22 research outputs found
COST RECOVERY OF AUTOMATED CLINICAL ANALYZER (A Case Study In Public Hospital Laboratory and Private Clinical Laboratory)
Full text linkBiaya pelayanan laboratorium adalah informasi yang perlu diketahui oleh pembuat keputusan dalam rangka penetapan tarif yang diberlakukan sebagai bagian dari sumber pendapatan yang tujuannya adalah untuk memulihkan biaya produksi. Namun pertimbangan penetapan tarif juga harus mempertimbangkan misi dari masing-masing penyedia pelayanan antara lain pemerintah dan swasta. Sehingga perlu dilakukan studi untuk mengetahui besarnya biaya pemulihan yang layak sebagai pedoman untuk penetapan besar tarif di masing-masing fasililas. Tujuan dari studi ini adalah untuk mempelajari biaya pemulihan dari Automated Clinical Analyzer (ACA) di laboratorium rumah sakit pemerintah dan laboratorium klinik swasta di Jawa Timur. Studi ini menerapkan distribusi langsung anggaran dari pusat pembiayaan institusi yang bersangkutan untuk alokasi biaya dalam perhitungan biaya total cost. Biaya total diklasifikasikan dalam biaya kapital (capital cost) dan biaya kembali (recuffent cost). Ratio biaya pemulihan dihitung dari total pendapatan dibagi biaya total. Bila ratio biaya pemulihan kurang dari satu menunjukkan bahwa provider mengalami kerugian, sebaliknya bila ratio biaya pemulihan lebih dari satu, berarti provider mendapatkan keuntungan. Hasil studi menunjukkan, di kedua fasilitas pelayanan, biaya kapital memberi kontribusi terbesar dari total biaya, diikuti biaya material dan biaya tenaga
Daun Bungkus dan Hegemoni Kaum Laki-Laki: Riset Etnografi di Masyarakat Irarutu, Papua Barat
Full text linkSexual behavior among Papuans known as unique. One of the unique sexual behavior that can be found is a bungkus “wrap”. Bungkus is the traditional technology to enlarge the male genitals using leaves which Papuans known as daun tiga jari. Hegemony and the value of masculinity that characterize sexual activity, expressed in order to wrap up behavior. These activities is to make as strong men to do sexual activity. That is not a myth. As the embodiment of the values of masculinity, wrap done by male and adolescent. As a behavior, action to wrap up not free from health risks. Packaging is not really going to result in damage to the genitals. Unsafe sexual behavior people who are wrapped, at risk for sexually transmitted diseases and HIV / AIDS. Recognition of female sex workers due to the use of wrappers is an indication of this risk. Socially, the phenomenon wrap also are at risk of Domestic Violence. Meanwhile, the Government is not doing more related to the bungkus phenomenon a lot done Papuans. All that will make Papuans in Kaimana expressive sexual behavior as vulnerable people
Studi Kesesuaian Sumber Daya dengan Pelayanan Kesehatan Tradisional Rumah Sakit Pemerintah di Provinsi DI Yogyakarta, Jawa Tengah dan Jawa Timur
Full text linkTraditional health services (THS) in hospitals are expected to support conventional services formally applied in Indonesia. Nonetheless, heretofore there is unknown information about the suitability of the THS and existing resources. This research was conducted to analyze the suitability of resources for the means of how it is done, with the descriptive method, cross-sectional design. The sample was determined purposively by 1 (one) government hospital every regency/city that provide more than one traditional health service and operated before or since 2014. The research subject was 2 informants every hospital consisting of the unit head of traditional health services and administration staff. The results showed that most THS types were licensed, had SOPs and had appropriate resources. The existing human resources were equally good in the THS of the herb as well as the skill unit with the tools that consist of both trained and untrained physicians, diploma of traditional healers, diploma of nursing, and or high school graduates, but none of the traditional health service units had pharmacists. Types of standard herbal medicines was obtained from herbal medicine and pharmaceutical industry although in some other units also available herbs and phytopharmaca. There was a suitability of resources and treatment at the traditional health service in hospitals
Studi Kesesuaian Sumber Daya dengan Pelayanan Kesehatan Tradisional Rumah Sakit Pemerintah di Provinsi DI Yogyakarta, Jawa Tengah dan Jawa Timur
No full textPeningkatan Aksesibilitas Pelayanan Kesehatan Dasar untuk Difabel di Sukoharjo, Jawa Tengah
Full text linkExclusive operations in health services remains a common practice on primary health services in Indonesia, particularly in the First Level Health Facility. This form of services was incapable of covering the need for people with disability (PwD) towards adequate health services. Prerequisite facilities were not available nor accessible for the disabled in need of health treatment. This research was aimed at depicting friendly health services for people with disability at the Puskesmas level. This research looked at several factors, including the need for PwD, assessment of facility provision, evaluating policy support, also support from family and Disabled People Organisation (DPO) to ensure adequate services for PwD. This study is qualitative research with in-depth interviews, observations, and literature reviews, data collection methods. Research sites were three Puskesmas in Sukoharjo, Central Java. The result shows that PwD’s needs on primary health services in Puskesmas include physical accessibility, health worker’s ability to understand them and proper health insurance. DPO in Sukoharjo had actively supported disability rights. DPO and local government had also been working together in the improvement of health services for PwD. However, the three Puskesmas were in the process of improving their supporting facilities. The refurbishment followed building accessibility guidelines from the Ministry of Public Works. This study was a pilot project on inclusive primary health services in Sukoharjo.
