19 research outputs found
Faktor-Faktor Terkait Penempatan Tenaga Kesehatan di Fasilitas Pelayanan Kesehatan Tingkat Pertama Daerah Terpencil/Sangat Terpencil
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Implementasi program penempatan tenaga kesehatan (nakes) di fasilitas pelayanan kesehatan tingkat pertama (puskesmas) di daerah terpencil/sangat terpencil menjadi salah satu upaya pemerintah untuk pemerataan nakes di Indonesia. Dalam penempatan tersebut, perlu dilakukan penentuan masalah keterpencilan, kecukupan nakes dan komitmen daerah agar tujuan program dapat tercapai secara optimal. Studi ini bertujuan mengidentifikasi faktor-faktor tersebut dalam penempatan nakes di puskesmas daerah terpencil/sangat terpencil. Jenis penelitian ini adalah kuantitatif dengan desain potong lintang dilengkapi dengan penelitian kualitatif untuk menggali lebih dalam faktor-faktor yang terkait dengan penempatan nakes di puskesmas daerah terpencil/sangat terpencil. Penelitian dilakukan di 24 provinsi dengan pemilihan sampel puskesmas berdasarkan usulan lokus dari Direktorat Pelayanan Kesehatan Primer (PKP) Ditjen Yankes dan Pusat Pemberdayaan dan Pendayagunaan (Pusrengun) Badan PPSDM Kesehatan sebanyak 193 puskesmas. Sebagian besar wilayah puskesmas masuk dalam kriteria terpencil dan sangat terpencil. Lebih dari setengahnya memiliki kesesuaian antara hasil penilaian di lapangan dengan kriteria dalam SK keterpencilan daerah. Kekurangan jenis tenaga dokter gigi dan apoteker banyak terjadi di puskesmas terpencil/sangat terpencil, sedangkan perawat dan bidan merupakan nakes yang banyak terdapat di puskesmas. Komitmen daerah, baik dinas kesehatan maupun puskesmas, cukup tinggi dan bersedia untuk menyediakan rumah tinggal bagi tim yang akan ditempatkan. Saran bagi pemerintah daerah agar melakukan pembaruan terhadap SK keterpencilan sehingga sesuai antara SK dengan kemajuan di daerah. Selain itu, agar nakes dapat betah untuk melaksanakan tugas di daerah, sebaiknya dipenuhi fasilitas pendukungnya, seperti rumah tinggal, alat transportasi serta jaminan keselamatan nakes di daerah penempatan.
Kata kunci: puskesmas, tenaga kesehatan, terpencil, sangat terpencil, penempatan
Abstract
The implementation of the program for the placement of health workers in first-level health service facilities (puskesmas) in remote areas is one of the government's efforts to equalize health workers in Indonesia. In this placement, it is necessary to determine the problem of remoteness, adequacy of health workers, and local commitment so that the objectives of the program can be achieved optimally. This study aims to identify the factors mentioned above in the placement of health workers in remote community health centers. This type of research is quantitative with a cross-sectional design complemented by qualitative research to explore the factors associated with the placement of health workers in remote puskesmas. The research location was conducted in 24 provinces, 193 puskesmas. Sample selection of puskesmas based on locus proposals from the PKP and Pusrengun. Most of the puskesmas areas fall into the criteria of remote areas. More than half of them had a match between the results of the field assessment and the criteria in the regional remoteness decree. Remote puskesmas have fewer dentists and pharmacists while nurses and midwives are the most common health workers. Commitment from both the Health Officer and the Puskesmas is quite high and willing to provide housing for the team to be deployed. Suggestions for local governments to make updates to the remoteness decree so that it matches with progress in the region. Besides, for health workers to feel at home in carrying out their duties in the area, supporting facilities such as housing, means of transportation, and safety guarantees for health workers in the placement area should be fulfilled.
