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KEPEMIMPINAN KEPALA PUSKESMAS DENGAN TEMPAT PERAWATAN DAN PENGARUHNYA TERHADAP KINERJA PEGAWAI PUSKESMAS DENGAN TEMPAT PERAWATAN DI KABUPATEN KUNINGAN JAWA BARAT

Jurnal Manajemen Pelayanan Kesehatan Vol 12, No 02 (2009)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Abstract

Background:This research is grounded on the fact that thetarget of the health service performance of UPTD PuskesmasDTP has not been reached as shown on the result of theevaluation in 2004. Based on the study at theories, there are acouple at sub-problems which influence the effectiveleadership and the optimal staff’s performance.Methods:  The objective of this research is to look for analternative solution to promote the staff’s performance throughrealizing the effective leadership.This research use descriptive analytical method with crosssectionalsurvey design. The independent variables at theresearch are the leadership style and the leadership situation,while the dependent variable is the staff’s performance. Theresearch measuring instrument use questioners disseminatedto 42 respondents in 6 UPTD Puskesmas DTP throughoutKuningan Regency. The data analysis uses the method at pathanalysis and multiple regressions.Result and conclusion: The research findings that leadershipstyle applied by Heads UPTD Puskesmas DTP are mixed one’swhich consist of directive style, supportive style, delegativestyle, and participative style (multicratic leadership style).Leadership situation covering quality dimension of leader-staff’srelationship, degree of task structure, amount of powerposition, ability of leader, and staff’s maturity is at good category.The staff’s performance of UPTD Puskesmas DTP coveringwork ability (knowledge and skills), initiative, communication,cooperation, planning and organizing, work productivity, worksatisfaction, and rewards is good category.It is suggested that in the effort to promote the staff’sperformance of UPTD Puskesmas DTP, leadership style shallto be applied by Heads of UPTD Puskesmas DTP use styleleadership of mixture among directive leadership style,supportive leadership style, delegative leadership style, andparticipative leadership style, and with interest using manyparticipative leadership style and should be adjusted with thesituation, the level at the staff’s maturity, the gaining ofinformation for problem solving, the time available, andsupported by the management resource and goodcommunication.Keywords: leadership style, leadership situation, personalcharacters of the leaders, staff’s performance

Determinants of Midwife Performance in Lactation Management in Surakarta and Karanganyar, Central Java

Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding has been recommended by World Health Organization for reduction of infant illness and death. Midwives have an important role in lactation management, which includes: (1) Teaching all lactating mothers on how to successfully breastfeed and sustain it up to 2 years or more; (2) Coming in contact with mothers and infants to promote, protect, and support breastfeeding. However, exclusive breastfeeding coverage was still low at 80% nationally, 76.7% in Surakarta, and 61.1% in Karanganyar in 2016, suggesting low midwife performance in lactation management. This study aimed to determine factors associated with midwife performance in lactating management in Surakarta and Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in community health center in Surakarta and Karanganyar, Central Java, from April to June 2018. A sample of 200 midwives was selected by simple random sampling. The dependent variable was performance in lactation management. The independent variables were skill, motivation, experience, health facility, and work load. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Midwife performance in lactation management increased with better skill (b= 2.06; 95% CI= 0.48 to 3.65; p= 0.011), strong motivation (b= 1.15; 95% CI= -0.09 to 2.41; p= 0.070), work experience (b= 2.06, 95% CI= 0.69 to 3.44, p= 0.003), and available facility (b= 2.29, 95% CI= 0.89 to 3.68, p= 0.001). Performance decreased with higher workload (b= -1.47; 95% CI= -2.76 to -0.18, p=0.025). Community health center had a contextual effect on midwives performance with ICC= 34.8%.Conclusion: Midwife performance in lactation management increases with better skill, strong motivation, work experience, and available facility. Performance decreases with higher workload. Community health center has a contextual effect on midwives performance.Keywords: performance, lactation management, determinant, midwifeCorresp ondence:Nurul Wahidah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: wahidahnurul246@gmail.com.Journal of Health Policy and Management (2018), 3(1): 26-33https://doi.org/10.26911/thejhpm.2018.03.01.04

