Evaluasi Sistem Surveilans Ibu Hamil, Bayi dan Balita di Puskesmas Unit I, Puskesmas Moyo Hulu dan Dinas Kesehatan Kabupaten Sumbawa (Evaluation Of Pregnant Women, Infant, Underfive Children Surveillance System At PHC Unit I, PHC Moyo Hulu And Health Di

Background: District Sumbawa is one of the underdeveloped district (DBK), the ratings are based on indicators that include the concerns of pregnant women, infants and toddlers, from the existing data gaps in other words surveillance system implemented may not produce outputs that have high leverage the prevention of health problems. The purpose of this study is to identify issues and priorities the strengthening of the surveillance system of pregnant women, infants and toddlers in Sumbawa, Provinsi NTB. Methods:research conducted at PHC Unit I, PHC Moyo Hulu and Sumbawa District Health Office. Data were collected by observing to see the weaknesses or lacks of a surveillance system, then make alternative reinforcement through the Focus Group Discussion to get the most ideal reinforcement priorities to be implemented. Results: There is a difference between health districts profile data, Health Center profile data and the program data. The difference begins from the data source occurs pregnant women infants and toddlers: which at the time of data collection, at the time of recording and reporting, and at the time of publishing information. Strengthening alternative system that has been identified is building a database, simple data analysis, increased monitoring and evaluation, formation and repair forums verivication of the data storage system. The calculation of priority the strengthening of the surveillance system was decided the a simple data analysis is the most likely alternative. Conclusion: Problems surveillance of pregnant women, infants and toddlers is a process and output activities. Priority strengthening surveillance systems of pregnant women, infants and toddlers are most likely to be implemented is a simple data analysis to interpret the resulting figures

Analisis Kebijakan Pembiayaan Kesehatan di Kabupaten Kepulauan Aru (Policy Analysis: Health Financing In Aru Island)

Background: The calculation of Community Health Development Index (IPKM) of Aru Islands is in rank 352, of alldistricts/cities in Indonesia. This low in IPKM rank was suspected to be the result of the ineffectivity and ineffi ciency on health budgeting. Various problems can be detected and identifi ed through the implementation of the District Health Accounts (DHA) in the district/city level. The objectives of this research is mapping district health account, which consist of resources, organizer, activity and program. Method: This method applied was cross sectional design, and was conducted in 2012. The analysis unit was health district offi ce and a cross- sector health agencies ho had health funding allocation (Hospital, Department of Population and Family Planning, Regional Development Planning Board, Social Services). Results: The results showed that the largest source of funding comes from the Aru Islands government is 91.95% (81.60% APBD and APBN 9.31%). Most budget management is dominated by the government (94.42%). Most of the archipelagic Aru District budgets are used for activities that 54.67% indirect and direct activities amounted to 45.33%. Besides, fi nancing mapping results also indicate that public health programs Aru district absorb 11.25% of the total budget, 18.36% for individual health program efforts and the remaining 70.39% for program support. Conclusions: Health budget in District Aru largely sourced from the government (central, provincial and district levels). Indirect activities absorb more budget than Important government programs such as HIV / AIDS, tuberculosis, malaria, etc. Recomendations: The government should provide more funds to implement important programs of the government. Health District Offi ce should also be able to allocate substantial funds for essential government programs

Persiapan Puskesmas Bandarjaya Menjadi Unit Swadana

Health Center is one of health organization in district level that have compre­hensive and holistic health care system in the society, as a point to improving health status program. Because of that, improving quality ofservices is very important. Many perspectives of quality, two of them are about improving quality of manpower and financing. Swadana conceps may give the answer for the many problems in the health centers. This study was a cross sectional study in Puskesmas Bandarjaya, Lampung. The study had 3 steps analysis, they were; (1) situation analysis before to be Swadana Units, (2) Cost Analysis. and (3) Tariff Simulation. The study showed that human resources in Puskesmas Bandarjaya was very limited, visite rate in many services was high, equipment and building in Puskesmas Bandarjaya were in good condition, the population around Puskesmas Bandarjaya area and the government gave a positive support for the Swadana program. Cost analysis showed that the actual tariff for all services was very lower or under the unit cost and the CRR of all services in Puskesmas Bandarjaya was very low or under 100% for 3 scenarios (excepcion Laboratory Unit). The tariff stimulation showed that Puskesmas Bandarjaya had profit financing if the tariff would be taken about Rp. 2.500,00-Rp.3.000,00. All facts showed that Swadana concept would be necessary to accepted for Puskesmas Bandarjaya to get improving performance and quality. The study recommends that Puskesmas Bandarjaya must regulate the administration to be the holistic pay system, improving quality and quantity of human resources, regulate financing report and system and to adjust the old tariff with the new one after cost analysis in actual scenario

