Deni Kurniadi Sunjaya, Deni Kurniadi
Department of Public Health, Faculty of Medicine, Universitas Padjadjaran

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Analisis Kebijakan Dana Desa Untuk Pembangunan Kesehatan Di Kabupaten Malinau Dengan Pendekatan Segitiga Kebijakan Suarsih, Santi; Sunjaya, Deni Kurniadi; Setiawati, Elsa Pudji; Wiwaha, Guswan; Herawati, Dewi Marhaeni; Rinawan, Fedri
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.886 KB) | DOI: 10.24198/jsk.v2i4.12500

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Desa-desa di Kabupaten Malinau, Provinsi Kalimantan Utara mempunyai sumber dana untuk pembangunan kesehatan bersumber APBD dan APBN, namun masalah kesehatan di Kabupaten Malinau masih tinggi. Pada tahun 2015, AKB yaitu 25 per 1000 kelahiran hidup dan AKI yaitu 229 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk menganalisis kebijakan dana desa untuk pembangunan kesehatan di Kabupaten Malinau dari aspek konten, konteks, proses dan aktor.  Desain penelitian kualitatif dengan pendekatan studi kasus di 4 desa. Penelitian dilakukan dengan wawancara mendalam terhadap 26 responden yang terlibat dalam kebijakan dana desa. Penelitian dilaksanakan pada bulan Oktober tahun 2016 sampai januari tahun 2017.Kondisi geografis, mata pencaharian, kekerabatan dan status desa memengaruhi perspektif masyarakat dalam melaksanakan pembangunan kesehatan. Tidak adanya regulasi dan petunjuk teknis mengenai pelaksanaan pembangunan kesehatan di desa menyebabkan ketimpangan pembangunan kesehatan di Kabupaten Malinau. Tenaga kesehatan harus mampu mengidentifikasi dan merumuskan masalah kesehatan di desa. Prinsip swakelola dalam pelaksanaan kebijakan dana desa meningkatkan ekonomi masyarakat dan mengurangi pengangguran. Kebijakan dana desa telah dilaksanakan di Kabupaten Malinau, tetapi pemanfaatan untuk pembangunan kesehatan belum optimal. Diperlukan advokasi kepada pemerintah pusat untuk membuat regulasi alokasi dana desa untuk kesehatan. Tenaga kesehatan harus pro aktif dalam proses penyusunan kebijakan untuk mengungkit pembangunan kesehatan di desa.Kata Kunci : dana desa, Kabupaten Malinau,  segitiga analisis kebijakan
Existence of Antibiotics in Stalls at Jatiroke Village, Jatinangor Sub District Jaelani, Elan; Istriati, Istriati; Sunjaya, Deni Kurniadi
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.764 KB)

Abstract

Background: Improper use of antibiotics can lead to lack of drug efficacy against bacteria, and cause resistance to the antibiotics itself. Antibiotics are classified into prescription drugs that should not be available over the counter because of its dangerous effect. It is important to study the presence of antibiotics in traditional stalls. Objective of this study was to investigate existence of antibiotics in stalls, and to investigate reasons of stall- owners for selling antibiotics.Methods: This study used mixed method design, and sequential explanatory approach, and conducted direct observation, spatial mapping, and interview with stall-owners selling drugs in Jatiroke village, Jatinangor sub district from September to November 2013. Total sampling was conducted in this study.Results: Fifty percent from 24 surveyed stalls sold Antibiotics Amoxicillin. The map showed stalls selling antibiotics at roadside. Amoxicillin sold package with Dexamethasone and Non-Steroid Anti Inflammatory Drugs (NSAID) was soldby several stalls. Shopkeepers sold antibiotics due to lack of knowledge about thedrug, need for self-medication, demand, and availability of drugs supply.Conclusions: Antibiotics can be found in several stalls in Jatiroke village, and improper of use of this drug can lead to resistance and less efficacy for treating infections. Although the Act for prescription drugs still exists, low of monitoring and enforcement the regulation by the Badan Pengawas Obat dan Makanan (BPOM) may be one of many factors that influence the existence of antibiotics in the stalls. [AMJ.2016;3(2):239–43]DOI: 10.15850/amj.v3n2.779
MASALAH-MASALAH PROGRAM POSBINDU DI DESA DAYEUHKOLOT KABUPATEN BANDUNG JAWA BARAT Suparto, Tirta Adikusuma; Sunjaya, Deni Kurniadi; Susanti, Raini Diah
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 1, No 1 (2015): Vol 1, No 1 (2015)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v1i1.1185