Hubungan Riwayat Penyakit Infeksi dan Pemberian ASI Eksklusif dengan Status Gizi Anak Usia 7-12 Bulan di Kecamatan Kelapa Lima Kota Kupang

Sari Pediatri Vol 19, No 2 (2017)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

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Abstract

Latar belakang. Adanya penyakit infeksi membuat kondisi kesehatan anak menurun sehingga berdampak pada nafsu makan dan akan mengurangi jumlah asupan makanannya dan zat gizi ke dalam tubuh. Pemberian ASI eksklusif dapat mencegah terjadinya diare yang disebabkan karena infeksi pada bayi serta dapat mempertahankan status gizi bayi. Tujuan. Mengetahui hubungan antara riwayat penyakit infeksi, pemberian ASI eksklusif dan status gizi anak usia 7-12 bulan di Kupang, Nusa Tenggara Timur.Metode. Penelitian analitik obsevasional dengan desain Case Control, dilakukan di Kecamatan Kelapa Lima Kota Kupang pada bulan April-Juli 2017. Subjek penelitian adalah anak usia 7-12 bulan, 116 anak dipilih dengan fixed disease sampling. Analisis data menggunakan uji chi square dan regresi logistik ganda. Hasil. Hasil uji bivariat chi square menunjukkan adanya hubungan riwayat penyakit dengan status gizi (p;0,024) dan pemberian ASI eksklusif (p;0,026), sedangkan hasil regresi logistik ganda, riwayat penyakit infeksi merupakan faktor dominan penentu status gizi pada anak usia 7-2 bulan di Kecamatan Kelapa Lima Kota Kupang (p;0,025 dengan OR;2,38 dan CI;1,11-5,08).Kesimpulan. Terdapat hubungan yang bermakna antara riwayat penyakit infeksi dan pemberian ASI eksklsuif dengan status gizi. Riwayat penyakit infeksi adalah faktor dominan penentu status gizi anak usia 7-12 bulan.

Perception Factors, Intentions and Attitudes with Market Community Participation to Prevent Occupational Diseases

International Journal of Public Health Science (IJPHS) Vol 7, No 1: March 2018
Publisher : Institute of Advanced Engineering and Science

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Abstract

An Occupational Disease was a disease caused by work or work environment. One of the efficient and effective strategies for controlling Occupational Disease was the empowerment and participation of the community called Occupational Health Unit (Pos UKK) in the workplace. Based on the data of market health inspection in Pos UKK Imogiri market  in March 2017, there were only 67 participants (19.17%) from 365 invited people.: The purpose of this research was to know the internal factors with the community participation in Pos UKK Imogiri market Bantul. This research was a quantitative analytic research with cross sectional design. The population was 365 people and the sample was 150 respondents. The sampling used purposive sampling technique. Kendall Tau test showed that there was a relation between perception and community participation (p value <0.05, r  = 0.677); Intentions related to community participation (p value <0.05 r = 0.486); Attitudes related to community participation (p value <0.05 , r= 0.802). F test result showed that the variables of Perception, Intentions and Attitudes related simultaneously to community participation (F value = 387.41> F table = 2.67). The dominant independent variable was Attitudes with the highest Standard Beta Coefficient value was 0.776.  Perceptions, Intentions and Attitudes related both partially and simultaneously to community participation; the independent variable that had dominant influence was Attitudes. 

