Gurendro Putro
Pusat Humaniora Kebijakan Kesehatan dan Pemberdayaan masyarakat, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI

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ANALISIS IMPLEMENTASI KEBIJAKAN JAMINAN PERSALINAN DALAM MENINGKATKAN CAKUPAN PERSALINAN TENAGA KESEHATAN DI KABUPATEN SITUBONDO TAHUN 2013 Putro, Gurendro
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 3 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (45.823 KB) | DOI: 10.22146/jkki.v2i3.3208

Abstract

Background:The policy of Maternity Benefit for the Uninsured(Jampersal) is based on the philosophy to reduce maternalmortality and infant. The Minister of Health Regulation number2562/Menkes/Per/XII/2011 on A Maternity Benefit for theUninsured Persons’s Technical Guidelines ensures that thegovernment provides services to pregnant women withantenatal care (ANC), parturition and post-parturition for free,including the use of contraceptives post parturition.Objective:To know the confidence’s level of pregnant womenin seeking help for parturition from the health provider, theprovider commitment to Jampersal policy, and Jampersalsocialization in the community.Methods: Cross-sectional and purposive sampling are usedfor descriptive analysis. Data collection is conducted withinterview using a questionnaire to 40 mothers and 40 midwivesin the district Situbondo. Data is also collected throughsecondary data from the district health office Situbondo andhospital.Results: From the 40 respondents that had been interviewed,92.5% ask for help to providers, but as much as 7.5% ask forpartus help from traditional birth attendants. In addition, theJampersal still charged costs to maternal care to as many as12 people (30%). This is non-conforming to Jampersal policyof giving free maternal care. In Jampersal implementation inSitubondo, 50% of midwives have good commitment. While27.5% showed medium commitment and the remaining 22.5%is less committed. The magnitude of this commitment varies.Respondents with the age of 30-39 years shows excellentcommitment ( 55%), and those who work for 1-9 years arecommitted (50%). Socialization of Jampersal policy hasn’t beenoptimal. Jampersal is still not known by all pregnant womenyet. The term “free treatment” is confused with the health cardpolicy.Conclusion: There is a high trust level in pregnant womenwho asks for partus help (92.5%). Commitment of provider inrunning the Jampersal policy is still high. Jampersal socializationhasn’t reached the optimal level because people still do notunderstand the conditions of Jampersal.Suggestion: Since birth delivery by the traditional birth attendantsis still common, the midwife should work with traditionalbirth attendants in terms of infant care such as bathing, andgive incentives when collaborating in handling after partus.There is a need to improve midwife skills in detecting the riskof pregnancy and childbirth. Socialization Jampersal need toinvolve community leaders, and religion leaders.Keywords: Jampersal, pregnant women’ trust, Provider Commitment.
PROFIL KESEHATAN KERJA NELAYAN DI KOTA PEKALONGAN DAN KABUPATEN LOMBOK TIMUR Wiludjeng, Lestari Kanti; Purwani, SK.; Martiana, Tri; Widjiartini, Widjiartini; Putro, Gurendro
Buletin Penelitian Sistem Kesehatan Vol 7, No 1 Jun (2004)
Publisher : Buletin Penelitian Sistem Kesehatan

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Republic Indonesia is an archipelago country of 17.000 islands surrounded by the 70% seas. So fair hence if most of coastal area have living as fisherman. The informal sector labor among fisherman not yet obtained optimal health service especially which deal with his work, such as those which suggested that is obtain get plenary health service (preventive, promote, curative and rehabilitative and also executed omprehensively in health system.This study was a crossectional study located at Pekalongan (Central Java) and East Lombok Regency (West Nusa Tenggara); implemented in 10 months.The objective of this study is to describe the occupational fishermen health profile consisted of three components a) work capacity, b) work load and c) work environmental and three of component must compatible. If not compatible cause by the problem of occupational health. Interview, medical check up includes laboratory test and observation the environmental of the fishermen houses were used as the methodology of data collection in this study.The Result of the study most of the occupational fishermen health profile are not good compared by the standard. The recommendation to increase of the occupational fishermen health profile is three strategic consist strengthening of the health programmed includes the fishermen community organization. Key words: Profile - Occupational health - Work capacity - Work load - Work environmental -Fisherman.
FAKTOR RISIKO KEJADIAN MALARIA DI PUSKESMAS SELAT III KABUPATEN KAPUAS TAHUN 2003 Putro, Gurendro; Rahman, Syaiful
Buletin Penelitian Sistem Kesehatan Vol 7, No 2 Des (2004)
Publisher : Buletin Penelitian Sistem Kesehatan

