Hadi Pratomo
Departemen Pendidikan Kesehatan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Indonesia

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Performance in The Indonesian Family Planning Guidance: Guidelines for Perfomance Effectiveness Testing in The Era of Decentralization

Kesmas The National Journal of Public Health Vol. 5 No. 1 August 2010
Publisher : Kesmas The National Journal of Public Health

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Abstract

The success of Family Planning (FP) program in controlling fertility level in Indonesia over the last three decades has been associated with the role of FP field workers. A study from Rwanda indicated that activity of the FP field workers to deliver counseling has increased contraceptive prevalence rate until 29% points. However, since decentralization policy has been adopted and implemented in Indonesia in 2004, later in 2009 it was found that the total number of FP field workers has been decreased to remain two-thirds from the previous number i.e. 35 thousands workers before desentralization took place. A reflecting impact from this dynamic situation is a stagnant level of Indonesia’s total fertility rate (TFR) based on IDHS 2007 data that has been similar to that in IDHS 2002-2003, accounted for 2.6 children per woman. A stagnant TFR trend may stimulate fear of increasing TFR after then, when the FP program performance including that the performance of FP field workers are neglected. Increasing TFR would lead to a baby booming that threatens excessive utilization of natural resources that is already limited. This also worsens BKKBN efforts to achieve a zero growth population stage or replacement fertility level by year 2015. It is recommended that an optimum working climate should be pursued to yielding a maximum performance of FP field workers within these dynamic changes since decentralization policy has been applied. The recommendation includes establishing a reward system and recording reporting system with information technology basis.Key words: Field workers, family planning, decentralization, performance

Kinerja Penyuluhan Keluarga Berencana di Indonesia: Pedoman Pengujian Efektivitas Kinerja pada Era Desentralisasi

Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

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Abstract

Keberhasilan program KB mengendalikan tingkat kelahiran di Indonesia selama lebih dari tiga dekade tidak terlepas dari peran petugas Penyuluh Keluarga Berencana (PKB). Di Rwanda, keaktifan penyuluhan oleh PKB dapat meningkatkan prevalensi kesertaan akseptor hingga 29%. Sejak tahun 2004, pascakebijakan desentralisasi di Indonesia, jumlah PKBmenurun drastis hingga menyisakan dua pertiga dari jumlah awal sekitar 3.500 petugas. Dampak perubahan tersebut tercermin pada angka fertilitas total (TFR) Indonesia berdasarkan data SDKI 2007 yang bertahan sama dengan data SDKI 2002-2003 (2,6 anak per wanita). Hal tersebutdikhawatirkan dapat semakin meningkat apabila kinerja program KB termasuk kinerja petugas PKB tidak mendapat perhatian. Peningkatan TFR mengancam ledakan penduduk yang dapat menghabiskan sumber daya alam yang terbatas dengan segala konsekuensi negatif. Hal tersebut juga dapat memperberat sasaran BKKBN mencapai pertumbuhan penduduk yang seimbang pada tahun 2015. Direkomendasikan untuk menciptakan iklim kerja yang kondusif dalam lingkungan strategis yang terus berubahsejak kebijakan desentralisasi program KB, antara lain melalui sistem reward dan model pelaporan berbasis teknologi informasi.Kata kunci: Penyuluh, keluarga berencana, desentralisasi, kinerjaAbstractThe success of Family Planning (FP) program in controlling fertility level in Indonesia over the last three decades has been associated with the role of FP field workers. A study from Rwanda indicated that activity of the FP field workers to deliver counseling has increased contraceptive prevalence rate until 29% points. However, since decentralization policy has been adopted and implemented in Indonesia in 2004, later in 2009 it was found that the total number of FP field workers has been decreased to remain two-thirds from the previous number i.e. 35 thousands workers before desentralizationtook place. A reflecting impact from this dynamic situation is a stagnant level of Indonesia’s total fertility rate (TFR) based on IDHS 2007 data that has been similar to that in IDHS 2002-2003, accounted for 2.6 children per woman. A stagnant TFR trend may stimulate fear of increasing TFR after then, when the FP program performance including that the performance of FP field workers are neglected. Increasing TFR would lead to a baby booming that threatens excessive utilization of natural resources that is already limited. This also worsens BKKBN efforts to achieve a zero growth population stage or replacement fertility level by year 2015. It is recommended that an optimum working climate should be pursued to yielding a maximum performance of FP field workers within these dynamic changes since decentralization policy has been applied. The recommendation includes establishing a reward system and recording reporting system with information technology basis.Key words: Field workers, family planning, decentralization, performance

