Evaluation of the Covid-19 Surveillance System in Jayapura City, 2020

Background: The strategy used by the government in controlling COVID-19 is through epidemiological surveillance of COVID-19, in addition to standard patient management, health promotion, prevention activities, logistics management, and program monitoring and evaluation. The high number of COVID-19 cases in Indonesia does not mean that the government has not made comprehensive efforts to control it, but because the complexity of the COVID-19 problem, including its surveillance system, makes COVID-19 continue to be a problem in Indonesia. Based on data from the Jayapura City Health Office, the number of confirmed COVID-19 cases in Jayapura City from March to November 28 2020 was 5,563 cases. Objective: The purpose of this research is to find out how to evaluate the Covid-19 surveillance system in Jayapura City in 2020. Methods: The research method is mixed methods (quantitative and qualitative research). The research subjects in this study were all COVID-19 data from March 2020 until this research took place and the informant was the person in charge of surveillance at 13 health centers and the Jayapura City Health Office with a total of 14 informants. Primary data sources come from observations and interviews with informants, while secondary data comes from COVID-19 data in Jayapura City. Data analysis in this study used the stages of data reduction, data presentation, evaluation, and drawing conclusions. Results: Based on the research results, it was found that the input components were in accordance with the guidelines for the COVID-19 surveillance system in Jayapura City, namely the method and market, while the man, material, and money were not in accordance with the guidelines. The process components that are in accordance with the COVID-19 surveillance system guidelines are tracing contact, data collection, reports, and feedback, while planning, case investigations, data integration, data processing, and analysis have not gone well. The output component is in accordance with the guidelines for the COVID-19 surveillance system in Jayapura City

Factors Related to the Work Stress of Nurses during the Covid-19 Pandemic in the Inpatient Rooms of Tk.II Marthen Indey Hospital

Background: COVID-19 cases are increasing and nurses are at the forefront of handling COVID-19 patients, so they are at risk of contracting COVID-19. Data at Tk.II Marthen Indey Hospital, there were 12 nurses who tested positive for COVID-19. Lack of personal protective equipment affects nurses in carrying out their duties and work, this condition causes nurses to have pressure on their work which affects their physical, mental, and social conditions. Objective: The purpose of this study was to determine the factors associated with the work stress of nurses during the COVID-19 pandemic in the inpatient room of Tk.II Marthen Indey Hospital.. Methods: This type of research is quantitative analytic with a cross-sectional study design. This research was conducted at Tk.II Marthen Indey Hospital in an inpatient room which began in December 2020-January 2021. The population in this study were all nurses in the inpatient room of Tk.II Marthen Indey Hospital, with a sample using a total population of 85 people. Collecting data using online questionnaires, and processing and analyzing data for bivariate analysis using the Chi-square test, while determining the dominant factor using multivariate analysis using logistic regression test with p-value = 0.05 with 95% CI. Results: The results showed that there was a relationship between workload (p-value = 0.000) and job satisfaction (p-value = 0.020) with work stress. Conversely, there is no relationship between gender (p-value = 0.501), age (p-value = 1,000), and education (p-value = 0.136) with job stress. The most dominant factor is workload (p-value 0,000 < 0.01)

Factors Related to the Incidence of Pneumonia in Children under Five at the Makki Public Health Center, Lanny Jaya Regency

Background: Pneumonia is one of the acute lower respiratory tract infections which is a major cause of morbidity and mortality in children under five years of age, especially in developing countries. The risk factors that cause the high mortality rate of pneumonia in children under five in developing countries are pneumonia that occurs in infancy, low birth weight, not receiving measles, DPT and Hib immunizations, not receiving adequate breastfeeding, malnutrition, and the environment. Objectives: The purpose of this study is to identify the factors related to the incidence of Pneumonia in children under five at the Makki Public Health Center, Lanny Jaya Regency. Methods: This study was conducted at the Makki Public Health Center, Lanny Jaya Regency using a quantitative method with a Cross-Sectional design. A total of 21 cases were used in the study. Data were analyzed using Fisher’s Exact Test. Result: According to the findings of this study, low birth weight (p=0.002) was significantly related to the incidence of Pneumonia in children under five at the Makki Public Health Center, Lanny Jaya Regency. Meanwhile, occupancy density (p = 1.000), ventilation (p=0.1.000), and smoking behavior in the family (p=0.198), were not related to the incidence of Pneumonia in children under five at the Makki Public Health Center, Lanny Jaya Regency

