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Hubungan antara Karakteristik Ibu Hamil dengan Kejadian Bayi Berat Badan Lahir Rendah di Rumah Sakit Immanuel Bandung Tahun 2008 Kasim, Felix; Surachman, Tatang; ., Ruswandiani
Jurnal Kedokteran Maranatha Vol 10, No 2 (2011)
Publisher : Universitas Kristen Maranatha

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Bayi dengan Berat Badan Lahir Rendah (BBLR) merupakan salah satu penyebab utama kematian bayi di dunia, terutama di negara berkembang. Di Indonesia diperkirakan sekitar 400.000-900.000 bayi dilahirkan dengan BBLR setiap tahunnya. BBLR sangat berhubungan dengan morbiditas dan mortalitas neonatus. Terdapat beberapa faktor yang dapat mempengaruhi kejadian BBLR diantaranya karakteristik ibu seperti umur, paritas, jarak kelahiran, antenatal care, dan riwayat penyakit ibu. Penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik ibu hamil dengan kejadian BBLR yang dilakukan secara deskriptif analitik observasional dengan pendekatan kasus kontrol terhadap 224 ibu yang melahirkan bayi BBLR dan yang melahirkan bayi dengan berat lahir normal di Rumah Sakit Immanuel periode 2008. Analisis statistik yang digunakan yaitu chi-square test (α = 0,05). Hasil penelitian ini menunjukkan bahwa terdapat hubungan antara karakteristik ibu hamil berdasarkan umur ≥ 35 tahun, paritas > 1 dan ≥ 5, jarak kehamilan < 2 tahun, dan Antenatal Care (ANC) < 4x dengan kejadian bayi BBLR. Saran yang diajukan adalah meningkatkan penyuluhan kesehatan, edukasi dan konseling sehingga dapat mengurangi angka kejadian BBLR.Kata kunci: BBLR, karakteristik ibu hamil
Gambaran Pengetahuan, Sikap dan Perilaku BUTEKI pada Kalangan Pekerja terhadap Pemberian ASI Eksklusif di Perusahaan X, Semarang Tahun 2007 Ita S., Eunike; Kasim, Felix; Suwindere, Winny
Jurnal Kedokteran Maranatha Vol 8, No 1 (2008)
Publisher : Universitas Kristen Maranatha

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The purpose of this study was to find the exact picture of knowledge, attitude, and the behavior of low-income breastfeeding mothers in X company, Semarang. This study was using a cross sectional with descriptive method. The subject were low-income female workers from X company, Semarang, who have children below two years old. Sample taken technique is whole sample. Data were collected through interview and questionnaire methods in May and June 2007. From the survey followed by 115 respondens, the writer found out that for knowledge category 86,96% of them is good, for attitude category 73,04% of them is good, and for behavior category 82,61% of them is moderate. Promotion of health campaign and elucidation to promote mother’s exclusive-breastfeeding  and put into effect the policies that support breastfeeding mothers are needed.
