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Journal : Buletin Penelitian Sistem Kesehatan

PERBANDINGAN IDEAL ANGGARAN UPAYA KESEHATAN MASYARAKAT (UKM) DAN UPAYA KESEHATAN PERORANGAN (UKP) Dl TINGKAT KABUPATEN/KOTA Sundari, Siti; Wibowo, Hendrianto Trisno; Erry, Erry; Sukoco, Noor Edi Widya; Rusiawati, Yuyus; Riswati, Riswati
Buletin Penelitian Sistem Kesehatan Vol 10, No 1 Jan (2007)
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Abstract

The Community Health Efforts (Usaha Kesehatan Masyarakat/UKM) and Individual Health Efforts (Usaha KesehatanPerorangan/UKP) Programs were established to enhance services towards more promotive and preventive than curative and rehabilitative services. Accordingly, the budget allocated for the UKM should be more than or balanced with the UKP budget. Due to the abscence of benchmark for ideal proportion of the UKM and the UKP budget at the District/Municipal levels, the budget allocated for both efforts were highly depending on decision of local authorities and the budget allocated by the Central level. This study aimed to determine the ideal proportion of UKM and UKP budget at the Districts/Municipalities having Index Poverty Level level equal or above 34.4. This was an observational study using a retrospective design. Data were collected at 6 (six) District/Municipal Health Offices on Health Budgets allocated during year 2003-2005 and analyzed quantitatively and qualitatively. Results showed that the proportions of budget allocated for the UKM and UKP were varied from 49.9%-57.2% for the UKM and 42.8%-50.1% for the UKP. Eventhough there was an increased of UKM budget which meant more services toward promotive and preventive activities, the services provided by the UKM were more towards curative than preventive functions. Furthermore, both efforts have continuum services from promotive to rehabilitative services. To conclude, the concept of UKM and UKP needs to be redesign in order to accomplish theDepartment of Health Grand Strategy for promotive and preventive services before stating the benchmark for the UKM and the UKP budget proportions.Key words: the UKM, the UKP, health-budget, districst, municipalities
INTERNAL QUALITY SYSTEM PERFORMANCE: CASE STUDY AT THREE INDONESIAN NURSING SCHOOLS Sundari, Siti
Buletin Penelitian Sistem Kesehatan Vol 10, No 3 Jul (2007)
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Abstract

This paper describes internal quality system petformance at three Indonesian nursing schools and examines the match of the existing accreditation programmes with the developing internal quality system. A cross sectional study is used with self-administered questionnaires and applied to selected nursing schools. The questionnaire was designed according tocategories of framework of total quality management model. Interview and discussion with respondents including snowball sampling to other teachers and staffs were petformed to clarify and validate data and to enriched the information The activities measured were the enabling and the results factors. The enablers were including Leaderships, strategy, resources, human resources, educational management, teaching teaming process, research and development and also evaluation mechanism, while the results were covering students and personnel satisfaction and partnership.Results shows that some enabling factors were not included in the accreditation, while several indicators in the sub component of accreditation did not explicitly reflect internal quality system petformance. The school stratum as the outcome result of a quality measure is analogue to customer satisfaction, which would depend on direct influence of internal factors such as quality of schools leadership, strategy and educational management. Since the total accreditation score affects school strata and public recognition, it is necessary to use more objectives and relevant indicators by incorporating the internal and external factors as a measure of school quality petformances. Key words: accreditation, education, quality system evaluation, nursing
DETERMINAN PENYAKIT DIARE PADA ANAK BALITA DI PROVINSI NANGGRO ACEH DARUSSALAM, JAWA BARAT, NUSA TENGGARA BARAT, NUSA TENGGARA TIMUR, GORONTALO DAN PAPUA Ariningrum, Ratih; Sundari, Siti; Riyadina, Woro
Buletin Penelitian Sistem Kesehatan Vol 12, No 2 Apr (2009)
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Background: Diarrhoeal diseases become the second caused of death of the under-fives, the third in infant, and the fifth at all people in Indonesia. WHO indicated that every year an average of 100.000 children in Indonesia dead because of diarrhoea and Sub directorate of Diarrhoea, MOH indicated that about 301-347 per 1000 people still infected by diarrhoea from year 2000 up to 2003. Methods: This study analyzed the Basic Health Research data collected in 2007 to determine the prevalence, characteristic determinants including its Odd Ratio (behavioral, environmental sanitation, household characteristic, and specific condition of child), of the 20245 under-fives children in 6 provinces having diarrhoea prevalence above the 2007 national diarrhea prevalence rates (16.7%). (NAD: 27%, Gorontalo: 24%, NTB: 23%, NTT: 22%, Papua: 21%, and West Java: 18%). Results: The result showed that the highest prevalence of diarrhoea rates was found at the family with having lower level of percapita expenditure (kuintil 1 and 2); in mother who worked as a farmer/fisherwoman/labour and did not used latrine as well as lack of control for contamination of water available at home. The specific conditions of the under-fives that related to the increase prevalence of diarrhea are the existence of typhoid and measles, frequency of OPT immunization and over weight condition. The Odds of having diarrehea occurred in the under-fives having measles 1 month earlier (OR. 2.61) followed by the lack of control of the quality of the water condition available at home (OR 2.19), open water tank (OR 1.40), Defecate not in WC (OR1.36), Not receiving meales immunization (OR 1.37) and OPT immunization less than 3 times (OR 1. 19). It is concluded that to prevent diarrhea, it is important for children to have full coverage of immunization, to improve health behavior of mothers and children especially to wash hand before eating or preparing meals, and to improve housing condition and sanitation. For the next Basic Health Research data collection, it is recommended to improve quality of questions in order to get more specific information related to the childs habits and practices to prevent diarrhoea. Key words: diarrhea, determinants, behaviour, under-fives, basic health research
ASSESSMENT OF THE HEALTH STATUS OF PRIMARY SCHOOL CHILDREN PARTICIPATING IN SCHOOL FEEDING PROGRAM IN NUSA TENGGARA BARAT AND NUSA TENGGARA TIMUR, INDONESIA Susilowati, Dwi; Sundari, Siti
Buletin Penelitian Sistem Kesehatan Vol 13, No 3 Jul (2010)
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Abstract

Background: School feeding program provided vital nourishment for students, improved their health and school attendance. Objective: To investigate the effects of provision of food distributed at targeted primary schools. To measure the change of anemia prevalence rate, to assess the prevalence of some illness and to assess related knowledge and practices of health, nutrition and hygiene among primary school students. Methods: The sample was randomly selected from 30 clusters of primary schools who received WFP food supplement for at least 6 months in Nusa Tenggara Barat (NTB) and Nusa Tenggara Timur (NTT) provinces during the year 2008. The sample was calculated on the basis of the formula of a single cross-sectional survey comparing two sub-groups. The data was analyzed by using SPSS for Windows version 15. Results: The head of households, whom mostly males, worked as unskilled agricultural wage labors and vendor of agricultural products. The education of parents was generally low. Most of them lived in single house and used latrine. The mean hemoglobin of students was 11.8 gr/dl (SO 1.3; Cl (11 .7-11.9)). The anemia prevalence rate was 37 6%, it was 25.8% higher as compared to previous year. There were significant decreased of morbidity rates of diarrhea, Acute Respiratory lnfection and fever as compared to previous years. Practice in hygiene as indicated by drinking boiled water showed a decreased m coverage in the previous years. However, hand washing before meals was increased steadily while hand washing after defecation was decreased. There were more household used latrines.Key words: school feeding, primary school children, anemia, knowledge attitude and practice