Jurnal Manajemen Kesehatan Indonesia
Published by Universitas Diponegoro
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Articles 123 Documents
Implementation ff Midwive-Traditional Birth Attendants Partnership by Midwives in Buton District, Southeast Sulawesi, (A Case Study on Wakaokili Primary Healthcare Center)

Hermawati, Hermawati, Kuntjoro, Tjahjono, Sriatmi, Ayun

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1110310

Abstract

The limited knowledge on the importance of health workers deliveries, together with someother factors such as economies, social and culture, made traditional birth attendants becamea choice of delivery services. This condition resulted in the increase of Maternal MortalityRate in Buton District. The coverage of health workers deliveries in Wakaokili was still low. Itwas marked by the low rate of traditional birth attendance-midwives’ partnership anddeliveries referral to the midwives, as well as high rates of traditional birth attendancedeliveries. This study was a descriptive qualitative study. Data were collected by in depthinterviews on 4 village midwives and 9 traditional birth attendants as the main informants.Data were analyzed by content analysis method. Results showed that the goals and programsuccess indicators were not understood well. Dissemination was only an introduction and thereport was not discussed. There was no coaching or internship program. The attitude tendedto be ambivalent and the resources were not supportive. It is proven that economic, social andpolitical environment influence the program results.

Sistem Informasi Kerentanan Gizi Buruk di Distrik Sentani, Kabupaten Jayapura dengan Metode Analytic Hierarchy Process

Tokoro, Yokelin, Palekahelu, Dharmaputra, Tanaamah, Andeka Rocky

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1110312

Abstract

This study is aimed to determine the vulnerability of malnutrition in every village of SentaniDistrict by analyzing the factors of malnutrition acording to UNICEF standard usingAnalytical Hierarchy Proses method. These factors include nutrition, infectious diseases,parenting, food availability, sanitation, and poverty. These factors are known as the criteria inthe AHP process that use to determine the preferred alternative (the village) which isvulnerable to malnutrition. The result of this study can be used as a Decision SupportSystem (DSS) to help the stakeholders in addressing the malnutrition problems on the righttarget by pressing the factors

The Corelation between Perception of Leadership Practice and Perception of Service Quality by Medical and Paramedical Staff in Perinatal Room Kraton Hospital, Pekalongan

Purwadi, Moh. Hasyim, Sudiro, Sudiro, Purnami, Cahya Tri

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1110313

Abstract

Perinatal service is one of eminent services in Kraton Hospital. Limitation of trained staff andless completeness of equipment as well as less leadership supports for “infant caringhospital” has been problems in the perinatal service in Kraton Hospital.ResearchObjective was to analyze influence of leadership practice perception to service qualityperception in perinatal room Kraton Hospital. Type of research was observationalquantitative analytic, with cross sectional approach. Data collection used questioner andobservation. Sample was total population. Those were all medical staff and paramedical staffin perinatal room Kraton Hospital, totally 36 respondents. Data analysis used Pearsonproduct moment correlation and Rank Spearman followed by logistic regression. Resultsshowed that perception of challenging process of leadership practice had category good(58.3%); inspiring of shared vision had category moderate (58.3%); empowering others hadcategory good (63.9%); become a model had category moderate (52.8%); driving spirit hadcategory good (50%); and perception of quality of services had category good (55.6%).There was a correlation between challenging process of leadership practices (ρ=0.832;p=0.0001); inspiring shared vision ( =0.78, p=0.0001); driving spirits ( =0.615,p=0.0001) and become a model ( =0.445, p=0.007) and perception of quality of perinatalservices. There was no correlation between perception of empowering others of leadershipand (ρ=0.252, p=0.139). Logistic Regression analysis showed that perception of inspiringshared vision of leadership had the greatest influence to perception of perinatal qualityservices (exp β = 84.5), followed by driving spirit of leadership (exp β = 22,8) and become amodel (exp β = 6,4).

