Faculty of Public Health Journal Universitas Indonesia
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Factors Affecting Safety Action in JOB Pertamina-Medco E&P Tomori Sulawesi
Get PDFIncreasing oil and gas production is one of the main concerns for companies engaged in oil and gas mining Human behavior related to safety is an approach to analyze what is needed to make the safe action more possible and reduce risky behavior. Therefore, research is conducted on the factors that influence safe behavior so that these factors can be more optimized. This research is a quantitative study with a cross-sectional design. The population in this study amounted to 291 people. Data retrieval is done randomly with a sample of 130 respondents conducted using the simple random sampling method. Bivariate analysis was carried out by the chi-square test. Based on the results of the study, it was found that 63.8% of workers behaved safely, and 36.2% of workers behaved unsafely. Factors that do not affect safe behavior are knowledge, attitude, perception, motivation, age, length of work, availability of PPE, safety regulations, safety promotion, and training. Whereas, the factors that are proven to influence safe behavior are the supervisory role and the role of co-workers. Therefore, the researcher suggested that supervisors play an active role and be monitored regularly and consistently. In addition, care for co-worker needs to be improved through the Safety Observation program
Religious Leader’s Support toward Individual at Risk ofHIV/AIDS to Attend Voluntary Counselling and Testing Service
Get PDFReligious leader is a figure who is believed to have the gift of healing. A person with illness will follow any advice the religious leader gives for his/her recovery.Based on the phenomenon, religious leader is a potential local figure to give support for individuals at risk of human immunodeficiency virus (HIV) andacquired immune deficiency syndrome (AIDS). This study aimed to determine factors related to religious leader’s support toward individuals at risk of HIV andAIDS to attend voluntary counselling and testing (VCT) service. This study was an observational analytical with cross-sectional design. The population of thisstudy was religious leader in Kupang City. The sample size was 70 people selected through random sampling technique. The data were collected using questionnaire and analyzed using chi-square and multiple logistic regression test. Factors significantly related to the religious leaders supports’ for individuals atrisk of HIV and AIDS to get VCT were knowledge (OR = 9.01; 95% CI = 1.73 - 47.07), servant leadership (OR = 11.67; 95% CI = 2.44 - 55.84, trust (OR =11.55; 95% CI = 2.35 - 56.70) and perception (OR = 6.12; 95% CI = 1.26 - 29.71). Social capital had no significant effect on the religious leader support’s (OR= 1.06; 95% CI = 0.22 - 5.12). It is necessary to improve religious leader’s knowledge of HIV and AIDS
POLICY IMPLEMENTATION IN ACHIEVING BASIC COMPLETE IMMUNIZATION AND UNIVERSAL CHILD IMMUNIZATION INDICATORS IN KAPUAS DISTRICT IN 2018
Get PDFAbstract. Completing the basic immunization and implementing Universal Child Immunization (UCI) are the objectives for the Immunization Program according to the Ministry of Health of Republic Indonesia Strategic Planning. In 2017, Kapuas district achieved 66,6% of the Completed Basic Immunization target and 32,2% of the Universal Child Immunization (UCI) target. There is still a 26,4% gap and a 62,8% gap, respectively, from the 95% target of Strategic Plan Ministry of Health 2015-2019. This study aims to discuss the performance of policy implementation of Completed Basic Immunization (CBI) and Universal Child Immunization (UCI) in 2018 at Kapuas Regency, using qualitative