Julita Hendrartini
Bagian Ilmu Kedokteran Gigi Pencegahan dan Ilmu Kesehatan Gigi Masyarakat, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Faktor-Faktor yang Mempengaruhi Rawat Inap Ulang Pasien Skizofrenia pada Era Jaminan Kesehatan Nasional di Rumah Sakit Jiwa Grhasia Pemda DIY Pratiwi, Suri Herlina; Marchira, Carla Raymondalexas; Hendrartini, Julita
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 1 (2017)
Publisher : Center for Health Policy and Management

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ABSTRACTBackground: The implementation of National Health Insurance (JKN) applies a quality and cost control system services aimed at improving the efficacy and effectivity of health insurance with managed care principle. Readmission is used as an indicator for effectivity and technical competence of a hospital. The increasing cases of readmission, specifically in schizophrenia patients, leads to an increase in health care costs in the hospital. The aim of this study is to know the determinant factors of readmission of schizophrenia patients.Methods: This study was a non-experimental research using a case control study plan. The study was conducted in Grhasia Mental Hospital. The samples were 53 groups of readmission and 53 group of non-readmission. The respondents were the schizophrenia patients and their caregivers. The data collecting used questionnaire and in-depth interview.Result: Bivariate analysis showed the incidence of readmission of schizophrenia patients to some risk factors as follows: (1) Marriage OR 2.822; CI95% 1.082 – 7.630; p-value 0.018; (2) Work OR 2.709; CI95% 1.063 – 7.106; p-value 0.021; (3) Medication Adherence OR 14.692; CI95% 5.245 – 42.221; p-value <0.001; (4) Caregiver Level of Knowledge OR 8.571; CI95% 2.213 – 47.927; p-value 0.0003. Multivariate analysis showed that risk factors affecting incidence of readmission of schizophrenic patients are medication adherence (OR13.556, CI95% 5.037 - 36.480; p-value <0.001) and caregiver level of knowledge (OR 7.175; CI95% 1.628 – 31.605; p-value 0.009).Conclusion: Determinant factors of the readmission of schizophrenia patients are the lack of medication adherence of the patients and caregiver’s lack of knowledge. Demographic factors (age, gender, marital status, education, and job) and ownership of health insurance are not statistically significant to the readmission of schizophrenia patients. Keywords: schizophrenia, readmission, medication adherence, caregiver level of knowledge, national health insurance ABSTRAKLatar Belakang: Implementasi Jaminan Kesehatan Nasional (JKN) menerapkan sistem kendali mutu dan biaya pelayanan bertujuan untuk meningkatkan efisiensi dan efektifitas jaminan kesehatan dengan prinsip managed care. Readmission sebagai dimensi mutu efektivitas dan kompetensi teknis rumah sakit. Meningkatnya kasus readmission pasien skizofrenia di rumah sakit meningkatkan biaya pelayanan kesehatan. Tujuan penelitian ini adalah mengetahui faktor-faktor yang mempengaruhi rawat inap ulang (readmission) pada pasien skizofrenia.Metode: Penelitian ini merupkan studi non eksperimental menggunakan rancangan case control study. Penelitian dilakukan di RSj Grhasia. Jumlah sampel 53 pasien kelompok readmission dan 53 pasien pada kelompok non readmission. Responden penelitian ini adalah pasien skizofrenia dan caregiver. Pengumpulan data dengan kuesioner dan wawancara mendalam.Hasil: Analisis bivariat menunjukkan kejadian readmission terhadap faktor resiko perkawinan diperoleh nilai OR 2,822, CI 95% 1,082-7,630, p-value 0,018; pekerjaan diperoleh nilai OR 2,709, CI 95% 1,063-7,106, p-value 0,021; kepatuhan minim obat diperoleh nilai OR 14,692, CI 95% 5,247-42,221, p-value <0,001; tingkat pengetahuan caregiver diperoleh nilai OR 8,571, CI 95% 2,213-47,927, p-value 0,0003. Hasil analisis multivariat menunjukkan bahwa faktor resiko yang berpengaruh terhadap kejadian readmission pasien skizofrenia adalah kepatuhan minum obat (OR 13,556, CI 95% 5,037-36,480, p-value <0,001) dan tingkat pengetahuan caregiver (OR 7,175, CI 95% 1,628- 31,605, p-value 0,009).Kesimpulan: Faktor-faktor yang mempengaruhi readmission pasien skizofrenia adalah kepatuhan minum obat dan tingkat pengetahuan caregiver. Faktor demografi (usia, jenis kelamin, status perkawinan, pendidikan dan pekerjaan) tidak bermakna secara statistik terhadap readmission pasien skizofrenia. Kata Kunci: skizofrenia, readmission, kepatuhan minum obat, pengetahuan caregiver, jaminan kesehatan.