Analisis Pemanfaatan Bantuan Operasional Kesehatan dalam Upaya Peningkatan Kesehatan Ibu dan Anak di Puskesmas Wilayah Kerja Dinas Kesehatan Kabupaten Kudus

Aridewi, Andini, Kartasurya, Martha Irene, Sriatmi, Ayun

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1110314

Abstract

Health Operational Aid (BOK) had been utilized for the implementation of promotive andpreventive services. This included maternal and child health improvement in the primaryhealthcare centers of Kudus district health office work area. However, maternal and childmortality in Kudus district tended to increase. The study objective was to explain theutilization of Health Operational Aid in the maternal and child health improvement efforts inthe primary healthcare centers of Kudus health office. This was a qualitative study. This studycompared utilization of BOK in high absorbing primary healthcare centers that succeeded in32minimizing maternal and infant mortality cases and in low absorbing primary healthcarecenters that did not succeed in minimizing maternal and infant mortality cases. Data werecollected through in-depth interview to main informants namely the head of primaryhealthcare centers, and triangulation informants namely maternal and child healthcoordinator midwives and head of Kudus district health office. Content analysis was appliedin the data analysis.Results of the study showed that in the high absorbing primaryhealthcare centers that succeeded in minimizing cases: understanding about healthoperational aid technical guideline was clear; implementation of activities was according tothe reports; executors were involved in a plan of action formulation; and there was anevaluation on the activity implementation. In addition, in the success primary healthcarecenters, it was found that executors of the activities arranged the completeness of supportingdata; therefore, report making was not done only by the management team of primaryhealthcare center’ health operational aid. To be successful in the health operational aidutilization for maternal and child health, application of a right management function in theprimary healthcare center is needed. This management function includes planning,implementation and evaluation

Analysis of Leadership’s Factors in Nursing Care Quality Effort at Hemodialysis Unit of B Class Hospital

Widiyarta, Yulius, Sudiro, Sudiro, Warsito, Bambang Edi

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1110315

Abstract

Haemodialysis unit service as an eminent service had been still a problematic in nursingleadership commitment and communication. This study objective was to explain the factors ofleadership : communication and commitment to quality nursing care effort in HaemodialysisUnit at the Type B Hospital. The research was conducted in-depth qualitative interviews andobservation. Research subjects consisted of 11 people : 3 key informants (1 head room nurseand 2 nurses) and 8 triangulation informants (1 physician responsible hemodialysis unit, 4nurses and 3 patients). Observations carried out by using a check list.The results shows thatthe communication factors consists of instruction, consultation, participation, delegation andcontrolling functions have been done by the head room nurse. The instruction function hasbeen implemented by providing direction but the strategy has not been delivered yet.Consulting function has been already implemented but the suggestion has not been respondedby the head room nurse. Delegation function has been functioning from the head room nurseto the team head nurse. Participation function has been implemented. Controlling functionhas been carried out under the direct supervision but there have been no monitoring andevaluation mechanisms. Commitment factor has been a model and a motivation, while thecommitment to monitor and to do using SOP has not been implemented. The nursing care hasbeen perceived quite well by patients and collaboration among medical officers has beengood but there has no assurance of quality nursing care. Facilities and infrastructuresaccording to the requirements of the Department of Health and Pernefri have not beenfulfilled. Conclusion, leadership communication factors have not all done by nursingleadership. Commitment to be a model and and a motivation have been implemented.Commitment to implement the SOP and conduct monitoring and evaluation have not beenconducted. Suggestions, nursing leadership should improve the functioning of nursingleadership communication, implementation of SOPs and conduct monitoring and evaluationas an effort to guarantee quality of nursing care

Pelaksanaan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) Ditinjau dari Aspek Bidan Desa sebagai Pelaksana di Kabupaten Jepara