Perbedaan Tingkat Kecemasan Antara Pria Yang Bekerja Shift dan Non shift Di PT Tyfountex Kartasura Sukoharjo

Nexus Kedokteran Komunitas Vol 2, No 1 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Industrialization nowadays is a major source of anxiety among shift workers men and non shift workers men. The aim of this research is to acknowledge the anxiety level differences between shift workers men and non shift workers men. Methods: This study is an observational analytic cross sectional approach. The research sample was 20 men who are working during shift hours and 20 men who are working during non shift hours. The research instrument was used for L-scale of the MMPI and TMAS. Data analyzed by t test. Results: The results showed an average score of TMAS in shift workers men: 28,5 while in non shift workers men: 28,7. This data is not significant with slightly differences: (t: 0,079, p: 0,937). Conclusions: Researchers conclude there are no differences in anxiety level among men who are working during shift hours and non shift hours. Keywords: Anxiety, Shift Workers Men, Non Shift Workers Men

Hubungan Frekuensi Bangkitan dengan Skor Kualitas Hidup pada Penderita Epilepsi Umum di RSUD Dr. Moewardi

Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Epilepsy is a chronic neurology disease. When epilepsy was not well-controlled, it could cause so many effects such as decreasing quality of life score. The aim of this study was to find out the relation between seizure frequency and quality of life score of general epileptic patients in Dr. Moewardi hospital. Methods: This was an observational study with analytic cross-sectional approach conducted from July to August 2012 at Neurology Department of Dr. Moewardi hospital. Samples were taken by purposive sampling after selected based on inclusion and exclusion criteria. The frequency of seizure was recorded by medical record. The quality of life was assessed by QOLIE-31 questionnaire. Score of seizure frequency and quality of life were analyzed with one-way ANOVA models by SPSS 17.0 for Windows. Results: There were 30 samples consist of 13 women and 17 men. The average of quality of life total score in high seizure frequency was 59.56 ± 4.71, medium seizure frequency was 78.32 ± 2.20, and seizure free was 83.40 ± 2.34. There was a negative relationship between seizure frequency and quality of life score on patients with general epilepsy. Analysis by one-way ANOVA/Kruskal Wallis showed a statistically significant relationship (p < 0.05) for total score component and the other seven components. Conclusion: Patients with higher seizure frequency had lower quality of life score. Keywords: seizure frequency, quality of  life score, general epilepsy  

Hubungan antara Kecemasan dengan Frekuensi Bangkitan pada Penderita Epilepsi Parsial di RSUD Dr. Moewardi

Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Anxiety is a psychological disorder that involves dysregulation of the nervous system Therefore, anxiety could affected seizure’s threshold in people with epilepsy indirectly. The aim of this study was to know an association between anxiety and seizure frequency of partial epileptic patients in hospitals Dr. Moewardi. Methods: This was an observational study with analytic cross sectional approach. Samples were taken by purposive sampling after selected based on inclusion and exclusion criteria. The data were obtained by using of TMAS anxiety scale, interviewed seizures frequency in last one month, and the patients medical record. Analysis of anxiety and seizures frequency’s score used linear regression models by SPSS 17.0 for windows Results: There were 31 samples consisted of 10 women and 21 men. Result showed a significant positive relation between anxiety and seizure frequency of partial epileptic patients in hospitals Dr. Moewardi (p < 0.05, CI 95% = 0.06 - 0.037). Linear regression analysis test showed an equation that Y= a + bX = -1.174 + 0.218 X. It meaned that the seizure frequency would rise  -1.174 + 0.218 X unit for every inrcreasing of anxiety level. Conclusion: Patients with higher level of anxiety have had more often seizure attack. Keywords: Partial epileptic patients, anxiety, frequency of seizure 