Kinerja Penyuluhan Keluarga Berencana di Indonesia: Pedoman Pengujian Efektivitas Kinerja pada Era Desentralisasi

Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

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Abstract

Keberhasilan program KB mengendalikan tingkat kelahiran di Indonesia selama lebih dari tiga dekade tidak terlepas dari peran petugas Penyuluh Keluarga Berencana (PKB). Di Rwanda, keaktifan penyuluhan oleh PKB dapat meningkatkan prevalensi kesertaan akseptor hingga 29%. Sejak tahun 2004, pascakebijakan desentralisasi di Indonesia, jumlah PKBmenurun drastis hingga menyisakan dua pertiga dari jumlah awal sekitar 3.500 petugas. Dampak perubahan tersebut tercermin pada angka fertilitas total (TFR) Indonesia berdasarkan data SDKI 2007 yang bertahan sama dengan data SDKI 2002-2003 (2,6 anak per wanita). Hal tersebutdikhawatirkan dapat semakin meningkat apabila kinerja program KB termasuk kinerja petugas PKB tidak mendapat perhatian. Peningkatan TFR mengancam ledakan penduduk yang dapat menghabiskan sumber daya alam yang terbatas dengan segala konsekuensi negatif. Hal tersebut juga dapat memperberat sasaran BKKBN mencapai pertumbuhan penduduk yang seimbang pada tahun 2015. Direkomendasikan untuk menciptakan iklim kerja yang kondusif dalam lingkungan strategis yang terus berubahsejak kebijakan desentralisasi program KB, antara lain melalui sistem reward dan model pelaporan berbasis teknologi informasi.Kata kunci: Penyuluh, keluarga berencana, desentralisasi, kinerjaAbstractThe success of Family Planning (FP) program in controlling fertility level in Indonesia over the last three decades has been associated with the role of FP field workers. A study from Rwanda indicated that activity of the FP field workers to deliver counseling has increased contraceptive prevalence rate until 29% points. However, since decentralization policy has been adopted and implemented in Indonesia in 2004, later in 2009 it was found that the total number of FP field workers has been decreased to remain two-thirds from the previous number i.e. 35 thousands workers before desentralizationtook place. A reflecting impact from this dynamic situation is a stagnant level of Indonesia’s total fertility rate (TFR) based on IDHS 2007 data that has been similar to that in IDHS 2002-2003, accounted for 2.6 children per woman. A stagnant TFR trend may stimulate fear of increasing TFR after then, when the FP program performance including that the performance of FP field workers are neglected. Increasing TFR would lead to a baby booming that threatens excessive utilization of natural resources that is already limited. This also worsens BKKBN efforts to achieve a zero growth population stage or replacement fertility level by year 2015. It is recommended that an optimum working climate should be pursued to yielding a maximum performance of FP field workers within these dynamic changes since decentralization policy has been applied. The recommendation includes establishing a reward system and recording reporting system with information technology basis.Key words: Field workers, family planning, decentralization, performance

PENGEMBANGAN MEDIA CETAK PENDIDIKAN PENCEGAHAN KEKERASAN SEKSUAL BALITA DI KOTA BOGOR

HEARTY Vol 5, No 1 (2017)
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

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Abstract

Indonesia menjadi darurat kejahatan seksual sejak tahun 2014 dan terus meningkat tiap tahunnya. Dinegara- negara maju media edukasi pencegahan kejahatan seksual dinilai efektif menurunkan angka kasus tersebut. Tujuan penelitian ini adalah untuk mengembangkan media edukasi pencegahan kekerasan seksual pada balita untuk ibu dan kader posyandu. Media yang diuji coba terdiri dari poster, modul dan booklet. Jenis penelitian dengan Rappid Assesment Procedure (RAP) melalui diskusi kelompok pada 10 kader dan wawancara mendalam pada 20 ibu balita. Desain kualitatif ini dimodifikasi dengan pengembangan media (pre testing methods), yaitu tahapan ujicoba dan mengukur hasil media selama 3 kali. Hasil penelitian menemukan terdapat perubahan bahasa serta gambar dalam poster dan modul, sedangkan hanya bahasa dalam booklet. Sebagian besar ibu balita sangat membutuhkan booklet dibandingkan poster. Booklet terbukti lebih efektif digunakan untuk edukasi dibandingkan poster dan modul.