Persepsi Pemberian Pelayanan Kesehatan Tingkat I Terhadap Program Asuransi Kesehatan/JPKM Hendrartini, Julita
Jurnal Manajemen Pelayanan Kesehatan Vol 5, No 02 (2002)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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TERSEDIA DALAM FILE
DETERMINAN PEMANFAATAN POLIKLINIK GIGI FKG UGM: DARI PERSPEKTIF PASIEN Hendrartini, Julita
Jurnal Manajemen Pelayanan Kesehatan Vol 3, No 03 (2000)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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TERSEDIA DALAM FILE
Perbedaan Lama Waktu Tunggu, Biaya dan Mutu Pelayanan Kesehatan Gigi di Rumah Sakit Pemerintah dan Swasta : Analisis Manajerial Hendrartini, Julita; Trinantoro, Laksono
Journal of Dentistry Indonesia Vol 4, No 2 (1997): August
Publisher : Faculty of Dentistry, University of Indonesia

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The increase demand for high quality dental care requires managerial improvement at hospital. This research aims to identify the difference of dental patient waiting time, cost and quality care between public and private hospital. A cross sectional design was used in this research, with 100 samples in public and private hospital respectively. The result shows that the waiting time at public hospital was 2.5 longer than in private one. Perception on cost and quality of care at public hospital were lower than at private hospital diffrences were statistically significant at p=0.001.
Potret Masyarakat Sektor Informal di Indonesia: Mengenal Determinan Probabilitas Keikutsertaan Jaminan Kesehatan sebagai Upaya Perluasan Kepesertaan pada Skema Non PBI Mandiri Intiasari, Arih Diyaning; Trisnantoro, Laksono; Hendrartini, Julita
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 4 (2015)
Publisher : Center for Health Policy and Management

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Latar Belakang: Perluasan kepesertaan jaminan kesehatan pada masyarakat sektor informal masih merupakan permasa- lahan nyata di berbagai negara. Karakteristik spesifik yang dimiliki oleh masyarakat sektor informal mempunyai potensi negatif dan positif yang harus bisa dikenali oleh pembuat kebijakan dalam rangka memberikan rekomendasi kebijakan yang paling tepat. Penelitian ini bertujuan untuk menganalisis hubungan karakteristik masyarakat sektor informal terhadap kepemilikan jaminan kesehatan. Hasil penelitian ini diharapkan dapat memberikan kontribusi dalam upaya perluasan cakupan kepesertaan Non PBI Mandiri dimasa yang akan datang. Metode Penelitian : Penelitian ini merupakan studi observasio- nal analitik dengan rancangan Cross sectional dengan pende- katan data kuantitatif yang digunakan berhasil mendapatkan sebanyak 349.491 responden masyarakat sektor informal di Indonesia. Untuk memberikan gambaran karakteristik masyara- kat sektor informal dalam kepemilikan Jaminan kesehatan digu- nakan analisis data univariat dan bivariat. Hasil : Berdasarkan hasil analisis diketahui bahwa faktor yang berhubungan dengan kepemilikian asuransi sukarela adalah umur (p<0,001), pendidikan (p<0,001), pekerjaan (p<0,001), status perkawinan (p=0,002), status dalam keluarga (p=0,035), tempat tinggal (p<0,001), status ekonomi (p<0,001), status tempat tinggal (p<0,001), kepemilikan obat tradisional (p<0,001) dan kepemilikan riwayat penyakit kronis (p<0,013). Sebanyak 95,4% responden tidak memiliki akses terhadap pelayanan kesehatan Kesimpulan: Upaya perluasan cakupan kepesertaan Non PBI mandiri tidak hanya membutuhkan promosi kesehatan yang baik, akan tetapi juga harus diimbangi dengan kebijakan peme- rataan akses dan peningkatan kuantitas serta kualitas pelayan- an kesehatan. Upaya untuk mengkaji potensi pembiayaan kesehatan, utamanya melalui identifikasi revenue collection dan metode pengumpulan premi yang tepat bagi masyarakat sektor informal harus terus dilakukan.Background: The effort of extending of health insurance enrollment to the informal sector has risen to become an agenda in Man countries. The informal sector has a specific characteristic with positive and negative potential that should be recognized by all of the decision-makers in order to make appropriate policy. This research aims to analyze the informal sector characteris- tic regarding health insurance enrollment. The Renault may contribute to extending universal coverage in the enrollment of Non-PBI (voluntary scheme) on JKN in the coming years. Method: This study was observational analytic with a cross-sectional design. A quantitative approach was used to analyze 349.492 respondents from informal sector community in Indonesia. Univariate and bivariate data analysis was used to give information about the correlation between informal sector charac- teristic and health insurance enrollment. Result: Data analysis showed the variables correlate into health insurance enrollment are : Age (p<0,001), Education (p<0,001), jobs(p<0,001), marital status (p=0,002), role on family (p=0,035), place of resident (p<0,001), economic status (p<0,001), home status (p<0,001), traditional medication stock (p<0,001) and history of chronic illness (p<0,013). Many re- spondents ( 95,4% ) have no access to health care provider Conclusion: Effort on extending of non PBI (voluntary scheme) enrollment not only need a good health promotion but also balancing with policies in order to ensure many factors such as equity on health care access and increasing the quantity and quality of health care. There must be a policy analysis to explore health financing potential on informal sector communi- ty, especially to identify the appropriate and adequate me- thods on revenue collection and premium collection.