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Purposive of this study is to analyse the risk faktor in the area mentioned above, using case control design. The control group is identified as plasmodium negative, similar sex and age. Sampling time between control and patient is within 4 months. Sample size is 70 cases and 70 controls. Data analyzed as distribution frequencies. Odd Ratio (ER), bivariate and multivariate.Suggestion, we need to pass this information and aducate the people on how to prevent and the spreading of malaria disease by using gauze, mosquitos curtain and repellent. Key words: malaria, risk factors, case control study
KARAKTERISTIK KEMATIAN DEMAM BERDARAH DENGUE (DBD) DAN PENGETAHUAN, SIKAP DAN PERILAKU KELUARGA DI KABUPATEN LUMAJANG TAHUN 2005- 2006 (Studi Kasus pada 20 Keluarga Penderita yang Meninggal) Putro, Gurendro; Sumarni, Sumarni
Buletin Penelitian Sistem Kesehatan Vol 11, No 3 Jul (2008)
Publisher : Buletin Penelitian Sistem Kesehatan

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Dengue Hemorrhagic Fever (DHF) is one of health problems in East Java Province especially in Lumajang District as the number of cases and deaths spreads sporadically all the time. DHF is caused by virus that transmitted by Aedes Aegypti mosquito. This study was conducted to determinan the charactensties of of DHF death cases the knowledge attitude and practices and family behavior in Lumajang District. It was a descriptive study wtth cross sectional design. Interview was carried out to 20 family members after DHF death patients to obtain more detailed history of the DHF death cases from 2005 to april 2006 in Lumajang District. The cause of DHF death case found are inadequate practice of family against DHF (50%) delaying familys decision making in order to refer the patient to health services, and specific clinical manifestations are rarely found in most DHF cases causing different interpretation taken by patients families. The conclusion is that DHF is a dangerous disease infecting people in all ages and causing death. Thus, it is suggested to refer the member of family suffering from high temperature of febrile quickly to health services during DHF epidemic. Key words: DHF. death case, practices/behavior
HUBUNGAN GAYA HIDUP TERHADAP KEJADIAN STROKE DI RUMAH SAKIT UMUM DAERAH GAMBIRAN KEDIRI Puspita, Meylani Rosa; Putro, Gurendro
Buletin Penelitian Sistem Kesehatan Vol 11, No 3 Jul (2008)
Publisher : Buletin Penelitian Sistem Kesehatan

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Stroke occupies the third rank of cause of death disease after heart attack and cancer. Moreover, it occupies the first rank of death cause in hospital. In the year 2020, 7.6 million people are estimated will die because of stroke. The highest case occurs in development countries. One of the causes of high number of stroke occurring in Indonesia is unhealthy lifestyle. The aim of this research is to analyze the relation between lifestyle and the possibility of getting stroke, consist respondent characteristics (age and gender), refraction of consuming fatty food and cholesterol, refraction of consuming water, smoking habit and sport activity. This research applied case control study. The numbers of the samples are 72 respondents. The research was in the hospital Gambiran Kediri. Statistical analysis was used Chi Square Test in order to know how the risk was. The result indicated that there was a relation between age, gender, and consumption of fatty food and cholesterol, consumption of water, and smoking habit in the cause of stroke. The most dominant variable as a cause of stroke was smoking habit with value OR= 6,510 [95% Cl (2,248 <OR < 18,850)]. It meant that the respondents with smoking habit had 6,510 times to get stroke compared with the respondents which did not have smoking habit. Therefore, health promotion to public is needed to start to apply a healthy lifestyle so that public awareness will increase. Key words: lifestyle, stroke, health promotion
RISIKO TERJADINYA BERAT BAYI LAHIR RENDAH MENURUT DETERMINAN SOSIAL, EKONOMI DAN DEMOGRAFI DI INDONESIA Pramono, Mochammad Setyo; Putro, Gurendro
Buletin Penelitian Sistem Kesehatan Vol 12, No 2 Apr (2009)
Publisher : Buletin Penelitian Sistem Kesehatan