Planning Analysis of Human Resource Needs at Public Health Centers in Pegunungan Bintang Regency

Background: The Planning of Human Resources for Health (HRH) is carried out by adjusting health development needs, locally, nationally and globally. The calculation of HRH needs can be guided by the standard minimum labor force method, namely Health Minister Regulation (HMR) No 75 of 2014. Human resources at Public Health Center (PHC) in Pegunungan Bintang Regency have not yet met the criteria set out in the HMR No. 75 of 2014. Out of the 30 PHCs, 22 of them each have just 1 State Civil Apparatus (SCA) human health resources, 5 PHCs each have 5 SCAs human health resources, 1 PHC has 6 SCAs human health resources, 1 PHC has 7 SCAs human health resources, and 1 PHC has 10 SCAs human health resources. Research Objectives: The objective of this study is to determine the planning of human resource health needs at the Public Health Centers in the work area of Pegunungan Bintang Regency Health Department. Method of research: Research was conducted at the the Pegunungan Bintang Regency Health Department. Qualitative research is the research method. The data collection techniques used was in-depth interviews and focus group discussions. Data processing techniques include data reduction, presentation of data, drawing conclusions. The data were analyzed qualitatively. Results: The results showed that the Chief of the Public Health Center did not involve in the planning for HRH needs. The inadequate comprehension of the employees of the Health Department in implementing HMR No.75 of 2014. There is no budget for recruiting the HRH Civil Servant Candidates (CSC) in the Health Department. The facilities and infrastructure available in the Health Office are inadequate. The provision of CSC, which is not an annual quota, is limited for health workers. The distribution of HRH is mostly congested in the City Health Centres, and the state civil apparatus (SCA) is sometimes not available in the PHC. The Pegunungan Bintang Regency Health Department should plan HRH needs with a cross-sectoral involvement and implement the SCA Discipline Act

Implementation of Procurement of Medicines with E-Purchasing Method in Pharmaceutical Installations of the Puncak Jaya Regency Health Department, Year 2015-2020

Background: Drugs procurement aims to ensure drugs availability in terms of quantity, time, affordable prices and quality standards. Procurement is carried out using the E-Purchasing method. The implementation of E-Purchasing on drug acceptance rates in Health Department of Puncak Jaya Regncy is still low. Objective: This study aims to assess human resources, budget, regulations, facilities and infrastructure, planning for drugs needs, ordering drugs, contractual agreements, delivery or distribution, and the level of drugs availability after the implementation of drugs procurement using the E-Purchasing method in Health Department of Puncak Jaya Regncy. Methods: This research was conducted at the Installation of Pharmacy, Department of Health of the Puncak Jaya Regency from October 2020 to January 2021. The method used was a qualitative case study by interviewing seven informants as respondents. The determination of informants was carried out by purposive sampling. Data were analyzed using interactive analysis through data collection, data reduction, data presentation, and drawing the conclusions. Results: The results of this study indicate that the human resources in terms of numbers are not sufficient, the budget is sufficient but there are still remaining funds, the E-Purchasing procurement regulations have been understood and implemented, the facilities and infrastructure regarding the internet network are not stable. Planning for drugs needs uses the consumption method and does not have an Integrated Drugs Planning Team, drugs orders take a long time to be responded by the providers, drugs distribution takes a long time from the provider and the expired date of the drugs are not according to the contract. Drugs availability is not in accordance with the indicators set by The Dirjen Bina Farmalkes

Factors Affecting Performance Midwife in Antenatal Care Services in Puncak Jaya Regency