research with case study design at 6 Puskesmas in Kapuas Regency. The total informants in this research are 34 informants. The study showed that the performance of policy implementation regarding indicator achievement of CBI and UCI of Kapuas Regency in 2018 have not been optimal. So, policy improvement is needed to increase CBI and UCI achievement of Kapuas Regency next year.Abstrak. Indikator yang diukur untuk menilai kinerja pelaksanaan imunisasi di Indonesia berdasarkan Renstra Kemenkes RI adalah pencapaian imunisasi dasar lengkap (IDL) sedangkan indikator programnya adalah pencapaian universal child immunization (UCI). Pencapaian indikator IDL Kabupaten Kapuas pada tahun 2017 sebesar 66,6% di mana selisih ada selisih 26,4% dari target Renstra Kemenkes RI 2015-2019 sebesar 95%. Pencapaian indikator UCI desa/kelurahan Kabupaten Kapuas Tahun 2017 sebesar 32,2% dan ada selisih 62,8% dari target UCI berdasarkan RPJMN sebesar 95%. Tesis ini bertujuan untuk membahas kinerja implementasi kebijakan terkait pencapaian indikator imunisasi dasar lengkap (IDL) dan Universal Child Immunization (UCI) tahun 2018 di Kabupaten Kapuas. Penelitian ini adalah penelitian kualitatif dengan desain rapid assessment procedure (RAP) yang dilaksanakan di 6 puskesmas yang berada di kabupaten Kapuas. Jumlah informan dalam penelitian ini ada 34 informan. Pengumpulan data primer dilakukan dengan wawancara mendalam dan observasi melalui telaah dokumen dan kemudian dilakukan analisis data kualitatif. Hasil dari penelitian menunjukkan bahwa kinerja implementasi kebijakan terkait pencapaian indikator imunisasi dasar lengkap (IDL) dan Universal Child Immunization (UCI) di 6 puskesmas yang ada di kabupaten Kapuas tahun 2018 kurang optimal sehingga diperlukan upaya perbaikan untuk meningkatkan pencapaian IDL dan UCI di tahun berikutnya
Faktor-Faktor yang Berkontribusi Terhadap Kejadian Luar Biasa Hepatitis A di Pesantren X Kab. Cirebon, Januari 2018.
Get PDFKejadian luar biasa Hepatitis A di Pondok Pesantren X pada bulan Januari 2018 merupakan KLB Hepatitis A pertama di Kabupaten Cirebon. Penelitian ini bertujuan untuk mengidentifikasi faktor risiko kejadian suspek Hepatitis A di Pondok Pesantren X Kabupaten Cirebon. Penelitian ini menggunakan desain kasus kontrol dengan jumlah kasus 30 orang dan kontrol 53 orang. Populasi penelitian adalah seluruh santri Pondok Pesantren X Kabupaten Cirebon. Kasus adalah suspek hepatitis A yaitu santri Pondok Pesantren X yang mengalami gejala jaundice dan air kencing berwarna seperti teh pada periode Desember 2017-Januari 2018. Kontrol adalah santri Pondok Pesantren X yang tidak mengalami gejala jaundice dan air kencing berwarna seperti teh pada periode Desember 2017-Januari 2018. Data perilaku higiene perorangan diperoleh melalui wawancara. Data dianalisis menggunakan analisis univariat, bivariat dan multivariat. Hasil uji regresi logistik menunjukkan umur (OR=4,1032, CI 95%=1,2929-13,0223, p=0,017) dan kebiasaan mencuci alat makan tanpa sabun (OR=16,8741, CI 95%=4,0917-69,5882, p<0,001) berhubungan dengan kejadian suspek Hepatitis A. Dapat disimpulkan bahwa faktor risiko kejadian suspek Hepatitis A di Pesantren X Kabupaten Cirebon adalah umur dan kebiasaan mencuci alat makan tanpa sabun. Upaya pencegahan kejadian Hepatitis A dapat dilakukan melalui edukasi tentang Hepatitis A dan Perilaku Hidup Bersih dan Sehat serta meningkatkan intensitas inspeksi kesehatan lingkungan pesantren
THE IMPACT OF NATIONAL HEALTH INSURANCE POLICY ON OUTPATIENT VISIT IN MALUKU AND PAPUA: LOGIT MODEL
