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Analisis Mutu Pelayanan Rawat Inap Menggunakan Jendela Pelanggan di RSUD Kalisat Jember
Get PDFThe inpatient service at Kalisat General Hospital has been a prominent product for the community in Kalisat and its vicinity. However, the service exploiting was not yet optimal. BOR of the hospital in the years 2007 equal to 59% where was still under from ideal BOR of hospital that is 75%-85%. The research aims to analyzed the inpatient service quality based on customer window analysis. The research was using cross sectional survey design through questionnaires. Sample research represents a total population at range of time 16-25 June 2008 amounting to 109 respondents. The research result showed that the percentage of concurrence between expectation and service to input equal to 90.60% and process equal to 96.16%. Based on distribution of 30 factors on the customer window diagram, there are 8 factors on A quadrant where is put as first priority for improvement, 15 factors on B quadrant where is the service performance is needed to be defended, 2 factors on C quadrant where is needed to promote this important to the patient, and 5 factors on D quadrant where is getting the low priority for improvement. Keywords: expected and perceived service, inpatient service quality, customer windo
TIMAH HITAM DAN KESEHATAN
Get PDFLead (Pb) is a heavy metal which is still widely spread in our environment. The source of the lead are industries, fuel with lead, household equipment, cosmetic and also from food. Lead entering the human from inhalation, absorbtion, and skin. Lead compounds indicate that some of the toxic effects for our health. The toxic effects of lead are haemopoitic system, neuron system, urinaria system, gastrointestinal system, cardiofascular system, reproductive system, endocrine system, muskuloskeletal system. The toxicity of lead must be controlled by government to keep the public health
PERBANDINGAN FUNGSI KOGNITIF PADA AKSEPTOR PIL KB KOMBINASI DENGAN AKSEPTOR SUNTIK KB 1 BULAN DI WILAYAH KERJA PUSKESMAS PASAYANGAN
Get PDFFamily Planning National Program is a program designed by government with the aim to control birthrate, one of which is the hormonal method, that contained estrogen and progesterone hormones. Aside from its sexual and reproductive functions, estrogen can be used to prevent the degradation of cognitive function. The purpose of this research was to find out the comparison of cognitive function of oral contraceptive users and the monthly injected contraceptive users by using Mini Mental State Examination (MMSE) test in the area Pasayangan Public Health Center Kabupaten Banjar. It was an analytic observational study, with cross sectional design, and the subjects were 30 oral users and 30 monthly injected contraceptive users in the area Pasayangan Public Health Center Kabupaten Banjar. The result of this study indicated that there were 18 monthly injected contraceptive users who had good cognitive function, bigger in number than the oral contraceptive users (13 subjects). Analysis with Mann-Whitney test gave p value of 0.026 (p < 0.05), which showed that there was a significant difference between oral contraceptive users and monthly injected contraceptive users. It could be concluded that the cognitive function of monthly injected contraceptive users were significantly higher than oral contraceptive users. Keywords: oral contraceptives, injected contraceptives, estrogen, cognitive functio
POLA ASUH GIZI PADA ANAK BALITA DENGAN PERTUMBUHAN BAIK (TUMBUH KEJAR DAN TUMBUH NORMAL) DI KECAMATAN ARJASA KABUPATEN JEMBER (POSITIVE DEVIANCE)
Get PDFThe child caring constitutes the deeds conducted by their family (mother, father, grand mother or other person) in giving the food, taking care of the health, giving stimulate and emotional support required for growth and development. Arjasa is one of the sub districts having high percentage of poor families and a nutrition vulnerable area. However, we can still find children under five years of age having good nutrition status. This is the reason why the writer is interested in studying further about the case of how among the aforesaid poor families are still able to prioritize the nutrition for their under five year children (positive deviance). The first step taken in this research was selected the subject of research by using the purposive method. It was intended to get the subject with the criteria of mothers from poor families, having the children of 6 to 59 months of age with good nutrition status and in possession of Kartu Menuju Sehat/KMS (Growth Monitoring Chart). The second step was carried out exploration. It was intended to explore and in this research three approaches had been applied, namely by combining the three methods of in depth interview, documentation study, and observation to cross check the data as well as to keep validity of the data. The third step taken in this research was applied the qualitative analysis. It was intended to analyze the practice of nutrition caring pattern by the family upon good nutrition status on children of 6 to 59 months of age at the poor families (positive deviance) at Sub-district of Arjasa, Regency of Jember. The result of this research showed that the factors that influence positive deviance at Sub-district Arjasa is the role of health officer, in this case is midwife in giving motivation to others, whether through certain approach at Posyandu or through individual approach. Keywords:Nutrition caring pattern, good growt
ABORSI DAN KESEHATAN REPRODUKSI
Get PDFAbortion was usualy taken for unwanted pregnancy. For married woman, the reason which emerges is already got children, and economically, couldn’t afford them. So the couple decides to have abortion. It is taken by single women, because of free seks relationship. Abortion has conducted by the rape victims also. They have to do abortion because they don’t want to have a child that makes them remind about the accident. Unconsciously abortion has various risks, which are a psychological risk and a physical one. Keyword: Abortion, Abortion Method and Ris
PENGARUH PELATIHAN STRATEGI KOPING TERHADAP MANAJEMEN PERAWATAN DIRI PASIEN DIABETES MELITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS JEMBER KIDUL KABUPATEN JEMBER