Uji sensitivitas dan spesifisitas perangkat lunak “Prediktor Karies Anak” (The sensitivity and specificity test of software for dental caries prediction in children) A’yun, Quroti; Hendrartini, Julita; Santoso, Al. Supartinah; Lugroho, Lukito Edi
Dental Journal (Majalah Kedokteran Gigi) Vol 47, No 1 (2014): (March 2014)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

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Background: The prevalence of dental caries in children is high, therefore preventive actions is needed. So far the computer preventive actions is needed. So far the computer software that have been used for caries predictor is cariogram, which determine the condition of teeth and oral mouth. Recently which determine the condition of teeth and oral mouth. Recently and oral mouth. Recently mouth. Recently“Prediktor Karies Anak” (pediatric caries predictor) software have been developed not only determine the condition of teeth and software have been developed not only determine the condition of teeth and been developed not only determine the condition of teeth and oral mouth but also child’s behavior, maternal behavior, and the environment. behavior, maternal behavior, and the environment. Purpose: The objective of this study was to examine objective of this study was to examinethe sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of "Prediktor Karies Anak" a software for dental caries prediction in children. Methods: This study study was an observational study with cross-sectional plan, carried out on 67 primary school children aged 10-12 years. The research instrument was software of “Prediktor Karies Anak” (pediatric caries of “Prediktor Karies Anak” (pediatric caries predictor) and cariogram. The data of this research was the percentage of new caries occurrence and caries risk categorized into the percentage of new caries occurrence and caries risk categorized into high and low, and analyzed with a 2 x 2 table. results: The data of 67 children was analyzed using “Prediktor Karies Anak”software and revealed 38 children had low caries risk and 29 children had high caries. The data then re-analyzed using cariogram software had low caries risk and 29 children had high caries. The data then re-analyzed using cariogram software then re-analyzed using cariogram software showed that 37 children had low caries risk, and 30 children had high caries risk. Sensitivity of “Prediktor Karies Anak” software was that 37 children had low caries risk, and 30 children had high caries risk. Sensitivity of “Prediktor Karies Anak” software was Karies Anak” software was 87%, specificity was 92%, the PPV was 90%, and NPV was 89%. Conclusion: “Prediktor Karies Anak”software had high sensitivity, Karies Anak”software had high sensitivity, high sensitivity, specificity, PPV, and NPV and could be used as an instrument to predict new caries on children.Latar belakang: Prevalensi karies pada anak tergolong tinggi, sehingga perlu dilakukan tindakan pencegahan. Selama ini karies pada anak tergolong tinggi, sehingga perlu dilakukan tindakan pencegahan. Selama ini perangkat lunak komputer yang digunakan untuk memprediksi karies gigi adalah Cariogram, yang mengukur faktor keadaan gigi yang mengukur faktor keadaan gigi dan mulut. Baru-baru ini telah dikembangkan perangkat lunak ini telah dikembangkan perangkat lunak "Prediktor Karies Anak" yang tidak hanya mengukur kondisi gigi danrongga mulut tetapi juga perilaku anak, perilaku ibu, dan lingkungan. Tujuan: Tujuan penelitian ini adalah untuk menguji sensitivitas, sensitivitas, spesifisitas, nilai duga positif (NDP) dan nilai duga negatif (NDN) perangkat lunak duga positif (NDP) dan nilai duga negatif (NDN) perangkat lunak duga negatif (NDN) perangkat lunak (NDN) perangkat lunak  "Prediktor Karies Anak" suatu perangkat lunak untuk memprediksi karies gigi pada anak. Metode: Jenis penelitian ini adalah observasional dengan rancangan cross sectional, yang dilakukan pada 67 anak sekolah dasar usia 10-12 tahun. Instrumen penelitian adalah perangkat lunak anak sekolah dasar usia 10-12 tahun. Instrumen penelitian adalah perangkat lunak dasar usia 10-12 tahun. Instrumen penelitian adalah perangkat lunak 10-12 tahun. Instrumen penelitian adalah perangkat lunak tahun. Instrumen penelitian adalah perangkat lunak "Prediktor Karies Anak" dan cariogram. Data penelitian ini berupa persentase terjadinya karies baru yang dikategorikan resiko karies tinggi dan rendah, dan terjadinya karies baru yang dikategorikan resiko karies tinggi dan rendah, dan yang dikategorikan resiko karies tinggi dan rendah, dan karies tinggi dan rendah, dan dianalisis dengan tabel 2 x 2. Hasil: Data dari 67 anak yang dianalisis dengan menggunakan perangkat lunak “Prediktor Karies Anak” menunjukkan bahwa 38 anak memiliki risiko karies rendah dan 29 anak-anak memiliki resiko karies tinggi. Data tersebut dianalisa kembali dengan perangkat lunak Cariogram, dan hasilnya menunjukkan bahwa 37 anak mempunyai resiko karies rendah, dan 30 anak anak mempunyai resiko karies rendah, dan 30 anak mempunyai resiko karies tinggi. Sensitivitas “Prediktor Karies Anak” 87%, spesifisitas 92%, NDP 90% dan NDN 89%. “Prediktor Karies Anak” 87%, spesifisitas 92%, NDP 90% dan NDN 89%. spesifisitas 92%, NDP 90% dan NDN 89%. NDP 90% dan NDN 89%. dan NDN 89%. Simpulan: “Prediktor Karies Anak” mempunyai sensitivitas, spesifitas, NDP dan NDN yang tinggi dan dapat dipakai sebagai instrumen untuk memprediksi terjadinya karies baru pada anak.
SYSTEM FOR DETECTION OF NATIONAL HEALTHCARE INSURANCE FRAUD BASED ON COMPUTER APPLICATION Santoso, Budi; Hendrartini, Julita; Djoko Rianto, Bambang Udji; Trisnantoro, Laksono
Public Health of Indonesia Vol 4, No 2 (2018): April - June 2018
Publisher : Public Health of Indonesia

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Background: The national healthcare insurance (JKN) has been in deficit since 2014-2016; one of the causes is fraud inpatient hospital service. Objective: This study aimed to analyze the validity, reliability and effectiveness of detection system of national healthcare insurance fraud based on computer application in hospital.Methods: Cross-sectional method was used. Fraud data were collected at one episode in the inpatient JKN participant service.Results: Validity was assessed by Fischer exact test. The interpretation was done by hospital internal verification officer and BPJS Kesehatan verification officer. There were only 2 out of 1.106 services claims were different, resulted in p-value &lt; 0.01. Reliability was assessed using Human Organization Technology Benefit questionnaire filled by admission administrator officer, BPJS Kesehatan officer and hospital internal verification officer; and then analyzed using Stata® software resulting in Cronbach’s alpha value of &gt; 0.8. Effectiveness was assessed by reducing potential fraud, conducted by RSUP dr. Soeradji Tirtonegoro from May until July 2017, which on May 2018 there were 8 findings, June 1 finding, and on July 2018 had no finding.Conclusion: System for detection of national healthcare insurance fraud based on computer application is valid, reliable and effective to be implemented in inpatient service in hospital.
