46 research outputs found
APLIKASI TEKNOLOGI REKAM MEDIS DAN SIMRS UNTUK PENGAMBILAN KEPUTUSAN MANAJEMEN RUMAH SAKIT
No full text
Keracunan Pestisida dan Hipotiroidisme pada Wanita Usia Subur di Daerah Pertanian
No full textWomen lived in agricultural areas are risk to suffer various disorders due to pesticides exposure such as hypothyroidism. Hypothyroidism causes growth and development disorders of fetus. The aim of the study is to find out the prevalence of pesticide poisoning and hypothyroidism in women of childbearing age in agricultural areas. Cross-sectional study was conducted and 26 women of childbearing age were selected randomly. TSH, fT4 and cholinesterase enzymelevels were measured in all subjects, while levels of T3, UEI and blood Pb were measured in the sub-sample. Pesticide poisoning is determined if the levels of enzymes cholinesterase 4.5 μIU/L. This study showed that mean of cholinesterase levels was 7.26 (± 1.28), range of values 5.33-9.39 μg/L; mean of TSH levels was 5.09 (± 6.14), range of values 0.47-31.73 μIU/L; mean of fT4 level was 15.18 (±2.09), range of values 8.73-18.87 pmol/L; mean of T3 levels was 1.75 (±0.51), range of values 1.24-2.95 pmol/L. The prevalence of pesticide poisoning in childbearing women was 0.0% and prevalence of hypothyroidism was 46.2%
Kepuasan Pasien Jaminan Persalinan pada Pelayanan Persalinan oleh Bidan Desa di Kabupaten Pati Tahun 2012
No full textUniversitas Diponegoro
Program Pascasarjana
Program Magister Ilmu Kesehatan Masyarakat
Konsentrasi Administrasi dan Kebijakan Kesehatan
Minat Manajemen Kesehatan Ibu dan Anak
2013
ABSTRAK
Siti Ni’amah
Kepuasan Pasien Jaminan Persalinan pada Pelayanan Persalinan oleh Bidan Desa di Kabupaten Pati Tahun 2012
74 halaman + 24 tabel + 3 gambar + 4 lampiran
Jaminan persalinan bertujuan untuk menurunkan AKI (Angka Kematian Ibu) melalui peningkatan akses pertolongan persalinan oleh tenaga kesehatan. Namun demikian AKI di Kabupaten Pati meningkat setelah ada program Jampersal. Hasil studi pendahuluan menunjukkan ketidakpuasan pasien terhadap pelayanan persalinan jampersal oleh Bidan Desa.Tujuan penelitian menganalisis faktor-faktor yang berhubungan dengan kepuasan pasien jampersal pada pelayanan persalinan oleh Bidan Desa di Kabupaten Pati.
Jenis Penelitian adalah observasional analitik dengan pendekatan cross sectional. Pengumpulan data menggunakan observasi dan angket dengan kuesioner terstruktur. Populasi penelitian 450 ibu bersalin dengan jampersal, dengan jumlah responden 90, yang dipilih secara purposive dengan kriteria inklusi. Analisis data dilakukan dengan uji korelasi Rank spearman dan regresi logistik berganda.
Hasil penelitian menunjukkan bahwa sebagian besar responden (60%) merasa tidak puas dengan pelayanan persalinan jampersal. Mutu pelayanan dalam dimensi reliability dipersepsikan baik 51,1% responden, mutu pelayanan dalam dimensi responsveness dipersepsikan baik 51,1% responden, mutu pelayanan dalam dimensi assurance dipersepsikan baik 51,1% responden , mutu pelayanan dalam dimensi empathy dipersepsikan baik 67,8% responden, mutu pelayanan dalam dimensi tangibles dipersepsikan baik 65,6% responden. Ada hubungan reliability (p=0,001), responsiveness (p=0,001), assurance (0,011), empathy (0,020), tangibles (p=0,001), terhadap kepuasan pasien. Faktor yang paling kuat berhubungan dengan kepuasan pasien jampersal adalah reliability selanjutnya berturut-turut tangibles, empathy dan assurance secara bersama-sama berhubungan dengan kepuasan.