Get PDFAbstractThe National Health Insurance (JKN) is one manifestation of the National Social Security System program which aims to provide benefits for health care and protection. This study uses secondary data from the 2017 National Socio-Economic Survey (Susenas) which aims to prove that JKN ownership has an influence on outpatient visits. The research respondents were all people who were registered as JKN participants in the Maluku and Papua Islands regions as many as 77.307 people. This study uses the econometric approach with the Logit regression model. The results showed that JKN was positively associated with outpatient visits, with coefficients of PBI (0,713) and Non PBI (0,807). The results also showed that age had a positive effect on outpatient visits with a coeficent value (0,406), gender had a positive effect on outpatient visits with a coefficient (0,146), employment status negatively affected outpatient visits with a coefficient value (-0,198) likewise the health status has a positive effect on outpatient visits with a coefficient (3,914). JKN ownership has an important role for the community in fulfilling the utilization of health facilities when suffering from health complaints, one of which is the use of outpatient visits.AbstrakJaminan Kesehatan Nasional (JKN) merupakan salah satu wujud dari program Sistem Jaminan Sosial Nasional yang bertujuan untuk memberikan manfaat pemeliharaan dan perlindungan kesehatan. Penelitian ini menggunakan data sekunder Survei Sosial Ekonomi Nasional (Susenas) tahun 2017 yang bertujuan untuk membuktikan bahwa kepemilikan JKN memberikan pengaruh terhadap kunjungan rawat jalan. Responden penelitian adalah seluruh masyarakat yang berada di wilayah Kepulauan Maluku dan Papua yang memenuhi kriteria inklusi sebanyak 77.307 orang. Penelitian ini menggunakan pendekatan ekonometrika dengan model regresi Logit. Hasil penelitian menunjukkan bahwa JKN berhubungan positif dengan kunjungan rawat jalan, dengan nilai koefisien PBI (0,713) dan Non PBI (0,807). Hasil penelitian juga menunjukkan bahwa umur berpengaruh positif terhadap kunjungan rawat jalan dengan nilai koefisin (0,406), jenis kelamin berpengaruh positif terhadap kunjungan rawat jalan dengan nilai koefisien (0,146), status pekerjaan berpengaruh negatif terhadap kunjungan rawat jalan dengan nilai koefisien (-0,198), begitu juga dengan status kesehatan berpengaruh positif terhadap kunjungan rawat jalan dengan koefisien (3,914). Kepemilikan JKN memiliki peranan penting bagi masyarakat dalam memenuhi pemanfaatan fasilitas kesehatan ketika menderita keluhan kesehatan, salah satunya dengan pemanfaatan kunjungan rawat jalan
Impact of Lockdown in India: A Case Study on Karnataka with International Model
No full textCoronavirus disease 2019 (COVID-19) was declared an epidemic and a global health emergency by the World Health Organization (WHO), prompting various countries to implement early and stringent social distancing protocols through lockdown, to flatten the epidemic curve. The objective of our present study was to assess the impacts and effectiveness of the lockdown protocol in Karnataka and Punjab, compared with the implementation of this method in Australia and the United Kingdom (UK). This study involved the collection of data from different authorized databases, in two phases. The first phase included the time starting with the first-reported index case through the 14th day after the declaration of lockdown, for each country. The second phase involved the data collected between the 15th day through the 28th day of the lockdown. The highest doubling rate for cases was observed in Australia, followed by Karnataka and Punjab, whereas the lowest was observed in the UK. Comparisons of the numbers of the samples tested, the mortality rate, and the recovery rate between Karnataka and Punjab, after the implementation of lockdown, revealed a better recovery rate and lower mortality rate in Karnataka than in Punjab. Our study revealed that the implementation of social distancing and lockdown reduced the transmission of the coronavirus and the number of cases reported. However, the effectiveness of lockdown varied among locations, due to demographic and physiological differences