Background: Antenatal services are health services provided to mothers during their pregnancy in accordance with minimum service standards. For the achievement of the MCH program in Puncak Jaya Regency based on the Minimum Service Standards (SPM) indicator, it shows that the coverage of pregnancy services is the percentage of K1 (75%) and K4 (60%) which indicates that the ANC service standard achievement target ≥ 80% has not been achieved. Research Objectives: To find out the factors that influence the performance of midwives in antenatal care services in Puncak Jaya regency. Research method: Observational analysis with cross-sectional study design. The population was all midwives in Puncak Jaya Regency who worked at Puskesmas Mulia, Ilu, Tingginambut, Yamo, Jigonikme, Fawi, Mewoluk, and Torere, with a total sample of 32 midwives or total sampling. Data obtained using a questionnaire and analyzed using chi-square and binary logistic regression. Results: Factors that influence the performance of midwives in ANC services in Puncak Jaya Regency, namely: age (p-value 0.046; RP = 2.200; CI 95% (0.990 - 4.888), employee status (p-value 0.018; RP = 2.556; CI95% (1.395 - 4.682), tenure (p-value 0.004; RP = 3.215; CI95% (1.463 - 7.006), attitude (p-value 0.001; RP = 4.333; CI95% (1.521 - 12.344), motivation (p-value 0.011; RP = 2,788; CI 95% (1,358 - 5,682), and facilities (p-value 0,008; RP = 2,829; CI 95% (1,483 - 5,395). The factor that does not affect the performance of midwives in ANC services in Puncak Jaya Regency is knowledge (p-value 0.479; RP = 1.457; CI95% (0.722-2942) and leadership of the Head of Puskesmas (p-value 1,000; RP = 0.824; CI95% (0.324 - 2.099). Dominant factors that influence the performance of midwives in ANC services in Puncak Regency Jaya is attitude, and facilities, and infrastructure

Evaluation of the Early Warning, Alert and Response System (EWARS) at the Public Health Centers in Working Area of Paniai Regency Health Department, Papua Province

Background: The Early Warning, Alert and Response System (EWARS) is a system used to respond quickly by providing early warning in the form of a signal for increased disease characteristics. Public Health Centers are obliged to collect complete and timely EWARS data on a weekly basis to facilitate early detection of disease incidents, but the facts in the EWARS reporting field do not follow indicators. Research Objectives: Evaluating the implementing of the Early Warning, Alert and Response System (EWARS) at the Public Health Centers in the working area of the Paniai Regency Health Office. Research method: Qualitative research using a case study approach was the research method used in this study. This study was conducted from June 25 to July 18, 2020 at five Public Health Centers in the work area of the Paniai Regency Health Department. A total of 11 (eleven) informants were taken using a purposive sampling method. In-depth interviews and participatory observation are the main methods of data collection. The data were qualitatively analyzed. Results: Input component: lack of human resources, both in terms of quality and quantity, existence of multiple tasks, accumulation of manpower in urban areas, lack of facilities and infrastructure to support the implementation of EWARS. Process component: there was no EWARS data processing, no feedback and monitoring and evaluation by the EWARS Health Office Manager. In the Output Component: the delivery of the report by officers is not timely and incomplete

Analysis of Drug Management at Tingginambut Public Health Center in Puncak Jaya Regency

Background: Good drug management is needed to prevent losses due to errors in planning, storing and dispensing drugs, resulting in drug loss / expiration due to disuse or storage methods. For this reason, input, process and output are very important to be analyzed for future improvement. Objective: To anayze the input, process and output in drug management at the Tingginambut Public Health Center, Puncak Jaya Regency. Methods: This type of research is qualitative which was conducted at the Tinginambut Public Health Center in January 2021. The number of informants was 4 people. Data were collected using deep-interviews and analyzed using domain analysis. Results: It was found that the input of human resources in Tingginambut Public Health Center is sufficient but does not match the specifications of pharmacy education personnel, the facilities and infrastructure for drug storage are adequate, but there is no adequate (closed) storage cabinet. Drug planning process using epidemiological and consumption method by requesting from the Health Office using LPLPO according to the national formulary. Drug storage uses the FEFO and FIFO methods and is arranged alphabetically. Drug distribution is carried out by the installation for Pustu once every 3 months and outdoor activities such as Posyandu services and other activities and is returned again if there is a drug that is not used. Drug control is controlled by the officer every time you take the drug, but it may also happen that the drug is damaged or expired. Recording and reporting is carried out by the head of the Public Health Center as the person in charge of the medicine warehouse because there are no pharmaceutical personnel and there is no management information system or it is done manually because there is no application. The output of drug management at the Tingginambut Public Health Center in 2020 was inefficient due to 7.1% drug damage