Gambaran Cakupan Pelayanan Kesehatan Maternal dan Neonatal pada Peserta Jaminan Kesehatan Masyarakat Miskin di Provinsi Jawa Barat (Analisis Data Pws Kia dan Jpsbk Tahun 2004)

The Maternal Mortality Rate in Indonesia was 373/100.000 per live birth (SDKI 2002). It is the highest in South East Asia. The Infant Mortality Rate was 40/1000 per live birth, the highest compared among ASEAN countries. The Human Development Index In West Java year 2002 was 0.658 and at 17th rank out of 30 provinces which was better than East Java in which at 25th. But rank was higher compared with others provinces in Java-Bali: Banten, Bali, Central Java, DI Jogjakarta, and DKI Jakarta. The Jaminan Kesehatan Masyarakat Miskin (JKMM) is an intervention program to increase economic gap and to achieve higher coverage of childbirth care by midwives for the poor families. In the other side, there was no information on the influence of JKMM to coverage of childbirth care by midwives for the poor families, esspecially the information about moving up of childbirth care from traditional birth attendants (TBA) to midwives. The research was an evaluation study with across sectional approach. The research was done at 3 Districts in West Java (Garut, Sumedang and Sukabumi). The data consist of secondary data (PWS KIA) and primer data (by in-depth interview). The Bivariate Analysis was done on the secondary data to determine factors that related between independent variable and dependent variable. Results of the research showed that there were no significant different between coverage of childbirth care by midwives (LINAKES) at health centers with the higher poor proportion people and the lower poor proportion people groups. It showed that the JKMM program not different in the coverage childbirth care by midwives between the poor people and the non­ poor people. The geographic factors (longer distance, cost of transportation, longer time from village to health center) were significant different in childbirth care by midwives. The health centers with good geographic conditions had better coverages of childbirth by midwives compared with the health center with hard geographic situation (p < 0.01)

Analisis Subsidi Silang Antar Unit Produksi di RSUD Wonogiri

Cost Recovery Rate (CRR) for production unit at District Hospital was influenced each income level to expect establishing cross-subsidy concept for equity of health care service. The case research performed at 1 (one) District Hospital in Central Java Province Wonogiri District Hospital). The data is collected by observing available research result of writer in 2000 and the financial data collection 2001 by applies adjustment with Consumption Price Index (CPI) of budget 2000. There are 2 methods of cost calculation namely full cost and direct cost. The research result shows tha the highest production unit income at Wonogiri Distric Hospital 2000 is from hospital wards and the lowest from electrical diagnostic, in 2001 the highest also from hospital wards and the lowest from operation room (OK). Full cost calculation defind that biggest total cost at production unit of year 2000 at Wonogiri Distric Hospital is hospital wards and the lowest electro diagnostic, in 2001 the biggest and the lowest are also from hospital ward and electro diagnostic. If calculation with direct cost the bigest and the lowest in 2000 are hospital wards and electro diagnostic, in 2001 the bigest and the lowest also from hospital wards and electro diagnostic. CRR at Wonogiri Distric Hospital full cost calculation difine that there are 2 production units having CRR > 100%, CRR percentage of retribution at Wonogiri District Hospital 35.27 and 29.95%, and direct cost calculation define also 2 production units having CRR > 100%, CRR percentage of distribution at Wonogiri District Hospital 56.98 and 47.09%. Full cost calculation business yield remaining (SHU) of production unit at Wonogiri District hospital in 2000 and 2001 almost never have positive SHU that there are some production units having positive SHU where such cross subsidy is establish among production units. However total SHU from total retribution show negative result

Strengthening Strategies Of Posbindu Program For Noncommunicable Diseases In Bogor City

Background: The capacity of health human resources and the ability of the financial limitation become a threat for the sustainability of Posbindu program. The research aimed to analyze the strategy for strengthening Posbindu program for non-communicable diseases (NCD) control in Bogor. Methods: This research used qualitative method based on case study approach. The main informants in this research from Dinkes, Puskesmas, cadres, and community. Results: Posbindu PTM in Bogor had been visited by people from young to old age, but the number of cadres and equipment in each of Posbindu was different, the lack of training of cadres and the funding was still not optimal. Conclusion: The strategy for strengthening the implementation of Posbindu program can be conducted by doing intensive NCD training for cadres from the medical staff, improved the health activities to increase the intensity of the presence of the community to the Posbindu program, and increasing the cross-sector cooperation