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Background: Bayi Berat Lahir Rendah (BBLR) or Low Birth Weight (LBW) was one of cases that caused the infants mortality, and stiff be a healths problem in many countries. It been connected with the period of gestation and maternals health, and other factors. This study learned about the risks of infant low levels weight determined by social, economic, and demographys factors. Methods: This study analysis used the Indonesia Riskesdas (basic health research) data on 2007. 10 variables that has been viewed were: domiciles region, infants sex, maternal age, maternal occupation, maternal smoking status, health cares accesability, economics status, parity, and antenatal cares (ANC). Results: The result showed that infants weight been influenced by infants sex, parity and ANC. BBLR has been risked on female baby, and on mother who didnt do the ANC. Female baby had 1.3 times risk on BBLR than male baby (OR= 1.346. 95% Cl 1.081-1.677). The baby whose mother didnt do ANC had 2.2 times risk on BBLR than did ANC (OR= 2.179, 95% Cl1.403-3.386). Meanwhile BBLR not related with economics status.Key words: Riskesdas, LBW, social economic, demography
STUDI KASUS HUBUNGAN SENAM NIFAS DENGAN STATUS KESEHATAN IBU NIFAS Putro, Gurendro; hidayanti, Henny
Buletin Penelitian Sistem Kesehatan Vol 12, No 3 Jul (2009)
Publisher : Buletin Penelitian Sistem Kesehatan

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Background: During pregnancy and birth period there are physical changes, some of muscle experiencing lengthening, especially uterus muscle and stomach muscle. After bearing, uterus was not back quickly like before, but through a process. Health recover process at post-partum was important thing for mother after birth period. Therefore, for turning back at early condition or recover period better so that body always health needed a exercise which popular as post-partum exercise. Methods: This research executed was prospective cohort design with quantitative approach. Interview was executed at 30 respondents post-partum mother. Subject got from population with simple random sampling. Depth interview was executed to get depth information about research which observed. Independent variables at this research were participation postparfum exercise and dependent variables are complication, narrow of uterus, swell oedema, treatment of stitching hurt loctation, early ambulation, urinate, defecate, drink and eat pattern. Results: Chi square result indicated difference health status between does exercise and neither was only early ambulation and defecates from other some variable. Variables early ambulation (p = 0.001) and deficate (p = 0.001) significant with exercise. But variables involution utery, oedema treatment of stitching hurt and drink and eat pattern not significant with exercise.Key words: post-parfum exercise, health status
PERAN KADER DAN KLIAN ADAT DALAM UPAYA MENINGKATKAN KEMANDIRIAN POSYANDU DI PROVINSI BALI (STUDI KASUS DI KABUPATEN BADUNG, GIANYAR, KLUNGKUNG DAN TABANAN) Maisya, Iram Barida; Putro, Gurendro
Buletin Penelitian Sistem Kesehatan Vol 14, No 1 Jan (2011)
Publisher : Buletin Penelitian Sistem Kesehatan