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Introduction: Integrated Development Post Program (Posbindu) is one of the facilities which provide a service for the elderly. Aside from healthcare, Posbindu also provides social, religion, education, skill, and other services.  These services are needed by the elderly that makes Posbindu existence very important. According to the early researches conducted by the researcher in December 2013 at Posbindu’s Desa Dayeuhkolot, the implementations of Posbindu’s over there were still lacking. This study aimed to explore some issues of Posbindu programs in Desa Dayeuhkolot comprehensively. Method: The research design used in this research was kualitatif method approach by using case study. This research was conducted from February 2014 to January 2015 in 5 Posbindu. Result: The findings showed that the programs of Posbindu in Desa Dayeuhkolot Kabupaten Bandung still face some problems, they were: 1) Posbindu was not found based on people needs; 2) the lack of budget; 3) the lack of quality and quantity of guidance; 4) the lack of cadres’ knowledge and skills; 5) there was no incentive for cadres; 6) the lack of facilities and infrastructures; 7) the lack of emotional and physical test; 8) the lack of quality and quantity of health training program; 8) the lack of quality and quantity of health counseling ; 9) there was no access for medicine; 10) the complicated system of documentation and report ; 11) there was no elderly exercise in some posbindus; 12) the lack of effectiveness in elderly visitation program;13) the low frequency of elderly visitation; 14) the lack of posbindu contribution to the elderly; 15) the lack of support from the environment. Discussion: Posbindu’s revitalization was one of the interventions to solve the health problem caused by demographic changing. The Key point was to increase the capacity of cadre trough training. 
Factors Related to the Intention to Cigarette Smoking among Junior High School Students in Jatinangor Subdistrict, West Java Yee, Ngu Ling; Sunjaya, Deni Kurniadi; Karyono, RM Haryadi
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (535.049 KB)

Abstract

Background: Cigarette smoking is known to harm the health of smokers and causes the death of millions people around the world. Smoking initiation in Indonesia is begun early especially during teenagers year. The aim of the study was to analyze the factors related to the intention to cigarette smoking among Junior High School students in Jatinangor subdistrict.Methods: A quantitative method with cross sectional study was conducted in the junior high school setting during the period of September to November 2013. Inclusion criterias were students aged 13­15 years old and did not smoke. Four factors were measured in this study, which were attitudes toward cigarette smoking, parents who smoke, peers influence and advertisement where each factor had 5 questions with ‘Yes’ or ‘No’ answers. Data were collected through self-administered questionnaire among 226 students using stratified random sampling. Statistical analysis of the variables was using chi square test.Results: As much as 44.25% of the respondents had intention and 55.75% had no intention to cigarette smoking. This study showed significant relation among attitudes, parents who smoke, peers influence and advertisements with the intention to cigarette smoking.Conclusions: Half of the respondents have intention to cigarette smoking and the most factors related to it are peers influence. DOI: 10.15850/amj.v2n3.528
Perception of Universitas Padjadjaran Students towards Psychotic Disorders Rusly, Renzavaldy; Pandia, Veranita; Sunjaya, Deni Kurniadi
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (558.342 KB)

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Background: Psychotic disorders have a very high incidence in Indonesia and arethe first rank in terms of the global burden of disability. Students are the frontline in the face of society. The formation of stigma and discrimination  is rooted from  bad perceptions. The aim of this study was to determine and measure Universitas Padjadjaran students’ perceptions towards psychotic disorders and find out why these perceptions can be shaped. Methods: The design of study was a sequential explanatory mixed method research. The population of this study is glittering Universitas Padjadjaran students who were in Jatinangor between batches 2011 to 2013. Samples were taken using cluster and stratified random sampling. Quantitative data retrieval was collected by using a self-administered questionnaire. Next, there would be focused group discussions and in-depth interviews which discussed the results of the quantitative data collection then interpreted them qualitatively. Result: The percentage of students at Universitas Padjadjaran with perception of psychotic disorders in good category was 19.04%, 80.96% unfavorable category, and bad 0% (n=126). Besides various relevant opinion found why these perceptions were formed, such as a lack of education on students towards psychotic disorders, the existence of stigma based on life experience of psychotic patients, the lack of social media and physical campaign towards the psychotic disorders.Conclusions: The perception of Universitas Padjadjaran students towards psychotic disorders is still relatively unfavorable, therefore literation towards psychotic disorders should be provided through education, campaigns, social media utilization by psychiatrists and the government.
Konsep Kualitas Pelayanan Kesehatan berdasar atas Ekspektasi Peserta Jaminan Kesehatan Nasional Hadiyati, Ida; Sekarwana, Nanan; Sunjaya, Deni Kurniadi; Setiawati, Elsa Pudji
Majalah Kedokteran Bandung Vol 49, No 2 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (19.202 KB) | DOI: 10.15395/mkb.v49n2.1054