Hubungan Anemia Dengan Hipotermia Pada Neonatus Di RSUD Dr. Moewardi

Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Based on data from Departemen Kesehatan Republik Indonesia (2007), one of the causes of death in the first 24 hours of life is hypothermia. Hypothermia is caused by the reduction of heat production. The production of heat in of neonates are strongly associated with the supply of oxygen. Anemia is body’s condition with haemoglobin levels below normal score according to age and gender. The oxygen supply to tissues is reduced if haemoglobin level is decreased, causing the reduction of heat production. The aim of this research is to know about the association between anemia and hypothermia on neonates. Methods: This is an observational analytic research with cross sectional design. This research was done in RSUD Dr.Moewardi. The samples were the neonates who were treated in the High Care Unit (HCU) of neonates in RSUD Dr.Moewardi on the 3rd until 15th of March 2013. Dependent variable was hypothermia, and the independent variable was anemia. The neonates’ haemoglobin levels were measured then the neonates’ temperature were observerd every 3 hours for 24 jam. The data were analyzed using fisher test, because the requirements of chi-square test were not met. Result: The results from fisher test were p = 0,225. Conclusion: The analysis showed there was not association between anemia and hypothermia in this research. Keyword: anemia, hypothermia, neonates

Pengaruh Penyuluhan Kesehatan terhadap Tingkat Pengetahuan Program Jaminan Persalinan di Wilayah Kerja Puskesmas Sedayu 1 Kabupaten Bantul

Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Mass Labor Assurance (known as Jampersal) is a new program, it caused lack of knowledge in the people’s society from rural area. Based on data from Bantul Regency Health Department in 2011 there were 8,5 infant mortality per 1000 birth, and maternal mortality rate was 111,2 per 100.000 birth. Maternal mortality rate in Bantul Regencyincreased 29,1 per 100.000 birth compared with maternal mortality rate in 2010, while labor woman mortality rate was 82,1 per 100.000 birth (Bantul Regency Statistic Department, 2010). It was interesting, because on January 1st 2011 Mass Labor Assurance or Jampersal began to be implemented in every Indonesia region, meanwhile maternal mortality rate in Sedayu District of Bantul Regencyincreased. Methods: This research wasusing quasi experimental with pretest and posttestcontrol group design approaching study. Samplesin this researchwere mothers from Puskesmas Sedayu 1 of Bantul Regency working area. Samples were taken with rule of thumbs, divided by 2 groups consist of control group and treatment group.Total samples were 100 mothers, divided into control group and treatment group. The data was collected by quesioner test before and after the counseling Results: The knowledge difference about Jampersal in treatment and control group is count 14.94 with significant level 0.000 (p<0.05). Conclusion: Counselingwas increasing the mother’s knowledge level about Mass Labor Assurance (Jampersal) programs. Keywords: counseling, knowledge, labor assurance 

Perbedaan Efektivitas antara Sterilisasi Dialyzer secara Manual dan Otomatis di Rumah Sakit DR.Moewardi

Nexus Biomedika Vol 2, No 2 (2013): Nexus Biomedika
Publisher : Nexus Biomedika

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Background: Dialyzer is a critical medical equipment having high risk of microorganism contamination. Because of economical reason, dialyzer reuse is performed as first choice in Indonesia. The making of dialyzer reuse starts from rinsing, priming test and sterilization itself. Sterilization method of dialyzer that has been carried out in Rumah Sakit Dr. Moewardi is manual and automatic sterilization. Method: This was an observational study using cross sectional design. Samples taken by consecutive sampling technique were collected from the last rinsing of NaCl right before the dialyzer was used. This NaCl samples were collected from dialyzer which were sterilized manually and automatically, each, 15 samples. The difference of posistive growth of bacteria cultures of both methods was analyzed by Chi square test, while the difference of the number of colony forming unit was analyzed by independent T test. Result: Fifteen samples of the last rinsing of NaCl from dialyzer sterilized manually showed there were 10 samples positive contaminated and 5 samples negative. While from dialyzer sterilized automatically showed there were 8 samples positive contaminated and 7 samples negative. All positive samples were contaminated by positive Gram bacteria. The statistical analyses showed no significant difference of both based on quality (p = 0.456) and quantity (p = 156). Conclusion: There was bacterial contamination as many as 10 samples (66.6%) of dialyzer which was sterilized manually and 8 samples (53.3%) of dialyzer which was sterilized automatically. There was no significant difference statistically on the effectiveness between manual and automatic sterilization. Keywords: dialyzer reuse, manual sterilization, automatic sterilization.