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Background: The expansion paradigm of development, its line has determined the direction of health development policies contained in the Medium Term Development Plan (Development Plan) for 2004-2009 in the Health Sector. which was more emphasis on preventive and promotive and empowering families and communities in the health field. One form of community empowerment efforts in the health sector was to develop the UKBM (Upaya Kesehatan Bersumberdaya Masyarakat), for an example, Posyandu managed and organized from, by, for and with society in the implementation of health development, in order to empower and provide convenience to the public in obtaining basic health services,  primarily to accelerate the declining in maternal and infant mortality Posyandu was a vehicle for the integration of Family´s Healthy Planning district or village level, conducting five priority programs are: Family Planning, Nutrition, Maternal and Child Health, Immunization and the prevention of diarrhea. Methods: This type of research was qualitative and observational design. Population was a whole cadre of Posyandu in the region of Bali Province in 2008. Purposive research sample is taken on 4 selected districts are: Badung, Gianyar, Klungkung and Tabanan regency. Qualitative methods as the pnmary data that is carried out through in-depth interviews to cadres, head of health centers, village midwives, program managers, indigenous Klian, perbekel (headman), and the public to obtain information about the extent to which the role of cadres and Klian customary in an effort to improve the lot of integrated health as well as constraints faced. While the secondary data obtained by tracking data from the Health Department. Data is analyzed descriptively. Results: The role of cadres and traditional Klian is very important in supporting the activities of Posyandu so that people, especially women and children who use the facility will more often come every month to Posyandu. There is an assumption, that if the mother/society that does not come to a Posyandu will get sanctioned or excluded kemsayarakatan activities in the area. Key words: posyandu, cadres, traditional Klian
PROFIL PENDERITA TB PARU KLINIS YANG TIDAK BEROBAT DI PELAYANAN KESEHATAN, DI INDONESIA TAHUN 2010 Putro, Gurendro; Sukoco, Noor Edi Widya
Buletin Penelitian Sistem Kesehatan Vol 15, No 3 Jul (2012)
Publisher : Buletin Penelitian Sistem Kesehatan

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ABSTRACT Background: Further analysis of the results of health research foundation in 2010 in this report on the profile penderira clinical pulmonary TB disease is not treated in the health service. The data analyzed is the result of basic health research in clinical pulmonary TB patients who do not seek treatment in health care. Methods: This analysis is the deepening of research on the basic health questionnaire B18 RKD1 ORT question by finding that respondent characteristics of age, gender, education level and job type, and location of residen ce and social situation eskonomi. It is also seen in disease prevention behavior Pulmonary TB and state family room and bedroom sufferers. Results: Having done the analysis, there are 4966 clinical pulmonary TB patients and who do not seek treatment at health care as many as 2842 patients (57.7%). So th at the data analyzed is as much as 2842 people. From the test results of Chi sqaure analysis variables associated with pulmonary TB prevention behaviors are age (p = 0.001), education level (p = 0.001), occupation (p = 0.001), residence ofrespondents (p = 0.001), socioeconomic (p = 0.001), and housing conditions (p = 0.001). Conclusions: Health workers are health care workers provide counseling on the importance of treatment for patients with pulmonary tuberculosis clinical and laboratory examinations do know the existence of BTA +. Also expected clinical pulmonary TB patients do not spit everywhere. Key words: profile, clinic TB case, don´t therapy in health services ABSTRAK Latar Belakang: Analisis lanjut hasil riset kesehatan dasar 201 0 dalam laporan ini tentang profil penderira penyakit TB Paru klinis yang tidak berobat di pelayanan kesehatan. Data yang dianalisis merupakan hasil dari riset kesehatan dasar pada penderita TB Paru klinis yang tidak berobat di pelayanan kesehatan. Metode: Analisis ini merupakan pendalaman dari hasil riset kesehatan dasar pada kuesioner RKD 1 O. RT pertanyaan B 18 dengan mencari karakteristik responden yaitu umur, jenis kelamin, tingkat pendidikan dan jenis pekerjaan, serta lokasi tempat tinggal dan keadaan sosial ekonomi. Selain itu juga dilihat perilaku pencegahan pada penyakit TB Paru dan keadaan ruang keluarga dan kamar tidur penderita. Hasil: Setelah dilakukan analisis, terdapat 4966 penderita TB Paru klinis dan yang tidak berobat di pelayanan kesehatan sebanyak 2.842 penderita (57,7%). Sehingga data yang dianalisis adalah sebanyak 2.842 penderita. Dari hasil uji analisis Chi Sqaure variabel yang berhubungan dengan perilaku pencegahan TB Paru adalah umur (p = 0,001), tingkat pendidikan (p = 0,001), jenis pekerjaan (p = 0,001), tempat tinggal responden (p = 0,001), sosial ekonomi (p = 0,001), dan kondisi rumah (p = 0,001). Sedangkan perilaku berobat responden berhubungan dengan umur (p = 0,007), jenis kelamin (p = 0,001), tingkat pendidikan (p = 0,001), jenis pekerjaan (p = 0,001), sosial ekonomi (p = 0,001) dan perilaku pencegahan (p = 0,001). Kesimpulan: Petugas kesehatan memberikan penyuluhan tentang pentingnya berobat bagi penderita TB Paru klinis, dan melakukan pemeriksaan laboratorium mengetahui keberadaan BTA +. Selain itu diharapkan penderita TB Paru klinis tidak meludah di sembarang tempat. Kata kunci: profil, penderita TB Paru klinis, tidak berobat di pelayanan kesehatan
ANALISIS IMPLEMENTASI KEBIJAKAN JAMINAN PERSALINAN DALAM MENINGKATKAN CAKUPAN PERSALINAN TENAGA KESEHATAN DI KABUPATEN SITUBONDO TAHUN 2013 Putro, Gurendro
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 03 (2013)
Publisher : Jurnal Kebijakan Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (45.823 KB)