Factors Associated with Exclusive Breastfeeding in Hamadi Public Health Center, Jayapura City

Background: The target of exclusive breastfeeding in Indonesia is 80%, but in reality, the agreed target has not been achieved. Papua Province data for 2014-2015 shows that the success of exclusive breastfeeding for babies aged 2 months is only 64%. This percentage decreases markedly in infants aged 2 to 3 months to 45% and in infants aged 4 to 5 months only reaches 14%. The success of exclusive breastfeeding of 15,983 babies aged 6 months, only 3,302 of them were breastfed, about 20.6% of them were exclusively breastfed. Objective: To analyze the factors associated with exclusive breastfeeding for infants in the working area of the Hamadi Public Health Center, Jayapura City. Methods: This type of research is quantitative analytic with a cross-sectional approach. This research was conducted in September 2020 - January 2021. The total population was 412 people and a sample of 100 people using a simple random sampling technique. The data was obtained using a questionnaire and analyzed using chi-square and binary logistic regression with a significant level of 5%. Results: Factors related to the exclusive breastfeeding are attitude (p-value = 0.009, RP = 3.563, 95% CI = 1.336-9.502) , family support (p-value = 0.005, RP = 3.467, 95% CI = 1.429-8.408) and health personnel support (p-value = 0.001, RP = 4.206, 95% CI = 1.764-10.025), while the factors that are not associated with exclusive breastfeeding, namely knowledge (p-value = 0.050, RP = 2.563, 95% CI = 0.986-6.662), age (p-value = 0.157), education (p-value = 0.186), and occupation (p-value = 0.571). The most dominant risk factor is attitude, where mothers with positive attitudes have a 2.864 times greater chance of giving exclusive breastfeeding compared to mothers who have negative attitudes

Optimization of Fixed Assets Management in Oksibil Regional General Hospital, Pegunungan Bintang Regency, Papua Province

Background: The Oksibil Regional General Hospital is the only government hospital with class D type in the Pegunungan Bintang Regency of Papua Province that is required to provide optimal health services. However, the barriers encountered by Okisibil Regional Hospital Fixed Assets have not been properly managed so as to have an impact on health service providers. The demand for quality of service can not be separated from changes in the environment that are so complex that health services must be proactive and always think about ways to adapt and overcome them. Fixed Asset Management at Oksibil Hospital consists of a series of planning, budgeting, procurement, use, security, maintenance and administration activities. Research Objectives: Reviewing the optimization of Fixed Asset Management at the Oksibil Regional General Hospital, Pegunungan Bintang Regency, Papua Province. Research method: The research method used in this study was qualitatively descriptive with a survey conducted in March-April 2020 at Oksibil Regional General Hospital, Pegunungan Bintang Regency, Papua Province. 8 (eight) informants were taken using a purposive method of sampling. Data obtained from in-depth interviews as primary data and also from secondary data available at Oksibil Hospital. Results: The planning of fixed assets has involved all service units. Fixed asset budgeting was still limited by regional capacity. The use of fixed assets, especially medical equipment, was still limited, only a few buildings have been used, such as HCU, Radiology. Fixed assets were secured by a fence, but there was no warehouse, no registration code and labeling. Maintenance of fixed assets in a planned and unplanned manner was constrained by budgetary constraints. Fixed asset management administration was the sole responsibility of the goods manager, not all units were involved in the inventory and reporting of fixed assets