Keywords: Health workers, Primary Health Care, remote, very remote, placemen
Dengue Fever Outbreak in Mataram City, West Nusa Tenggara Province In 2002
No full textDengue fever is one of the essential public health problems in Indonesia and often leads to an outbreak event with a high mortality rate. Dengue fever is not only a disease burden but also a high economic burden for individual, family, and country. No effective medication or vaccine has limited options for prevention and treatment. The implemented program is a control vector to limit the transmission of viruses that require the role of community continuously. The aim of this study is to ensure the existence of dengue fever outbreak and identify an epidemiological picture of dengue fever in three sub-districts in Mataram city, NTB Province. The study was conducted in Mataram City in 2002. The results showed that dengue fevercases spread in three sub-districts in Mataram City. The number of identified urban villages that infected dengue feveris 21 villages from 23 urban villages (91%) in those sub-districts. There are six urban villages infected in Ampenan sub-district (86%),all urban villages in Mataram sub-district are infected,while there are 7 urban villages in Cakranegara sub-district. The highest Attack Rate in East Cakra sub-district is 1.9% followed by South Ampenan urban village which is 1.03%, Sayang-Sayang urban village is 0.99% and West Cakra urban village is 0.92%. In conclusion, there are cases of dengue fever outbreaks in three locations: Ampenan, Cakranegara and Mataram Sub-District
The Novel Genotype D8 of Measles Virus Detected in Indonesia in 2014
No full textBackgroundMeasles is one of the most infectious human diseases and can cause serious illness, lifelong complications and death. Measles is still a public health problem since the measles outbreak still occurred throughout Indonesia. Virology surveillance following molecular epidemiology investigations has a major contribution to prevent measles outbreak. Previous studies have documented the presence of measles virus genotypes G2, G3 and D9 in Indonesia, and the other genotypes such as B3, D4, D5, D8 and H1 have been detected in neighboring countries. This study aims to characterize the measles virus that causing outbreak in Indonesia in 2014. MethodsSeventy four urine specimens were collected from eight provinces and examined by one step RT-PCR and Sanger sequencing method. Sequencing analysis were conducted using Bioedit 7.1; DNA Star 7.0 and MEGA 5.0 software. ResultsThe PCR results showed 34 out of 74 clinical specimens positive of measles virus. We found the genotype of 34 measles viruses belongs to genotype D8, D9 and G3. ConclusionThe first measles genotype D8 has been detected from Indonesia in 2014 although other measles genotype still can be found in Indonesia.<br /
Pengembangan Metode Diagnostik Cepat Laboratorium : untuk Identifikasi Penyebab Difteri
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Analisis Kondisi Geografis dan Ketersediaan Peralatan di Puskesmas Terpencil/Sangat Terpencil di Indonesia
Get PDFPuskesmas merupakan salah satu fasilitas pelayanan kesehatan primer atau tingkat pertama dalam pelaksanaan pembangunan kesehatan yang optimal dan berkualitas. Kondisi geografis dan ketersedian peralatan yang belum memadai di puskesmas daerah terpencil/sangat terpencil dapat menurunkan kualitas pelayanan sehingga berdampak pada kesehatan masyarakat setenpat. Tujuan penelitian ini yaitu mengetahui dan menganalisis kondisi wilayah dan geografis serta ketersediaan set peralatan di puskesmas daerah tertinggal/sangat tertinggal di Indonesia. Penelitian ini menggunakan pendekatan kuantitatif dengan desain penelitian adalah cross sectional. Penelitian ini merupakan bagian dari Studi Validasi Lokus Penempatan Tim NS Tahun 2019. Penelitian dilaksanakan bulan Februari-Desember 2019. Lokasi penelitian dilakukan di 25 provinsi di Indonesia dan terdapat 193 puskesmas. Hasil penelitian menunjukkan bahwa sebanyak 73.1% puskesmas memiliki keterbatasan aksesibilitas yang menjadi hambatan puskesmas mencapai wilayah kerja. Kondisi geografis yang memisahkan wilayah kerja dengan puskesmas yaitu adanya sungai, laut, gunung, lembah dan hutan belantara. Lebih dari 50% puskesmas sudah memiliki set peralatan standar minimal 80%, namun masih kurangnya ketersediaan set peralatan lainnya. Tidak tercukupinya ketersediaan obat esensial 33 jenis dan vaksin pada sebagian besar puskesmas. Saran bagi pemerintah yaitu perlunya perhatian khusus untuk meningkatkan ketersediaan peralatan standar minimal dan obat pada puskesmas terpencil/sangat terpenci