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Masyarakat memiliki hak untuk mendapatkan pelayanan kesehatan yang bermutu dan terjangkau. Sejak awal tahun 2014, pemerintah berupaya meningkatkan akses pelayanan kesehatan melalui program Jaminan Kesehatan Nasional. Pelayanan kesehatan tersebut tentunya harus tetap berkualitas. Peneliti bertujuan merumuskan konsep kualitas pelayanan kesehatan berdasar atas ekspektasi pasien. Desain penelitian ini adalah kualitatif dengan paradigma konstruktivisme. Partisipan terdiri atas 17 pasien rawat jalan peserta Jaminan Kesehatan Nasional dan 7 petugas kesehatan Rumah Sakit Umum Daerah Al-Ihsan dan Soreang Kabupaten Bandung, Pengumpulan data dilakukan dengan cara wawancara mendalam selama bulan Agustus–November 2016. Pelayanan kesehatan yang berkualitas terdiri atas 11 dimensi. Dimensi sarana prasarana mengutamakan kecukupan kapasitas fasilitas. Dimensi karyawan mengutamakan kesesuaian jumlah kapasitas tenaga kerja. Dimensi pelayanan medis mengutamakan komunikasi. Dimensi pelayanan administrasi mengutamakan sistem antrian yang tertib. Dimensi keamanan pelayanan mengutamakan minimalisasi risiko bahaya. Dimensi kepercayaan menunjukkan loyalitas. Dimensi akses mengutamakan kemudahan menjangkau rumah sakit. Dimensi kesetaraan merupakan perlakuan yang sama antara pasien peserta JKN dan non-JKN. Dimensi transparansi informasi merupakan penyajian informasi yang jelas. Dimensi iur biaya mengungkapkan tidak ada penambahan biaya dalam tindakan medis maupun pengobatan. Dimensi kualitas antar bagian merupakan pelayanan yang sama di setiap titik bagian pelayanan. Pelayanan kesehatan yang berkualitas berdasar atas harapan pasien meliputi dimensi sarana prasarana, karyawan, pelayanan medis, pelayanan administrasi, keamanan pelayanan, kepercayaan terhadap rumah sakit, akses, kesetaraan, transparansi informasi, iur bayar, dan kualitas antarbagian. [MKB. 2017;49(2):102–9] Kata kunci: Ekspektasi pasien, Jaminan Kesehatan Nasional, kualitas pelayanan kesehatan  Health Service Quality Concept based on Expectation of the National Health Insurance Participants Community has the right to receive affordable and qualified health care. Since the early 2014, the government has attempted to increase health care access through the implementation of the National Health Insurance (Jaminan Kesehatan Nasional, JKN) scheme that still requires quality health care. The aim of this study was to formulate the concept of health care quality based on patients’ expection. This was a qualitative study using constructivism paradigm on 17 JKN-member outpatients and 7 health care workers of Al-Ihsan General Public Hospital and Soreang Public District Hospital, Bandung District. Data were collected through in-depth interviews during the period of August–November 2016. Quality health care consists of 11 dimensions: facility and infrastructure dimension that prioritizes on adequacy of facility capacity; employee dimension that prioritizes on the number and capacity of human resource; medical service dimension that prioritizes on communication; administrative service dimension that prioritizes on orderly queuing system; service safety dimension that prioritizes on minimizing hazard risk; trust dimension that shows loyalty; access dimension that prioritizes on easy access to hospital; equality dimension that emphasizes same treatment for JKN and non-JKN patients; information transparency that prioritizes on clear information provision; cost sharing dimension that underlines no additioanl fee for medical actions and treatments; and inter-department quality dimension that includes same services in each service point. It is revealed that quality health care based on patients’ expectation includes facility and infrastrucutre, employee, medical service, administrative service, service security, trust towards hospital, access, equality, information transparency, cost-sharing, and inter-department quality. [MKB. 2017;49(2):102–9] Key words: Health Service Quality, National Health Insurance, Patient Expectation 
Evaluasi kebijakan pembangunan puskesmas pembantu di Propinsi Kalimantan Tengah Winarno, Kus; Hasanbasri, Mubasysyir; Sunjaya, Deni Kurniadi
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.185 KB) | DOI: 10.22146/jkki.v2i2.3219