Disarankan bagi Dinas Kesehatan kabupaten Pati untuk meningkatkan motivasi bidan dalam pelayanan jampersal antara lain dengan mempermudah proses klaim. Disarankan bagi bidan desa untuk meningkatkan ketanggapan dalam pelayanan jampersal.
Kata kunci : Kepuasan pasien Jampersal, Mutu pelayanan, Bidan Desa
Kepustakaan : 32 (2004 – 2012)
Diponegoro University
Postgraduate Program
Master’s Program in Public Health
Majoring in Health Policy Administration
Sub Majoring in Maternal and Child Health Management
2013
ABSTRACT
Siti Ni’amah
Patients' Satisfaction on Delivery Services by Village Midwives in Delivery Assurance Program in Pati District, 2012
74 pages + 24 tables + 3 figures + 4 enclosures
The purpose of delivery assurance (Jampersal) was to reduce maternal mortality rate (AKI) through improvement of delivery assistance accessibility by health workers. However, AKI in Pati district increased after the implementation of Jampersal program. Results of a preliminary study showed patient unsatisfactory to Jampersal delivery service by village midwives. Objective of the study was to analyze factors related to Jampersal patient satisfaction toward delivery service by village midwives in Pati district.
This was an observational-analytical study with cross sectional approach. Data were collected by conducting observation and distributing structured questionnaire. Study population was 450 post-delivery mothers who took advantage of Jampersal. Study respondents were 90 Jampersal post-delivery mothers who were selected purposively according to the inclusion criteria. Rank Spearman correlation test and multiple logistic regressions were applied in the data analysis.
Results of the study showed that the majority of respondents (60%) were not satisfied with jampersal delivery service. In the reliability dimension, 51.1% of respondents had good perception on the quality of service. In the responsiveness dimension, 51.1% of respondents had good perception on the quality of service. In the assurance dimension, 51.1% of respondents had good perception on the quality of service. In the empathy dimension, 67.8% of respondents had good perception on the quality of service. In the tangibles dimension, 65.6% of respondents had good perception on the quality of service. There were associations between patient satisfaction and reliability (p= 0.001), responsiveness (p= 0.001), assurance (p= 0.011), empathy (p= 0.020), tangibles (p= 0.001). The strongest factor related to jampersal patient satisfaction was reliability; then tangibles, empathy, and assurance respectively. Those factors, in common, are related to patient satisfaction.
Suggestion for Pati district health office was to increase midwives motivation in Jampersal service such as making easier way in a claim process. Suggestion for village midwives was to improve responsiveness in jampersal service.
Key words : jampersal patient satisfaction, service quality, village midwives
Bibliography : 32 (2004-2012
Analisis Kinerja Bidan Puskesmas dalam Pelayanan MTBS di Wilayah Puskesmas Kota Malang
No full textUniversitas Diponegoro
Fakultas Kesehatan Masyarakat
Program Magister Ilmu Kesehatan Masyarakat
Konsentrasi Administrasi dan Kebijakan Kesehatan
Minat Manajemen Kesehatan Ibu dan Anak
2013
ABSTRAK
Yuniar Angelia Puspadewi
Analisis Kinerja Bidan Puskesmas dalam Pelayanan MTBS di Wilayah Puskesmas Kota Malang
105 halaman + 26 tabel + 3 gambar + 17 lampiran
Untuk meningkatkan kualitas dan akses pelayanan kesehatan bagi bayi baru lahir dan bayi dan anak balita kegiatan yang dilakukan adalah melalui penerapan Manajemen Terpadu Balita Sakit (MTBS). Hasil pelaksanaan kegiatan MTBS di Kota Malang yang berupa cakupan hasil kegiatan pelayanan MTBS balita pada tahun 2010 yaitu 58,07 % dan pada tahun 2011 mengalami penurunan yaitu 49, 38%. Hal ini memperlihatkan bahwa cakupan pelayanan MTBS di Kota Malang masih dibawah target yaitu 80 %. Berdasarkan survei pendahuluan didapatkan kinerja bidan puskesmas dalam pelayanan MTBS masih belum optimal. Penelitian ini bertujuan untuk menganalisis kinerja bidan puskesmas dalam pelayanan MTBS di wilayah puskesmas Kota Malang.