Abstrak
Pola-pola non inklusif masih sering ditemui pada pelayanan kesehatan dasar di Indonesia, khususnya pada fasilitas kesehatan tingkat pertama (FKTP). Bentuk layanan itu tidak dapat mengakomodir kebutuhan difabel terhadap pelayanan kesehatan yang memadai. Kebutuhan seperti aksesibilitas fisik masih belum tersedia dan dapat diakses oleh difabel yang membutuhkan pelayanan kesehatan. Penelitian ini bertujuan untuk mencari gambaran pelayanan kesehatan yang ramah bagi difabel pada tingkat Puskesmas. Penelitian ini melihat pada faktor kebutuhan difabel akan pelayanan kesehatan, mengevaluasi ketersediaan pelayanan kesehatan dan faktor dukungan kebijakan, serta melihat faktor dukungan dari keluarga dan organisasi difabel dalam memastikan kebutuhan difabel akan pelayanan kesehatan yang memadai. Metode yang digunakan dalam penelitian ini adalah metode kualitatif. Penelitian dilaksanakan di tiga Puskesmas di Kabupaten Sukoharjo, Jawa Tengah. Data dikumpulkan dengan melakukan wawancara mendalam, observasi dan penelusuran literatur terkait. Hasil dari penelitian ini menunjukkan bahwa kebutuhan difabel pada pelayanan kesehatan dasar di Puskesmas meliputi aksesibilitas fisik, kemampuan petugas dalam memahami dan jaminan kesehatan yang tepat. Organisasi Difabel di Sukoharjo secara aktif mengadvokasi hak difabel kepada pemerintah setempat. Sinergi yang baik terbangun di antara kedua belah pihak dalam meningkatkan pelayanan kesehatan untuk difabel. Sarana dan prasarana penunjang yang lebih aksesibel masih dalam proses peningkatan pada ketiga Puskesmas yang menjadi fokus dalam penelitian ini. Pembangunan tersebut dilakukan dengan mengikuti petunjuk teknis aksesibilitas gedung. Ini merupakan pilot project pembangunan Puskesmas ramah-difabel di Sukoharjo
STUDI UTILISASI PERALATAN KEDOKTERAN CANGGIH DI RUMAH SAKIT UMUM SYAIFUL ANWAR, MALANG, JAWA TIMUR
No full textSTUDI UTILISASI PERALATAN KEDOKTERAN CANGGIH DI RUMAH SAKIT UMUM SYAIFUL ANWAR, MALANG, JAWA TIMU
Implementation research for developing Civil Registration and Vital Statistics (CRVS) Systems: lessons from Indonesia
No full textCivil Registration and Vital Statistics (CRVS) systems are the optimal source for data on births, deaths and causes of death for health policy, programme evaluation and research. In Indonesia, indicators such as life expectancy at birth, childhood and maternal mortality rates and cause-specific death rates need to be routinely monitored for national health policy. However, the CRVS system is not yet producing reliable vital statistics, which creates a challenge for evidence-based health action. In 2019, the Indonesian government released a national strategy for the CRVS system, with targets for improved coverage and data quality by 2024. This article describes findings from a programme of formative and implementation research to guide the application of the national strategy. At first, a detailed CRVS assessment and gap analysis were undertaken using an international framework. The assessment findings were used to develop a revised business process model for reporting deaths and their causes at village, subdistrict and district level. In addition, a field instruction manual was also developed to guide personnel in implementation. Two field sites in Java—Malang District and Kudus Regency were selected for pilot testing the reporting procedures, and relevant site preparation and training were carried out. Data compilations for Malang in 2019 and Kudus in 2020 were analysed to derive mortality indicators. High levels of death reporting completeness (83% to 89%) were reported from both districts, along with plausible cause-specific mortality profiles, although the latter need further validation. The study findings establish the feasibility of implementing revised death reporting procedures at the local level, as well as demonstrate sustainability through institutionalisation and capacity building, and can be used to accelerate further development of the CRVS system in Indonesia
NILAI-NILAI BUDAYA YANG MENDASARI PEMERATAAN MAKANAN YANG DAPAT MENUNJANG GIZI KELUARGA
No full textAbstractThe results of the analysis of Basic Health Research in 2010,showed that Bantul District of Yogyakarta Province, is one of the 10 Districts/Municipalities in Indonesia bearing good Community Health Development Index of 0.69148. Community Health Development Index (CHDI) is a composite that describes the progress of health development, including maternal and child health. Based on the assumption that there is a significant relationship between economic development of the community and high status of health as shown by the CHDI, it is a little bit unusual and draws a question, because the pre-prosperous and poor families in the district are quite high. Therefore, it is should be determine what are the various endogenous factors, such as socio-cultural factors; among those factors might play an important role in supporting the health status of the