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Background: The objective of health development is improvingcommunity health status through increasing public access tohealth services. One of strategy is by supporting facilities forhealth service by developing auxiliary health center for allremote district at Central Kalimantan Province. CentralKalimantan Province with 1,9 million of population, consistedof 14 district, 1348 villages, 805 auxiliary health center. It meansthat only 59% village have facilities for health service such asauxiliary health center.Objectives: This research aimed to know how formulationprocess and implementation of policy of developing auxiliaryhealth center by using provincial funds.Method: It was descriptive case study using mainly methodqualitative designed by semi structured in-depth interview anddocument study. Research subject is stakeholder at levelprovince and chosen district. This research executed inProvince Public Health Service of Central Kalimantan and onechosen district.Result: Development of secondary health center in CentralKalimantan Province is the realization of Central KalimantanProvince local decree number 12 and 13 year 2005 fulfilmenton RPJPD and RPJMD. Initially, the budgeting concept wasplanned by Tugas Pembantuan mechanism, but this mechanismwas not agreed. This scheme was a top down program fromprovince government. Problems occurred in the implementationare 1). Bad monitoring, 2). Lack of reporting by developer, 3).Remote location of, 4). Varieties in cost of production, 5).Shortage health care workforce, 6). Equipments unmatchedthe need of health care provider. Evaluation is executed, butonly concerning physical progress problem. In the meantime,there was increased allocation of DAK fund in each district.Conclusion: Development of auxiliary health center in CentralKalimantan Province which funded by province fund, is notrequired by district. There was no agenda surroundingdevelopment of auxiliary health center. The role of stakeholderin compilation of agenda setting for this policy was only anormative role.Keyword. Auxiliary health center policy, evaluation,decentralization, central Kalimantan
Pengembangan Registri Psikotik Berbasis Rumah Sakit pada Rumah Sakit Jiwa Provinsi Jawa Barat Rahmini, Elsi; Sunjaya, Deni Kurniadi; Wiwaha, Guswan
Jurnal Sistem Kesehatan Vol 4, No 1 (2018): Volume 4 Nomor 1 September 2018
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.809 KB) | DOI: 10.24198/jsk.v4i1.19181

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Registri psikotik dapat memberikan informasi tentang penyakit jiwa yang mudah diakses serta menjadi alat perencanaan perawatan dan penanganan pasien psikotik. Tujuan penelitian adalah mengidentifikasi potensi, menggali struktur registri dan membangun kerangka konsep registri psikotik di Rumah Sakit Jiwa Provinsi Jawa Barat.Penelitian menggunakan desain kualitatif dengan paradigma konstruktivisme dan pendekatan riset operasional. Metode pengumpulan data dengan wawancara mendalam, Focus Group Discussion dan observasi pada 17 responden. Analisis data melalui koding, kategorisasi, penyusunan tema dan interpretasi data.Potensi registri psikotik di Rumah Sakit Jiwa Provinsi Jawa Barat terdiri dari komponen input dan process yaitu: kualitas SDM, SOP, jaringan, pembiayaan, data klinik awal, sarana penunjang (input); perencanaan, pelaksanaan, dan evaluasi (process). Struktur registri berupa input yang terdiri dari kualitas SDM, SOP, software, jaringan, pembiayaan, serta data klinik awal. Kerangka konsep registri psikotik berupa perencanaan, pelaksanaan dan evaluasi. Ketiga proses tersebut memerlukan input berupa kualitas SDM, SOP, software, jaringan, pembiayaan, data klinik awal dan sarana penunjang, output berupa data demografi, data administrasi dan data klinik. Outcome registri psikotik berupa manajemen klinik dan riset data informasi.Kerangka konsep yang dibangun dapat menjadi dasar implementasi riset. Registri psikotik yang dibangun akan mendukung kebijakan pengelolaan gangguan jiwa di Provinsi Jawa Barat dan nasional.Kata kunci: Pengembangan, Psikotik, Registri
KEBIJAKAN NASIONAL DALAM KONTEKS LOKAL: TANTANGAN IMPLEMENTASI KEBIJAKAN DESA SIAGA DAN RUJUKAN PELAYANAN KESEHATAN DI KABUPATEN KEPULAUAN YAPEN PAPUA Maing, Yosef; Supriyati, Supriyati; Sunjaya, Deni Kurniadi
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 1 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (452.259 KB) | DOI: 10.22146/jkki.v2i1.3227