Sokhiyatun, Sokhiyatun, Widagdo, Laksmono, Sriatmi, Ayun

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1110316

Abstract

Kematian ibu di Kabupaten Jepara tahun 2011 sebesar 24 orang (AKI 113/100.00 KelahiranHidup), terutama pada periode kehamilan dan persalinan yang diakibatkan perdarahan.Program P4K sebagai terobosan untuk mengurangi kematian ibu telah dilaksanakan diKabupaten Jepara sejak tahun 2009. Survey pendahuluan menunjukkan meski cakupanindikator P4K sudah baik, namun tidak semua kolom stiker diisi, bidan hanya memberikanstiker pada ibu hamil dan seringkali tidak mendiskusikan rencana persalinan dengan ibu hamildan keluarga. Tujuan penelitian yaitu menjelaskan pelaksanaan P4K dari aspek bidan desasebagai pelaksana di wilayah puskesmas Kabupaten Jepara tahun 2012. Jenis penelitiandeskriptif observasional dengan metode kualitatif. Populasi seluruh bidan desa yang ada diKabupaten Jepara, Informan utama 8 bidan desa dari 4 puskesmas terpilih dengan kriteriapuskesmas di daerah perkotaan sebanyak 2 puskesmas dan 2 puskesmas daerah pedesaan.Informan triangulasi yaitu ibu hamil (8 orang), kader kesehatan (8 orang), Bidan Koordinator(4 orang ) dan Kasie Kesga Dinas Kesehatan. Pengumpulan data melalui wawancaramendalam.. Analisis data dilakukan dengan content-analysis. Berdasarkan hasil penelitiandiperoleh informasi umur bidan desa antara 25–36 tahun, berpendidikan D3 Kebidanan danmasa kerja 3-15 tahundengan rata-rata kerja 9 tahun. Pengetahuan dan sikap bidan tentangP4K sudah baik karena dari 8 bidan sudah memahami tujuan dari P4K dan mendukung P4Kdengan alasan program tersebut dapat membantu pencapaian program KIA, meski pelatihankhusus P4K tidak ada, hanya penunjang dari P4K yaitu APN dan BBLR, namun dana khususpenunjang kegiatan P4K, tidak tersedia. Buku KIA dan stiker P4K sebagai sarana danprasarana tersedia cukup, namun bidan kit belum lengkap. Tidak ada SOP khusus P4K,kecuali SOP penapisan awal dan deteksi bumil resti. Indikator keberhasilan yang dipahamibidan bahwa stiker harus terpasang di setiap rumah ibu hamil yang ada di wilayahnya. Bidandesa melakukan aspek perencanaan persalinan cukup baik, serta melakukan koordinasi dankomunikasi melalui sosialisasi dan pertemuan rutin.

Implementasi Program Manajemen Terpadu Balita Sakit (MTBS) Puskesmas Wilayah Kabupaten Pasuruan

Firdaus, Nikmatul, Sudiro, Sudiro, Mawarni, Atik

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1110317

Abstract

Pada tahun 2006 sosialisasi program MTBS dan pelatihan kepada petugas puskesmas telahdilakukan, dimana masing-masing Puskesmas diwakili oleh 1 orang tenaga medis (dokter)dan 2 orang tenaga paramedis (bidan, perawat). Akan tetapi kematian balita di kabupatenPasuruan mengalami kenaikan, yaitu tahun 2007 sebesar 5,2/1000 kelahiran hidup, tahun2008 sebesar 5,4/1000 kelahiran hidup dan tahun 2009 sebesar 6,1/1000 kelahiran hidup. Darikematian tersebut diketahui penyebabnya antara lain karena gizi buruk, pneumonia, DBD,diare serta infeksi. Oleh karena itu perlu dilakukan analisis terhadap faktor faktor dalamimplementasi program MTBS di Puskesmas Kabupaten Pasuruan. Jenis penelitian adalahdeskriptif kualitatif, metode sampling yang digunakan adalah purposive sampling. Sebagaiinforman utama adalah petugas MTBS (dokter, bidan, perawat) di Puskesmas wilayahperkotaan dan pinggiran kota yang melakukan MTBS, berjumlah 12 orang. Sedangkansebagai informan triangulasi adalah 4 kepala Puskesmas, satu Kasie Kesga Dinas KesehatanKabupaten Pasuruan. Variabel dalam penelitian ini adalah faktor komunikasi, faktor sumberdaya, faktor disposisi, serta faktor struktur birokrasi. Penelitian memberikan hasil sosialisasidan pelatihan program MTBS sudah dilakukan. Petugas yang melayani balita sakit belummenunjang keberhasilan pencapaian tujuan MTBS oleh karena belum semua petugasmendapatkan pelatihan MTBS, jumlah petugas tidak sebanding dengan jumlah balita sakityang berkunjung. Seluruh petugas MTBS mempunyai sikap positif untuk mendukungprogram MTBS. Meskipun sudah tersedia SOP namun tidak semua petugas menggunakannyadalam melayani MTBS.Pembinaan dari DKK belum dilakukan rutin, supervisi masihbersifat umum, serta tidak ada tindak lanjut yang diberikan. Agar pelayanan MTBS terlaksanadengan baik maka perlu ditingkatkan sosialisasi SOP yang disertai pelatihan yang meratauntuk semua petugas serta supervisi yang spesifik pada MTBS.

