunakansebagai model perencanaan program kesehatan berbasis penilaian kebutuhan masyarakat. Tujuan penelitian adalah mengaplikasikan model PRECEDE-PROCEED pada perencanaan program pemberdayaan masyarakat bidang kesehatan berbasis penilaian kebutuhan. Sasaran penelitian adalah para pengambil kebijakan serta pelaksana program Desa Siaga di Dinas Kesehatan Kabupaten, Puskesmas, dan Desa. Metode penelitianyangdiggunakanadalahmetode kualitatif berupa studi kasus. Lokasi penelitianberadadi Kabupaten Pati Provinsi Jawa Tengah dengan mengambil dua Desa Siaga. Hasil: Prioritas masalah kesehatan adalah Tuberkulosis (TB) dan Demam Berdarah Dengue (DBD). Faktorpredisposisi meliputi tingkat pendidikan, pengetahuan, keyakinan, sertakepercayaan pada takhayul dan dukun. Faktor pendukung meliputi penyuluhan dan pelatihan, ketersediaan sarana kesehatan, jaminan kesehatan, dukungan dana, sumberdaya lokal, dan sumberdaya alam. Faktor penguat meliputi kepemimpinan, dukungan sosial, modal sosial, norma sosial, gotong royong, penghargaan, akses informasi kesehatan dan keteladanan. Kesimpulan: Model perencanaan PRECEDE-PROCEED dapat diaplikasikan pada perencanaan program pemberdayaan masyarakat bidang kesehatan berbasis penilaian kebutuhan. Penyakit TB dan DBDdiidentifikasi oleh masyarakat sebagai prioritas masalah kesehatan. Pemberdayaan masyarakat bidang kesehatan diarahkan pada upaya Perubahan perilaku dengan mempertimbangkan faktor predisposisi, penguat dan pendukung