Pengaruh keadaan rongga mulut, perilaku ibu, dan lingkungan terhadap risiko karies pada anak Hendrartini, Julita; Supartinah, Al
Majalah Kedokteran Gigi Indonesia Vol 2, No 2 (2016): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

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The effect of oral cavity condition, mothers’ behaviour and environment on the carries risk on children. Carries risk factors in children consist of direct risk factor, which includes the condition of oral cavity, and indirect risk factor including mother’s behaviour and environment. The study was to identify factors that influence the occurrence of caries in children. This is an observational research with a cross-sectional design. The samples were 430 children between the ages of 10-12 years. The evaluated caries risk factors included pH level of saliva, the amount of plaque, caries experience, the mother’s behaviour in child’s utilization of dental health service, the mother’s behaviour on the child’s health care, and the mother’s behaviour on child’s food selection. The environment factors were UKGS implementation by teacher and friend’s influences. The data were analysed using multiple logistic regression. The result of multiple logistic regression analysis indicated that the pH level of saliva (POR=1.923), the amount of plaque (POR=2.382), caries experience (POR=4.048), mother’s behaviour in child’s utilization of dental health service (POR= 2.107), mother’s behaviour on child’s food selection (POR= 1.676), and the UKGS implementation by teacher (POR=1,846) significantly influenced the occurrence of caries (p<0,05). The mother’s behaviour on the child’s health care and friend’s influences did not significantly influenced the occurrence of caries (p>0,05). The study showed that pH level of saliva, the amount of plaque, caries experience, the mother’s behaviour in utilization of dental health service, mother’s behaviour on child’s food selection, and the UKGS implementation by teacher influenced the risk of caries in children.ABSTRAKFaktor risiko karies pada anak terdiri atas faktor risiko langsung, yaitu keadaan rongga mulut anak, dan faktor tidak langsung, yaitu perilaku ibu dan lingkungan. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang berpengaruh terhadap risiko terjadinya karies. Jenis penelitian ini adalah observasional dengan rancangan cross-sectional. Sampel sebanyak 430 anak berumur 10-12 tahun, faktor risiko karies yang diukur adalah pH saliva, banyaknya plak, dan pengalaman karies, perilaku ibu dalam pemanfaatan pelayanan kesehatan gigi anak, perilaku ibu dalam pemeliharaan kesehatan gigi, dan perilaku ibu dalam pemilihan makanan anak. Faktor lingkungan terdiri atas pelaksanaan UKGS oleh guru dan pengaruh teman sebaya. Analisis data dilakukan dengan multiple logistic regression. Hasil analisis menunjukkan pH saliva (POR=1,923), banyaknya plak (POR 2,382), dan pengalaman karies (POR= 4,048), perilaku ibu dalam pemanfatan pelayanan kesehatan gigi anak (POR=1,876), perilaku ibu dalam pemilihan makanan anak (POR=1,676) dan pelaksanaan UKGS oleh guru (POR=1,847) berpengaruh secara signifikan dengan risiko karies pada anak (p<0,05). Perilaku ibu dalam pemeliharaan kesehatan gigi anak dan teman sebaya tidak berpengaruh terhadap risiko karies pada anak (p>0,05). Dapat disimpulkan bahwa faktor-faktor yang berpengaruh terhadap risiko karies pada anak adalah pengalaman karies, banyaknya plak, pH saliva, perilaku ibu dalam pemanfaatan pelayanan kesehatan gigi anak, perilaku ibu dalam pemilihan makanan anak, dan pelaksanaan UKGS oleh guru.
Perangkat Lunak Prediktor Karies Anak Berdasarkan Faktor Anak, Perilaku Ibu, dan UKGS Fatmasari, Diyah; Hendrartini, Julita
Majalah Kedokteran Gigi Indonesia Vol 1, No 1 (2015): August
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

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Karies adalah penyakit yang disebabkan oleh faktor langsung dan tidak langsung. Saat ini baru ada alat yang dipakai untuk mengukur risiko karies secara langsung. Berdasarkan faktor penyebab tersebut maka perlu disusun alat prediksi karies baru, yang mengukur faktor langsung dan tidak langsung. Tujuan penelitian ini adalah untuk menyusun alatPrediktor Karies Anak (PKA) dan melakukan uji validitas. Jenis penelitian ini adalah cross-sectional analitic. Penelitian dilakukan melalui empat tahap, yakni: definisi persyaratan, perancangan sistem dan perangkat lunak, dan implementasi serta pengujian unit. Penyusunan perangkat lunak berdasarkan risiko karies pada 430 anak SD usia 10 - 12 danorangtuanya. Uji validitas perangkat lunak dilakukan dengan membandingkan 42 hasil pengukuran antara PKA denganMicrosoft Excel. Pada tahap definisi persyaratan, diperoleh faktor risiko karies yang meliputi pH saliva, banyaknya plak, pengalaman karies, pemanfatan pelayanan kesehatan