Faktor-faktor yang Mempengaruhi Rendahnya Cakupan K4 di Desa Sukarame Kecamatan Sukanagara Kabupaten Cianjur Tahun 2005-2006 Kasim, Felix; Rahardjo, Theresia Monica
Jurnal Kedokteran Maranatha Vol 6, No 2 (2007)
Publisher : Universitas Kristen Maranatha

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Pelayanan Antenatal merupakan salah satu manifestasi program Assesment Safe Motherhood dengan bantuan WHO, UNICEF dan UNDP, sejak tahun 1990-1991, sebagai upaya untuk menurunkan Angka Kematian Ibu (AKI) Indonesia yang masih tinggi yaitu 307 per 100.000 kelahiran hidup. Salah satu indikator pelayanan antenatal yang terpenting adalah K4 yaitu kunjungan ke 4 ibu hamil pada trimester terakhir kehamilannya, yang menentukan kualitas pelayanan antenatal di suatu daerah. Kabupaten Cianjur, yang terletak di Jawa Barat, memiliki cakupan K4 63,88% pada tahun 2004 dan menempati peringkat ke 3 terendah setelah Kabupaten Indramayu sebesar 57,05% dan Kabupaten Tasikmalaya sebesar 62,99%. Desa Sukarame, yang merupakan salah satu desa dari 10 desa di wilayah Kecamatan Sukanagara, Kabupaten Cianjur, memiliki angka cakupan K4 terendah sepanjang tahun 2005 bila dibandingkan dengan desa-desa lainnya. Angka cakupan K4 Desa Sukarame berkisar antara 2,27% sampai 25,5%, jauh di bawah target Puskesmas sebesar 75% dan target nasional sebesar 90%. Penelitian ini bertujuan untuk mengetahui dan menganalisis faktor-faktor yang mempengaruhi rendahnya cakupan K4 di Desa Sukarame, Kecamatan Sukanagara, Kabupaten Cianjur, tahun 2005-2006. Metode yang digunakan dalam penelitian adalah deskriptif – analitik dengan desain cross sectional dilakukan ter-hadap seluruh ibu bersalin di Desa Sukarame yang berjumlah 117 orang. Pengambilan data dilakukan dengan wawancara langsung menggunakan kuesioner dan data dianalisis dengan menggunakan Chi-square test. Hasil yang didapat setelah diuji menggunakan Chi-square test, ternyata faktor kehamilan, pendidikan, ekonomi, informasi dan rumor memiliki hubungan yang kuat (p<0.05) dengan rendahnya cakupan K4 di Desa Sukarame.  Dari penelitian ini dapat disimpulkan bahwa terdapat hubungan yang kuat antara kehamilan, pendidikan, ekonomi, informasi dan rumor dengan rendahnya cakupan K4 di Desa Sukarame, Kecamatan Sukanagara, Kabupaten Cianjur pada tahun 2005-2006 (p<0.05).
TINJAUAN TATA LAKSANA PELAYANAN KESEHATANMELALUI SISTEM ASURANSI KESEHATANDI RSUD PROF. DR. WZ. JOHANNES KUPANG TAHUN 2009 Kasim, Felix
Jurnal Manajemen Pelayanan Kesehatan Vol 13, No 02 (2010)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Background: In the developed countries, the role of health insurance becomes more important because there is a great demand for health service. Health insurance is a kind of insurance product which is especially medical care for the member of health insurance if they are sick or get an accident. For that reasons, a research about The Analysis of the Management of the Health Service through the Health Insurance System in the Prof. Dr. WZ. Johannes Hospital Kupang 2009. Objective: The purpose of this research is to describe about the analysis of the management of the health service through the health insurance system also the enthusiasm of the participant of ASKES to health insurance services in the Prof.Dr. WZ. Johannes Hospital Kupang 2009.Method: The method used in this research was mixed of qualitative and quantitative methods, with grounded theory for the qualitative method and cross sectional for the quantitative method, descriptive observational design and survey instrument in a questionnaire form with 18 questions and depth interview to some informed. The subject of the research was the participants of ASKES outpatient and inpatient in the Prof. Dr. WZ. Johannes Hospital Kupang. The sampling method used was an accidental sampling made of 60 respondents. Result: The results of the research show that health insurance services system in Prof. Dr. WZ. Johannes Hospital Kupang ASKES administration section, infrastructure means, medic or non medics are good. Conclusion: There should be more research on service system in Prof. Dr. WZ. Johannes Hospital to ASKES members with analytical methods so that more things can be explained and described. Refers to the results of this study, it is necessary to have a Minimum Service Standards (MSS) that patterned tripartite relationship between the members, ASKES administrator and party health service providers who have contracted with health insurance provider with the managed care health insurance with service system by PPK network. On hospital’s principal of autonomy as organizers of activity, so that health status, income and education, consumer factor and PPK ability and acceptance of health service and sickness risk and environment will be develop to comprehensive responsible with overutilization decreasing and high inflation on health service, through the better financial management, more efficient and transparent. The other side of restructuring costs in hospital that global nature need cost unit which is one way for hospital to make efficiency because by that way will be known which service in hospital need to subsidized and which is profitable. By doing restructuring costs in hospital, we can use Strategic Cost Management. This strategy will help hospital to face competition. The implementation with Cost Leadership Strategy(CLS) or Low-Cost Strategy will do all it can to beat competitors by giving cheaper services from another hospital, but with same quality or better. General Hospital is the examples of hospital that may choose this strategy. Tools to reach this strategy are analysis cost hospital services better known as Unit Cost. This consideration will obtain recommendation rates, efficiency strategy and System Account Design overall in hospital.Keywords: health insurance, health service system, high quality health