community. This study was concentrated in the rural village of Gadingsari Sanden, Bantul District in the Province of Yogyakarta, which has low cases of infant and child mortality. Data on the various culture practices in relation with mother and child health were collected through in-depth interviews. The informants were pregnant women, women who have given births, or those who have babies or toddlers. Other informants were community leaders and some members of the community considered familiar with local culture. Alongside with interviews, observations were also conducted on the number of objects related to the mother and child health. The results of the Interview were entered into matrix tables of essential information, to determine the variety of information closely related to mother and child health. The results was then analysed in the form of qualitative-descriptive method. The community in Gadingsari were still live in the ceremonial/traditional pattern, among others, they still doing small festivity or “selametan”. There was a traditional pattern where in “selametan” food were distributed to the people who came to the house who conducted the “selametan” and distributed also to the neighbouring households. This tradition allows every family to get adequate nutrition both in quantity and quality due to the variation of the food. The sharing of food among households through social tradition will always happen in the community lives in Gadingsari village and will continue as long as people still cling to the cultural values of solidarity and a high tolerance to the fellow community. The sharing of good food among the people will give extra nutrition to the family, and indirectly affect the health status of mother and child. Cultural values are still strongly held by the community as a form of solidarity as well as a high tolerance among them.Keywords : Cultural Values, Equity , Food , Nutrition , FamilyAbstrakHasil analisis Riskesdas 2010 menggambarkan bahwa Kabupaten Bantul Yogyakarta termasuk 10 besar dari seluruh kabupaten/kota di Indonesia yang mempunyai Indek Pembangunan Kesehatan Masyarakat (IPKM) cukup baik yaitu sebesar 0,69148. IPKM yang merupakan komposit yang menggambarkan kemajuan pembangunan kesehatan termasuk didalamnya kesehatan ibu dan anak. Jika mendasarkan pada asumsi bahwa ada hubungan yang signifikan kemajuan ekonomi suatu masyarakat dengan tingginya status kesehatan masyarakat maka untuk daerah Bantul menjadikan suatu pertanyaan, karena jumlah keluarga pra-sejahtera atau keluarga miskin di kabupaten tersebut masih cukup tinggi. Oleh karena itu perlu diungkap berbagai faktor endogen; salah satunya faktor sosial budaya yang diduga ikut berperan menunjang status kesehatan masyarakat di kabupaten tersebut. Daerah penelitian dikonsentrasikan di desa Gadingsari Kecamatan Sanden Bantul Yogyakarta, yang mana kasus kematian bayi dan balita sedikit. Data berupa berbagai informasi budaya kaitannya dengan KIA dikumpulkan melalui wawancara mendalam kepada sejumlah informan yang terdiri dari ibu-ibu yang sedang hamil dan atau pernah melahirkan dan atau sedang mempunyai bayi atau anak balita, sejumlah tokoh masyarakat dan beberapa warga masyarakat yang dianggap mengetahui tentang budaya setempat. Selain wawancara juga dilakukan pengamatan terhadap sejumlah obyek yang berkaitan dengan KIA. Hasil wawancara dimasukan ke dalam tabel berbentuk matrik informasi esensial untuk menemukan berbagai informasi yang erat kaitannya dengan KIA. Analisa hasil secara diskriptif kualitatif. Dalam kehidupan masyarakat di desa Gadingsari masih adanya ritual atau upacara adat berupa kenduri atau selametan secara tradisi selalu diselenggarakan oleh warga masyarakat. Selain itu ada pola kebiasaan masyarakat berupa pembagian makanan yang disebut weh-wehan diantara sesama warga masyarakat. Tradisi demikian merupakan suatu manifestasi pemerataan pangan di antara tetangga sehingga memungkinkan setiap keluarga mendapatkan asupan gizi yang cukup baik secara kuantitas maupun kualitas karena komposisi dan jenisnya beragam. Pembagian makanan antar tetangga melalui tradisi sosial seperti itu masih berlangsung di masyarakat di daerah penelitian dan akan tetap berlangsung selama masyarakat masih berpegang teguh pada nilai-nilai budaya yaitu solidaritas dan toleransi yang tinggi terhadap sesama warga. Adanya distribusi makanan dalam kehidupan masyarakat ikut menambah asupan gizi keluarga, dan secara tidak langsung berpengaruh terhadap status kesehatan ibu dan anak, karena tradisi kenduri atau selamatan serta pembagian makanan melalui budaya weh-wehan atau saling memberi akan tetap berlangsung dalam kehidupan sosial sehingga setiap keluarga baik yang mampu ataupun kurang mampu mendapat tambahan makanan yang lebih bergizi. Nilai budaya tersebut masih dipegang kuat oleh warga masyarakat sebagai wujud rasa solidaritas serta toleransi yang tinggi sesama.Kata kunci : Nilai Budaya, Pemerataan, Makanan, Gizi, Keluarga