Identifikasi Faktor Keberhasilan Pengelolaan Distribusi Retail Energi Listrik di PLN Unit Layanan Salatiga

PT PLN Persero saat ini melakukan pilot project distribusi retail energi listrik yang disebut service point di PLN Unit Layanan Salatiga. Service point (SP) merupakan suatu sistem dimana PLN tidak lagi menggunakan unit layanan tiga layer (distribusi, area, rayon), tetapi hanya dua layer (distribusi dan area). Tujuan penerapan SP adalah untuk melakukan peningkatan efektivitas, efisiensi, kualitas operasi dan pelayanan dengan mengubah prosedur pelayanan dan mekanisme fungsi administrasi. Penerapan service point di PLN Unit Layanan Salatiga merupakan satu-satunya proyek percontohan yang berhasil dan masih diterapkan hingga saat ini. Dalam rangka mengetahui ketercapaian penerapan SP, Perusahaan perlu mengetahui faktor keberhasilannya. Sehingga Perusahaan dapat mengetahui faktor apa saja yang harus diperhatikan dalam menerapkan service point ke depannya, mengingat keberhasilan SP akan di duplikasi di PLN Unit lainnya di Indonesia. Metode yang digunakan dalam penelitian ini adalah in-depth interview untuk mengidentifikasi faktor keberhasilan SP. Faktor keberhasilan tersebut akan dikelompokkan menjadi empat perspektif balanced scorecard (BSC). Hasil dari penelitian ini menunjukkan bahwa terdapat 16 faktor keberhasilan yang perlu diperhatikan dalam pengelolaan service point ke depannya

Pelaksanaan Program Keselamatan dan Kesehatan Kerja Padasektor Industri dalam Kattannya dengan Produktivitas Kerja di Kawasan Industri, Kabupaten Serang

Tujuan umum penelitian adalah untuk mengetahui pelaksanaan program Keselamatan dan Kesehatan Kerja (K-3) pada sektor industri dalam kaitannya dengan jumlah kecelakaan kerja. Sedangkan tujuan khususnya adalah untuk mengetahui: pengetahuan sikap dan perilaku karyawan industri terhadap program K-3; keadaan lingkungan kerja pada Perusahaan; status dan pola penyakit yang terjadi pada sektor industri; pembagian shift kerja dalam kaitannya dengan absensi kcryawan dan kesehatan kerja; jumlah kecelakaan yang terjadi dalam satu taliun terakhir; dan menemukan model intervensi sistem pelaksanaan program K-3. Penelitian ini merupakan studi Cross Sectional terhadap program K-3 serta wilayah lingkungan industri untuk mengetahui seberapa jauh efektivitas pelaksanaan K-3 di sektor industri. Penelitian ini dilaksanakan di Kabupaten Serang, pada 3 (tiga) skala industri, yaitu industri kecil, industri sedang/menengah dan industri besar. Dari skala industri tersebut, dipilih 6 (enam) jenis industri secara classified random sampling yang masing-masing diambil 2 (dua) industri skala kecil, 2 (dua) industri skala sedang/menengah, dan 2 (dua) industri skala besar. Secara umum, tingkat pengetahuan pekerja tentang kegunaan alat pelindung diri keselamatan dan kesehatan kerja cukup tinggi (82,3%). Namun, yang inengaku selalu mempergunakan hanya 41,7%. Sedangkan, tingkat penyediaan alat tersebut oleh pengusaha juga sudah cukup memadai (87,6%). Shift kerja tetap dibutuhkan dalam rangka efektivitas dan efisiensi dan tingkat absensi tertinggi pada pagi hari, menyusul malam dan siang hari. Alasan tidak masuk kerja/absen yang banyak dikemukakan adalah dikarenakan sakit. Kecelakaan kerja banyak terjadi pada pekerja industri skala kecil (26,9%). Angka kesakitan pekerja dalam kurun waktu 1 tahun terakhir cukup tinggi (51,2%) dengan pola penyakit yang bervariasi; yang tertinggi pekerja mengeluhkan pusing (34,4%), kemudian batuk (16,7%), dan yang terrendah adalah gatal-gatal (1,0%). Lingkungan kerja menunjukan kondisi cukup baik, baik dari segi kebersihan lingkungan kerja maupun sirkulasi udara dalam ruangan kerja. Dengan metode intervensi pelaksanaan program K-3 yang telah dibuat, diliarapkan dapat meningkatkan derajat kesehatan karyawan/buruh, memperkecil angka kecelakaan kerja serta meningkatkan produktivitas kerja