ROLES OF THE STAKE HOLDER AND PROVIDER OF BATAM CITY IN AN ATTEMPT TO ENHANCE CLINICAL GOVERNANCE OF HEALTH SERVICES IN CONNECTION WITH DOCTOR PRACTICE LAWS Kasim, Felix
Jurnal Manajemen Pelayanan Kesehatan Vol 13, No 03 (2010)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Background: Deming (1984), Crosby (1979, 1985), and Juran(1988), all found that more than 85% of errors are related to asystem; whereas, only 15% of them constitute human error,or an employee’s. According to NGO coordinator, IskandarSitorus, 2000 victims of malpractice have been recordedthroughout Kepulauan Riau. This malpractice occurs when asystem does not have a proper policy, standard procedure,and equipment needed.Objective: The purpose of this research is to find out themanagement, obstacles, and expectations with regards toclinical governance management from the point of view of thestakeholder and provider of Batam City.Method: The method used in this research was a qualitativemethod with a grounded theory. The primary data are derivedfrom in-depth interview. The respondents involved are thecommission IV chairperson of Batam City local Parliament,Kepulauan Riau, chairperson of Medical Committee of Batu AjiLocal Public Hospital Kepulauan Riau using a purposivesampling with an extreme case sampling approach.Result and conclusion: The research shows that clinicalgovernance by the stakeholder and provider still needs furtherimprovement. There are still obstacles in terms of regulationsand implementation of clinical governance. Based on theMinimum Service Standard, some indicators of Batam City in2008 did not meet the performance target and national standard.Therefore, the clinical governance system has not beenimplemented throughout health services in Batam City.Suggestions: For IV Legislative Commission for People’sWelfare and Human Resources Batam Riau Islands areexpected to lack of regulation and appropriate systems inimproving health services. And then for Hospital MedicalCommittee Batu Aji, Batam Riau Islands is expected to implementClinical Governance.It is expected that the recording and reporting systems as wellas obtaining accurate data in making the next Batam healthprofile based on the quality of evidence-based.Keywords: Clinical Governance, stakeholder, provider
The Antiplatelet Aggregation Effect of Extract And Ethyl Acetate Fraction of Velvet Bean Seed (Mucuna pruriens L.) in Dyslipidemic Rat Widowati, Wahyu; Ratnawati, Hana; Rusdi, Udju Djunaedi; Winarno, Wahyu; Kasim, Felix
Agritech Vol 31, No 1 (2011)
Publisher : Faculty of Agricultural Technology, Universitas Gadjah Mada, Yogyakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/agritech.9726

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Cardiovascular disease (CVD) is the first cause of death in the world, CVD has complex and multifactorial process including atherogenic lipoprotein, oxidized low density lipoprotein (LDL), endothelial dysfunction, plaque stability, vascular inflammation, thrombotic and fibrinolytic disorder, exercises and genetic factor. Inhibiting the platelet ag- gregation is one of the CVD prevention. Velvet bean seed (Mucuna pruriens L.) can be found abundantly in Indonesia, but has not been used as herbal medicine. Ethanol extract and ethyl acetate of velvet bean seed contain high flavonoids and antioxidants properties which is expected could inhibit platelet aggregation. The objectives of the research were to determine the activity of ethanol extract and ethyl acetate fraction of velvet bean seed towards clotting and bleeding time in dyslipidemic rats. This research used completely randomized design in dyslipidemic rats which were given by ethanol extract of velvet bean seed at the concentrations of 50, 100 and 200 mg/kg BW/day and ethyl acetate fraction of velvet bean seed at the concentrations of 15, 30 and 60 mg/kg BW/day and 42.2 mg/kg BW/day aspirin for ten days. Clotting and bleeding time were measured at days 0, 10, and 20. Data were analyzed using One way analysis of vari- ance and continued with Duncan’s post Hoc test with 95 % level of significancy. The results showed that administration of 60 mg/kg BW/day ethyl acetate fraction of velvet bean seed and at the concentrations of 100 and 200 mg/kg BW/ day ethanol extract of velvet bean seed, prolong the clotting time at day 10, ethyl acetate fraction at the concentration of 60 mg/kg BW/day, 200 mg/kg BW/day ethanol extract of velvet bean prolong bleeding time at day 10.