gigi, perilaku ibu dalam memilih makanan, pengetahuan anak tentang kesehatan gigi dan mulut, perilaku anak dalam memelihara kesehatan gigi, perilaku anak dalam kebiasaanmakan, dan pelaksanaan UKGS oleh guru. Tahap perancangan sistem dan perangkat lunak, menggunakan bobot faktor risiko sehingga diperoleh persamaan risiko terjadinya karies baru: P=1/[1+2.7 (-2,335 + 0,658X1 + 0,868X2 + 1,398X3 + 0,629X4 + 0,516X5 + 0,745X6 + 0,743X7 + 1,199X8 + 0,613x9)]. Hasil uji menunjukkan tidak ada perbedaan antara hasil pengukuran risiko karies antara PKA danpenghitungan dengan Microsoft Excel (p > 0,05). Penelitian ini telah menghasilkan perangkat lunak PKA dan hasil uji telah valid. Software of Prediktor Karies Anak Based on Child Factor, Mother’s Behavior, and Environment. Caries is caused by direct and indirect factors. Recently, there is only a tool to measure direct factor of caries risk on school age children. Therefore, a new tool for caries prediction needs to be developed, which involves measurement for both direct and indirect factors. The study objective is to develop Prediktor Karies Anak (PDA) and to determine its validity. The research design was cross-sectional analytic. This study was conducted in four stages: pre-requirement definitions, design of system and software, implementation and unit test. The software was developed based on caries risk factors of 430 students aged 10 - 12 years and their parents. The validity of the Software was tested by comparing 42 outputs of Prediktor Karies Anak with Microsoft Excel. On the Pre-requirement definitions stage, caries risk factors were determined as pH saliva, plaque quantity, caries experiences, utilization of dental health care, mother’s behaviour in food selection, children’s knowledge on dental health, children’s behaviour on dental health maintenance, children’s behaviour on food habit, and UKGS implementation by teachers. The weighting factor formula to predict the risk of new caries in the design of systems and software was: P=1/[1+2.7(-2,335 + 0,658X1 + 0,868X2 + 1,398X3 + 0,629X4 + 0,516X5 + 0,745X6 + 0,743X7 + 1,199X8 + 0,613x9)]]. There were no differences on risk caries between Prediktor Karies Anak and MicrosoftExcel (p > 0,05). This study had produced the software of Prediktor Karies Anak and the test result was valid.
Analisis Pembiayaan Kesehatan Program Kesehatan Ibu dan Anak (KIA) Berdasarkan Standar Pelayanan Minimal (SPM) di Kabupaten Nunukan Hariyadi, Mustaqim; Hendrartini, Julita; Budiarto, M.Arief
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 3 (2015)
Publisher : Center for Health Policy and Management

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Background: The role of regional government in decentralization period is very important to the health sector particularly in financing. This is because health is one of the sectors that was decentralized. Minimum service standard is the obligatory responsibility for the region that is the right of every citizen at a minimum level, and one of many basic services is Maternal and Child Health programs. Objectives: To asses the financing sufficiency for Maternal and Child Health Programs based on Minimum Service Standard cost calculation and the effectivity of financing for Maternal and Child Health programs to achieve program’s objectives and goals. Methods: This research is a descriptive study conducted in Nunukan in 2013 with quantitative data. Sufficiency analysis is done by calculating the cost of Maternal and Child Health program to the result of cost calculation based on Minimum Service Standard. Performance effectivity of the Maternal and Child Health Programs was analyzed by the achievement of Minimum Service Standard according to the national indicator target and Maternal Mortality and Infant Mortality to the target of RPJMN of 2010-2014. Results: The cost of Maternal and Child Health program that was available was Rp. 2.530.038.761, and the calculation result of the cost based on Minimum Service Standard at Rp. 3.707.719.364, thus there was fund deficit about Rp 1.177.680.603. The percentage of MCH programs financing by the central government was still hight that was about 75%. There are financing MCH programs for direct activities amounted to 74%, and indirect activities amounted to 26%. The financing performance of MCH program was not effective yet to achieve the target of national Minimum Service Standard indicator and maternal mortality was still high at 173 per 100.000 life birts and infant mortality at 14 per 1000 live births. Conclusion: The financing of MCH programs was not sufficient to perform activities in MCH programs, as there was fund deficit about Rp 1.177.680.603. There was high financing dependency to the central government at 75% because of the low regional government commitment to financing priority programs such as MCH programs.