Jenis penelitian adalah observasional kualitatif. Informan utama adalah bidan puskesmas yang diambil dari 4 Puskesmas dengan cakupan pelayanan MTBS tertinggi dan terendah, masing-masing 2 orang. Informan triangulasi adalah Kepala Puskesmas, Kasie. KIA Dinas Kesehatan dan ibu balita. Data dikumpulkan dengan wawancara mendalam dan observasi terhadap pelayanan MTBS. Pengolahan metode content analysis.
Hasil penelitian menunjukkan bahwa belum semua bidan dilatih MTBS, kinerja Bidan Puskesmas dalam pelayanan MTBS belum dilaksanakan sesuai standar pelayanan MTBS baik dari persiapan alat, pemberian pelayanan dan penerapan jadual pelayanan MTBS, ketersediaan tenaga dan fasilitas belum memenuhi, serta pemanfaatan alat belum semuanya dimanfaatkan. Kebutuhan supervisi belum sesuai dengan kebutuhan Bidan Puskesmas yaitu terjadual dan rutin berkaitan dengan kegiatan pelayanan MTBS.
Disarankan kepada Kepala Puskesmas dan Dinas Kesehatan untuk memberikan pelatihan MTBS bukan hanya kepada bidan dan dokter melainkan perawat yang juga sebagai petugas, melakukan supervisi secara berkala untuk meningkatkan kualitas, kuantitas dan ketepatan waktu dalam pelayanan MTBS. Meningkatkan pengetahuan dan kemampuan seperti seminar, diklat, pelatihan teknis dan sosialisasi standar secara berkala.
Kata Kunci : Pelayanan MTBS, Bidan Puskesmas, Kinerja
Jumlah Pustaka : 57 (1991 – 2011)
Diponegoro University
Postgraduate Program
Master’s Program in Public Health
Majoring in Health Policy Administration
Sub Majoring in Maternal and Child Health Management
2013
ABSTRACT
Yuniar Angelia Puspadewi
Analysis on Midwives Performance in Integrated Management of Childhood Illness (IMCI) Services at Primary Healthcare Centers
105 pages + 26 tables + 3 figures + 17 enclosures
Activities that had to be done to improve quality and accessibility of health service for the newborns, infants and under-five children were the implementation of integrated management of healthy under-five children (MTBS). Results of the implementation of MTBS activities in Malang city were MTBS coverage for 2010 (58.07%), and it decreased in 2011 (49.38%). This showed that the coverage of MTBS service in Malang city was still below the target (80%). Based on a preliminary survey, work performance of primary healthcare center (puskesmas) midwives in MTBS service was not optimal. Objective of this study was to analyze the work performance of puskesmas midwives in MTBS service in the puskesmas area of Malang city.
This was an observational qualitative study. Main informants were puskesmas midwives from 4 puskesmas with the highest and the lowest MTBS service coverage. Two people were selected from each puskesmas. Triangulation informants were heads of puskesmas, a head of maternal and children health unit of local district health office, and mothers of under-five children. Data were collected through in-depth interview and observation on MTBS service. Content analysis was applied in the data analysis.
Results of the study showed that not all midwives had been trained regarding MTBS; puskesmas midwives had not conducted MTBS service properly according to MTBS service and equipment preparation standards; MTBS services were not done according to the schedule; availability of human resource and facilities was inadequate; not all instruments were utilized. Supervision was not conducted according to the need of puskesmas midwives; MTBS service activities should be scheduled and routinely conducted.
Head of puskesmas and district health office are suggested to conduct MTBS training not only to midwives and physicians but also for nurses; to conduct routine supervision to improve the quality, quantity, and time precision in conducting MTBS services; to improve knowledge and skills including seminars, education and trainings, technical training, and routine socialization of the standard.
Key words : MTBS service, puskesmas midwives, work performance
Bibliography : 57 (1991-2011