Pengaruh Kehamilan Tidak Diinginkan Dengan Berat Bayi Lahir Rendah di Perdesaan (Analisis Data Survei Demografi Kesehatan Indonesia 2017)
Get PDFBBLR adalah berat bayi lahir kurang dari 2500 gram (sampai dengan 2499 gram). Proporsi BBLR di Indonesia dari periode SDKI 2007, 2012, 2017 cenderung stabil dan tidak ada penurunan dari tahun 2007 dengan tahun 2017. Kehamilan tidak diinginkan menjadi salah satu faktor risiko BBLR. Kehamilan tidak diinginkan (unwanted pregnancy) adalah suatu kehamilan yang terjadi di luar perencanaan. Karena pasangan suami atau istri tidak mau menggunakan kontrasepsi, tidak ada akses ke pelayanan KB sehingga menyebabkan kehamilan, dimana sceara fisik atau psikologis pasangan tidak siap dan menolak kejadian kehamilan (unwanted pregnancy). Proporsi kehamilan tidak diinginkan berdasarkan periode SDKI 2007, 2012, 2017 cenderung stabil. Penelitian ini bertujuan untuk mengetahui pengaruh kehamilan tidak diinginkan terhadapp kejadian BBLR perdesaan di Indonesia berdasarkan data sekunder SDKI 2017. Penelitian ini menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) 2017. Sampel penelitian ini adalah kelahiran hidup dalam 5 tahun sebelum survei dengan laporan berat lahir yang memiliki berat kurang dari 2500 gram dan bertempat tinggal di pedesaan. Hasil penelitian ini adalah proporsi kejadian kehamilan tidak diinginkan di Indonesia adalah 6,3% di perdesaan. Pada daerah perdesaan kehamilan diinginkan lebih berisiko untuk mengalami BBLR setelah dikontrol dengan variabel tingkat ekonomi, komplikasi kehamilan, dan kunjungan ANC. Hasil analisis multivariat secara statistik kategori kehamilan dengan BBLR di perdesaan menunjukkan hubungan yang tidak bermakna
Pengaruh Pelaksanaan CODE STEMI Terhadap Strategi Pemasaran RSUPN Dr Cipto Mangunkusumo
Get PDFABSTRAK Dewasa ini, persaingan bisnis dalam industri jasa rumah sakit semakin ketat. Akibatnya, rumah sakit dituntut untuk memiliki inovasi dan strategi untuk menarik pasien. Salah satu hal yang diperlukan untuk menarik minat pasien adalah strategi pemasaran rumah sakit. Penelitian ini bertujuan untuk mengetahui pengaruh pelaksanaan program CODE STEMI terhadap unsur-unsur strategi pemasaran rumah sakit RSUPN Dr. Cipto Mangunkusumo. Penelitian ini menggunakan metode kuantitatif dengan penelusuran rekam medik dan dokumen administrasi, serta metode kualitatif dengan observasi dan wawancara mendalam. Hasil penelitian menunjukan penurunan mortalitas, MACE, door to balloon time, total biaya, dan lama rawat setelah diterapkannya program CODE STEMI. Hasil-hasil tersebut berdampak baik pada bauran pemasaran produk, harga, distribusi, manusia, proses, dan sarana fisik. Pasien merasa puas dengan pelayanan yang diberikan, dan jumlah pasien STEMI pun meningkat sejak diterapkannya program CODE STEMI tersebut. Berdasarkan hasil tersebut, ditarik kesimpulan bahwa program CODE STEMI berdampak positif terhadap strategi pemasaran RSUPN Dr. Cipto Mangunkusumo. ABSTRACT Nowadays, the competition in the hospital industry business is getting tougher. For this reason, hospitals are required to have innovations and strategies to attract patients. One of the necessary things to encourage patients to come to the hospital is a good hospital marketing strategy. This research aims to identify the impact of CODE STEMI program on the marketing strategy of the Cipto Mangunkusumo National General Hospital. This research uses quantitative methods by tracking medical records and administrative documents, as well as qualitative methods by observation and in-depth interviews. The