Abstract

Background:The policy of Maternity Benefit for the Uninsured(Jampersal) is based on the philosophy to reduce maternalmortality and infant. The Minister of Health Regulation number2562/Menkes/Per/XII/2011 on A Maternity Benefit for theUninsured Persons’s Technical Guidelines ensures that thegovernment provides services to pregnant women withantenatal care (ANC), parturition and post-parturition for free,including the use of contraceptives post parturition.Objective:To know the confidence’s level of pregnant womenin seeking help for parturition from the health provider, theprovider commitment to Jampersal policy, and Jampersalsocialization in the community.Methods: Cross-sectional and purposive sampling are usedfor descriptive analysis. Data collection is conducted withinterview using a questionnaire to 40 mothers and 40 midwivesin the district Situbondo. Data is also collected throughsecondary data from the district health office Situbondo andhospital.Results: From the 40 respondents that had been interviewed,92.5% ask for help to providers, but as much as 7.5% ask forpartus help from traditional birth attendants. In addition, theJampersal still charged costs to maternal care to as many as12 people (30%). This is non-conforming to Jampersal policyof giving free maternal care. In Jampersal implementation inSitubondo, 50% of midwives have good commitment. While27.5% showed medium commitment and the remaining 22.5%is less committed. The magnitude of this commitment varies.Respondents with the age of 30-39 years shows excellentcommitment ( 55%), and those who work for 1-9 years arecommitted (50%). Socialization of Jampersal policy hasn’t beenoptimal. Jampersal is still not known by all pregnant womenyet. The term “free treatment” is confused with the health cardpolicy.Conclusion: There is a high trust level in pregnant womenwho asks for partus help (92.5%). Commitment of provider inrunning the Jampersal policy is still high. Jampersal socializationhasn’t reached the optimal level because people still do notunderstand the conditions of Jampersal.Suggestion: Since birth delivery by the traditional birth attendantsis still common, the midwife should work with traditionalbirth attendants in terms of infant care such as bathing, andgive incentives when collaborating in handling after partus.There is a need to improve midwife skills in detecting the riskof pregnancy and childbirth. Socialization Jampersal need toinvolve community leaders, and religion leaders.Keywords: Jampersal, pregnant women’ trust, Provider Commitment.