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Background:One of the policies in health to achieve IndonesiaSehat 2010 was the development of desa siaga that wasbased on Decree of Ministry of Health number 564/MENKES/SK/VIII/2006 regarding the guidance on the implementation ofDesa Siaga. Desa Siaga is a community based health effortthat involved community self funding agency such as PKK,religious organization, and private sector.Method:This was a qualitative descriptive research that usedexplanatory analysis with case study design. The researchinformant was district government, health office, communityleaders and public figure as well as health care provider. Thedata was collected with interview, observation anddocumentation. Data analysis was conducted with case studyanalysis.Result: This research showed that the implementation of DesaSiaga was with top–down method that used social mobilizationapproach. The district government and community was verymuch supporting the policy of Desa Siaga. Difficult geographiclocation, limited human resources in health and limited fundingwere the main obstacles in the implementation of Desa Siagapolicy and health service referral. The main problem of referralimplementation was transportation and funding. The readinessof community and village aparatur to assist the poor communitywas still very minimum.Conclusion: This research proven that Desa Siaga programwas very important for community in the district of Yapenarchipelago. Nevertheless, difficulties in geographiccondition,limited human resources in health as well as limited fundinghas resulted in difficulties in the implementation of Desa Siagapolicy and health service referral in the district of Yapenarchipelago. The regional and central government have notbeen able to respond to the needs of Desa Siaga.Keyword: Policy Implementation, Desa siaga, Papua.
The Peer Counseling Model in Adolescents Reproductive Health for Senior High School Students Nurfazriah, Indah; Sunjaya, Deni Kurniadi; Susanah, Susi
Global Medical & Health Communication (GMHC) Vol 6, No 3 (2018)
Publisher : Faculty of Medicine Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v6i3.3108

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Premarital sexual behavior in adolescents is at risk of sexual intercourse. One of the teenagers' factors in premarital sexual intercourse is a lack of knowledge about adolescent reproductive health. One method that can be given to increase knowledge about reproductive health is peer counseling. Peer counseling service improvement can be supported by the availability of modules or teaching materials to be used as a guide for peer counselors. The purpose of this study was to analyze the substance of the peer counseling module, analyze the perspective of the prospective module user on the development of peer counseling modules, and develop a model of the peer counseling module. The design of this study was the concurrent mixed method was divided into two stages, namely in-depth interviews with the experts and interviews and surveying with module users. The data was collected from the senior high school students in Cimahi and Bandung, West Java from March to July 2017. The result of this study showed that the substances developed in this module were the adolescents’ reproductive health, adolescents’ preparation in family planning, and adolescents’ ethics. Based on results of the analysis using the Rasch model, in the module user’s perspective, there is a need for the development of peer counseling modules. Evaluation of the module’s model from participants showed that they mostly agreed with the module’s model and the substances that were developed. MODEL MODUL KONSELING SEBAYA DALAM KESEHATAN REPRODUKSI REMAJA PADA SISWA SEKOLAH MENENGAH ATASPerilaku seksual pranikah pada remaja berisiko melakukan hubungan seksual. Salah satu faktor remaja melakukan hubungan seksual pranikah adalah pengetahuan tentang kesehatan reproduksi remaja yang kurang. Salah satu metode yang dapat diberikan untuk meningkatkan pengetahuan tentang kesehatan reproduksi adalah konseling sebaya. Peningkatan pelayanan konseling sebaya dapat ditunjang oleh ketersediaan modul atau bahan ajar sebagai panduan bagi konselor sebaya. Tujuan penelitian ini adalah menganalisis substansi modul konseling sebaya, menganalisis perspektif pengguna modul tentang pengembangan modul konseling sebaya, dan mengembangkan model modul konseling sebaya. Desain penelitian yang digunakan concurrent mixed methods  yang dibagi menjadi dua tahap, yaitu wawancara mendalam dengan para pakar serta wawancara dan survei dengan pengguna modul. Data dikumpulkan dari siswa SMA di Cimahi dan Bandung, Jawa Barat mulai Maret hingga Juli 2017. Hasil penelitian menunjukkan bahwa substansi yang perlu dikembangkan dalam modul konseling sebaya adalah kesehatan reproduksi remaja, persiapan remaja dalam perencanaan keluarga, dan etika remaja. Berdasar atas hasil analisis menggunakan model Rasch, perspektif dari para pengguna modul adalah perlu pengembangan modul konseling sebaya. Evaluasi model modul dari partisipan menunjukkan bahwa kebanyakan mereka setuju dengan model modul dan substansi modul yang dikembangkan.