results showed a decrease in mortality, MACE, door to balloon time, total cost, and length of stay after the implementation of the CODE STEMI program. These results have a good impact on the product marketing mix, such as price, distribution, people, processes, and physical facilities. Patients are satisfied with the services provided, and the number of STEMI patients coming to the hospital has increased since the implementation of the CODE STEMI program. Based on these results, it was concluded that the CODE STEMI program had a positive impact on the marketing strategy of RSUPN Dr. Cipto Mangunkusumo
Analisis Sistem Pengelolaan Sampah Organik di Universitas Indonesia (Studi Kasus Efektivitas Unit Pengolahan Sampah UI Depok)
Get PDFLatar Belakang. Perubahan sistem pengelolaan sampah di Universitas Indonesia telah dilaksanakan seperti kegiatan pemilahan sampah tingkat fakultas dan pendirian UPS UI. Tujuan dari penelitian ini adalah untuk mendeskripsikan pengelolaan sampah masing-masing fakultas dan efektivitas UPS UI dalam mengolah sampah organik yang dihasilkan oleh fakultas dan unit menjadi pupuk kom-pos. Penelitian dilakukan pada 14 titik kumpul sampah di Universitas Indonesia dan UPS UI. Metode. Peneliti melakukan observasi dan wawancara kepada petugas pemilah sampah, koordinator petugas kebersihan, koordinator/manajer fakultas, dan pekerja di UPS UI. Hasil. Kegiatan pengelolaan sampah di fakultas terdiri dari pemilahan dan pewadahan sedangkan pengangkutan dan pengolahan sampah organik dilakukan oleh pihak universitas. Jumlah sampah makanan yang diolah menjadi pupuk kompos pada tahun 2017 mencapai 148.652 kg dengan tingkat efektivitas pengolahan mencapai 99.35%. Penggunaan APD pada petugas pemilah sampah berupa sarung tangan sebesar 71%, masker 50%, penutup kepala 64%, dan sepatu boot 79%. Riwayat gangguan kesehatan pada petugas pemilah sampah antara lain pilek dan batuk 67% dan demam sebesar 41%. Hasil pen-gukuran kualitas sumber air di UPS UI menunjukan jumlah bakteri koliform sebanyak 72 koloni dan Eschericia coli sebanyak 15 koloni. Simpulan. Perbaikan sistem monitoring dan evaluasi perlu dilakukan untuk meningkatkan sistem pengelolaan sampah di tingkat fakultas dan universitas.Kata Kunci: Sistem Pengelolaan Sampah; Efektivitas UPS; Penggunaan APD; Riwayat Penyaki
Analysis of Government Budgeting for Health: Case Study of COVID-19 in East Java Province, Indonesia
Get PDFCOVID-19 in Indonesia was first reported on March 2, 2020 with two cases, and the number has increased each day until April 23, 2020 and reached 7,775 positive cases of COVID-19. East Java Province ranks the third in Indonesia with 662 cases. COVID-19 requires a health financing system aimed for COVID-19 patients and hospital services. The study aimed to describe the amount of COVID-19 and the use of funds for COVID-19 in East Java Province. This study applied descriptive analytic method. Secondary data analysis used the COVID-19 fund data of 31 districts/cities in East Java Province from the Regional Development Agency of East Java Province in period of March 23 - April 23, 2020. The results showed that the total budget for COVID-19 in the province was worth IDR2,102,600,000,000 divided for Curative IDR727,654,880,535, Promotive Preventive IDR97,134,092,873, Social Safety Net IDR877,301,513,766 and Recovery IDR400,50,512,826. The total fund for COVID-19 per capita in the province was IDR1,997,139 divided for Curative IDR691,158, Promotive Preventive IDR92,262, Social Safety Net IDR 833,299 and Recovery IDR 380,421. According to districts/cities, the highest budgeting is Jember District, Surabaya City, and Gresik District. The highest per-capita funds, according to districts/cities, are Batu City, Jember District, and Trenggalek District