Supporting factors and barriers in implementing kangaroo mother care in Indonesia

Paediatrica Indonesiana Vol 52 No 1 (2012): January 2012
Publisher : Indonesian Pediatric Society

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Abstract

Background Kangaroo mother care (KMC) was introduced toIndonesia in the 1990s. Since then, KMC has not been widelyimplemented and has not received national policy support.Objective The objectives of this case study were to implementKMC by an intervention that would ultimately benefit tenhospitals in Java, Indonesia, as well as identify supporting factorsand barriers to KMC implementation.Methods An intervention with four phases was conducted inten hospitals. Two teaching hospitals were supported to serve astraining centers, six hospitals were supported to implement KMCand two other hospitals were supported to strengthen existingKMC practices. The four phases were comprised of a baselineassessment, a five-day training workshop, two supervisory visitsto each hospital, and an end-line assessment.Results A total of 344 low birth weight infants received KMCduring the intervention period. Good progress with regards toimplementation was observed in most hospitals between the firstand second supervisory visits. Supporting factors for KMC were thefollowing: support received from hospital management, positiveattitudes ofhealthcare providers, patients, families and communities,as well as the availability of resources. The most common challengeswere record keeping and data collection, human resources and staffissues, infrastructure and budgets, discharge and follow-up, as wellas family issues. Challenges related to the family were the inabilityof the mother or family to visit the infant frequently to provideKMC, and the affordability of hospital user fees for the infant tostay in the hospital for a sufficient period of rime.Conclusion KM C appeared to be well accepted in most hospitals.For an intervention to have maximum impact, it is importantto integrate services and maintain a complex network ofcommunication systems. [Paediatr lndones. 2012;52:43-50).

Husband’s Support for Their Wives in Antenatal Care Visit

Jurnal Kesehatan Masyarakat Nasional Volume 13, Issue 1, August 2018
Publisher : Faculty of Public Health Universitas Indonesia

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Abstract

In Cimanggis Primary Health Care, Depok City, the coverage of both the first antenatal care visit (ANC) and the fourth ANC was 99.4% (2013) and 91%(2014). The husband support is one of the factors that plays an important role in mothers’ ANC visit. This study aimed to assess predisposing, enabling, andreinforcing factors of the husband support towards their wives’ ANC visit. This was a qualitative study using a Rapid Assessment Procedure. Five husbandsof pregnant women and their wives were recruited as informants. Two midwives from the primary health care were the key informants. Data were analysedusing matrix of qualitative data and thematic analysis technique. Results showed that those three factors, meaning that predisposing, enabling and reinforcingfactors of the husband were very important in motivating their pregnant wives to do ANC during pregnancy.AbstrakDi wilayah Puskesmas Cimanggis, Kota Depok, cakupan kunjungan antenatal pertama (K1) dan kunjungan ke-4 (K4) sebesar 99,4% (2013) dan 91% (2014).Dukungan suami ibu hamil merupakan salah satu faktor yang berperan penting dalam kunjungan antenatal pada ibu hamil. Penelitian ini bertujuan menilaifaktor predisposisi, pemungkin dan penguat dari dukungan suami terhadap ANC istrinya dengan menggunakan pendekatan kualitatif dengan desain RapidAssessment Procedure. Lima suami dan istrinya yang sedang hamil dipilih sebagai informan serta dua bidan puskesmas sebagai informan kunci. Analisisdata menggunakan matriks data kualitatif dan teknik analisis tematik. Hasil penelitian menunjukkan bahwa faktor predisposisi, pemungkin dan penguat darisuami sangat penting dalam mendorong ibu hamil melakukan kunjungan antenatal pada saat kehamilan.