Get PDFSelf-care management is essential for maintaining blood glucose control so that the complications of diabetes mellitus can be prevented. Coping skills are needed to overcome obstacles in self-care. This study aimed to identify the effect of coping strategy training on self-care management in patients with type 2 diabetes mellitus. The design of study was a non-randomized control group pretest-posttest design. The population was patients with type 2 diabetes in the area of Public Health Center of Jember Kidul. The sampling technique was purposive sampling involving 20 respondents which were divided into 10 respondents as the intervention group and 10 respondents as the control group. The training was conducted once by providing education about diabetes self-care and stress management. Self-care management was measured by using the Summary of Diabetes Self-care Activities (SDSCA) questionnaire. The data were analyzed by Wilcoxon, t dependent, and Mann-Whitney test (α = 0.05). The result revealed a significant increase in the average value of self-care in the intervention group after coping strategy training (p: 0.008) and there was no difference between pretest and posttest in the control group (p: 0.197). Mann-Whitney test showed a significant difference of self-care betweenthe intervention group and control group after the intervention (p = 0.000). It can be concluded that there was a significant effect of coping strategy training on self-care management in patients with type 2 diabetes mellitus. Coping strategy training can be applied to improve self-care management in diabetic patients.Keywords: Diabetes mellitus, self-care management, coping strategy trainin
HUBUNGAN DEVELOPING OTHERS DENGAN KINERJA BIDAN DALAM PEMBERIAN TABLET FE PADA IBU HAMIL DI PUSKESMAS KOTA SURABAYA
Get PDFSocial skills closely related to the performance results obtained. Developing others, is an indicator of social skills. Developing others is an effort to understand the needs of others to flourish and help them to improve. A midwife is expected to have the ability developing others in fulfilling its performance in providing services to pregnant women, particularly inprograms providing Fe tablet. This study was conducted by using cross sectional approach. The population in this study is the center midwife who numbered 281, spread over 62 centers of primary health care in the city of Surabaya. While the sample in this study was 65 midwives. The data collection is done with reference to field research by direct interviewusing a questionnaire method, and the method of observation. The data analysis was conducted on the univariable descriptive analysis with cross bivariable cross tabulation, and analysis techniques Ordinal Logistic Regression. Most of the midwives at the health center of Surabaya has competence developing others in the levels were very good and had a goodperformance in the activity of granting Fe tablets to pregnant women at health centers. Among developing others with the performance of midwives have a close relationship. The better the developing others owned midwife, the better the performance of the resulting outcomes.Keyword: Developing others, Midwives Performance, Fe Tablet, Pregnant Mothe
ASPEK KOGNITIF DAN AFEKTIF MASYARAKAT TERHADAP MANAJEMEN PELAYANAN KIA DI KABUPATEN JEMBER
Get PDFJember is one of the districts with high MMR (102/100.000 live births) and IMR (23/1000 live births) at 2015 in East Java. This indicates that the service utilization Antenatal Care (ANC) in the existing health care facilities in Jember still not optimal. Most of the causes of health care utilization that occurred in the community affected by the behavior of the model of society in choosing and utilizing the health service. Identify the distribution of respondents' knowledge and attitudes about the MCH services. The study is a descriptive observational study with cross sectional design. The unit of analysis of this study is the entire women who have earned MCH services, with a sample of 29 respondents. Respondents assess the health services provided are good (96.6%), whereas the components of MCH services, materials and medicine, counseling, care of infants and toddlers and the availability of staff each got a good assessment of 96.6%, laboratory services and physical facilities laboratory respectively 65.5% and 69%. In the knowledge about the treatment of infants, children and infants, respondents is low include the treatment itself against infant diarrhea (69%) and supplementary feeding after 6 months (72.4%).Keywords: cognitive, affective, management, MCH service
PERSEPSI MASYARAKAT DALAM PENGELOLAAN SAMPAH BERBASIS PARTISIPASI MASYARAKAT DI KOTA SURABAYA
Get PDFBy increasing human population, the problem of waste is become a serious problem in urban communities. Surabaya is the second largest city produce waste as much as 8,700 m3/day. Alternative solutions in dealing with municipal waste are waste management based on community’s participation. The purpose of this study was to determine the public perception in community-based waste management. Type of research is an observational by comparing between assisted and unassisted areas. Sample on research is 1000 people. Analyze technique used are descriptive and analytical. The results showed that respondents in assisted areas who have perception suggest in a way to handling municipal waste is sorting and processing at point of source (household/ neighborhood) are 72.6% (range 52.9 – 89.0%). The amount is higher than in the control/ unassisted areas, which only 43.9% respondents (34.8 – 76.2%) who have the same perception. Chi-square test result demonstrated the value of P = 0,000 which is smaller than α = 0.05. According to the result, it is suggested to assisting enhancement at communities by intensive and integrated surveillance monitoring supported. Establishment of natural leader from the communities is the effective’s way to optimizing the participation communities program.  Keywords : perception, waste management, community’s participatio
ANALISIS PELAKSANAAN SISTEM INFORMASI KESEHATAN DI KLINIK MUHAMMADIYAH MEDICAL CENTER (MMC) UNIVERSITAS MUHAMMADIYAH SURAKARTA
Get PDFHealth information system is one of the six building blocks or key components of the health system. MMC is a health care unit at the Muhammadiyah University of Surakarta. This study purposed to determine the application of Health information system in MMC. This study was a qualitative research with System Development Life Cycle (SDLC) approach. Data collections were obtained by in-depth interviews and direct observation. The results of the research that has been done, that the existing health information system is not running well, because in the process of recording and reporting is still done manually, the lack of security of data, lack of data integration, as well as the information generated is not in accordance with the need for decision-making.Keywords : HIS, reporting, input, SDL