Monitoring dan Evaluasi Pelaksanaan Strategi Directly Observed Treatment Shortcourse sebagai Upaya Penanggulangan Tuberculosis di Puskesmas yang Berada dalam Lingkup Pembinaan Dinas Kesehatan Kabupaten Subang Kasim, Felix; Soen, Mary; Hendranata, Katrin Fitria
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 3 (2012)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.135 KB) | DOI: 10.22146/jkki.v1i3.36019

Abstract

Background: The implementation of the DOTS strategy in health centers aims to, among others, reduce morbidity rates and break the chain of transmission. Indonesia ranks third on the incidence of TB cases. In general, this research aimed to investigate the effort implementation, barriers, benefits and expectations in implementing the DOTS program in 40 health centers within the work area of Subang District Health Office. Methods: This was a qualitative study. Data collection technique was in-depth interviews to the head of health centers and P2TB officers, the DOTS corner participation observation and Focus Group Discussion of TB officers. The research instruments were recorder and camera. The number of population was 40 health centers taken with cluster random sampling technique and the number of samples was 10 health centers, represented by 10 heads of the health centers and 10 P2TB officers. Results: This study found out things such as efforts, barriers, benefits and expectations of the implementation of the DOTS strategy in the health centers of Subang District. The efforts made in 10 health centers were good enough, with some constraints such as lack of laboratory infrastructure, lack of human resources, intersectional collaboration, medication compliance, and the role of PMO personnel, economic factors and poor public education, drug distribution delays, difficulties in recording and reporting of patient transfer. Therefore, improvements should be done in cross-sectoral communication, completeness of lab infrastructure, empowerment of each village cadre for education and networking. Conclusion: In 10 health centers (Pagaden, Gunung sembung, Kalijati, Binong, Purwadadi, Palasari, Cisalak, Kasomalang, Sagalaherang, and Serang Panjang) DOTS program had been done in an effort to overcome tuberculosis in accordance with the 5 elements of DOTS. Latar belakang: Pelaksanaan strategi DOTS di puskesmas salah satunya bertujuan mengurangi angka kesakitan dan memutus rantai penularan. Indonesia menduduki peringkat ketiga insidensi kasus TB. Secara umum penelitian ini bertujuan adalah untuk mengetahui upaya pelaksanaan, kendala-kendala, manfaat dan harapan dalam menjalankan program DOTS di 40 Puskesmas yang berada dalam lingkup pembinaan Dinas Kesehatan Kabupaten Subang. Metode: menggunakan metode kualitatif, teknik pengumpulan data wawancara mendalam Kepala Puskesmas dan Petugas P2TB Puskesmas, Observasi Partisipasi Pojok DOTS, serta Focus Group Discussion kader TB, instrumen penelitian berupa alat perekam dan kamera, jumlah populasi 40 Puskesmas, teknik pengambilan sampel Cluster Random Sampling, jumlah sampel 10 Puskesmas, diwakili 10 kepala Puskesmas, 10 petugas P2TB. Hasil: penelitian, didapatkan upaya, kendala, manfaat dan harapan pelaksanaan Strategi DOTS di Puskesmas Kabupaten Subang. Kesimpulan: upaya yang dilakukan di 10 Puskesmas sudah cukup, dengan beberapa kendala seperti ketiadaan sarana prasarana laboratorium, kurangnya SDM, kerja sama lintas sektoral, kepatuhan minum obat, peran dan tenaga PMO, faktor ekonomi dan rendahnya pendidikan masyarakat, keterlambatan pendistribusian obat, sulitnya pencatatan dan pelaporan pasien pindah dan pindahan. Sebaiknya dilakukan komunikasi lintas sektoral, mengusahakan kelengkapan sarana-prasarana lab, pemberdayaan kader tiap desa untuk penyuluhan dan penjaringan.