Evaluation on the Implementation of Mobile Clinic Program in Maternal Health Service in Sorong City of West Papua Province

Egam, Adriana, Kartasurya, Martha Irene, Sriatmi, Ayun

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1210318

Abstract

Ministry of Health implemented mobile clinic program to bring health service access closer tothe community in Papua land. Target coverage of mobile clinic program was not attained,although the cost spent was very high. Objective of the study was to evaluate the implementationof mobile clinic program in maternal health service in Sorong city of West Papua province. Thiswas a descriptive-qualitative study. Main informants were all team of mobile clinic of Sorongcity. Triangulation informants were mobile clinic cadres and mobile clinic managers. Contentanalysis was applied in the data management. Results of the study showed that planning hadbeen done by all mobile clinic teams. There were limited staffs in two primary healthcarecenters(puskesmas), and this situation allowed choosing executor workers from other work units.Organizational activities with empowerment of cadres had been done properly. There were twopolicies that did not agree with technical guidelines in the actuating and implementing of theprogram namely addition of staffs and changing of mobile clinic team (TMC) personnel.Addition of the staffs increased coverage and added type of service. The added type of servicewas an integrated antenatal care (ANC). The change of TMC personnel with untrainedpersonnel caused a fail to attain the target coverage. Collaboration among teams, crossprograms and sectors had been performed well. Reporting was not good, and supervision donedid not provide inputs. Difficulty in reaching location and expensive transportation costs did nothamper services due to sufficient funding allocation support. Reimplementation of the programwith technical guidance improvement and budget aligned with Perda is recommended.Key Words: Evaluation, Mobile Clinic, Maternal Health, Planning, Organizing

Factors Related to the Midwaves’ Work Performance on Anemic Pregnant Women Manegement in Singkawang City, Kalimantan Barat

Nasla, U. Evi, Widagdo, Laksmono, Purnami, Cahya Tri

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1210319

Abstract

WHO estimates that approximately 40 % of maternal death in developing countries areassociated with anemia in pregnancy. Anemia in pregnancy is often called a "potential danger tomother and child", there for requires serious attention of all relevant parties, especially in healthcare. Detection of cases of anemia in pregnancy has not been conducted in accordance with thestandard management of anemia in pregnancy. There for it is necessary to analyze the factorsthat affect the performance of midwives in the management of anemia in pregnancy inSingkawang. The general objective of the study to determine the factors that affect theperformance of midwives in the management of anemia in pregnancy in Singkawang. Typeanalytic approach Retrospective survey research. The study population is the entire area of thehealth center midwife Singkawang totaling 110 people. The sample as many as 52 people from 5 regions Singkawang Health Center. The independent variables of knowledge, infrastructure,leadership , motivation and communication. The dependent variable performance of midwives inthe management of anemia in pregnancy. Data were collected by interviews using a structuredquestionnaire and observation. Data analyisis using the Spearman rank and logistic regression.The results of the study the majority of midwives aged between 20-35 years (63.5 %), educationDIII/DIV/S1 Midwifery (90.4 %), service life ≥ 10 years (55.8 %). Performance categorizedeither midwives (59.6 %), good knowledge (51.9 %), the complete infrastructure (53.8 %), goodleadership (63.5 %), good motivation (55.8 %), good communication (53.8 %). Allindependentvariables (knowledge, infrastructure, leadership, motivation and communication) has a value ofρ< 0,05, which means there is a connection with the performance of midwives in themanagement of anemia in pregnancy. Results of multivariate analysis , the variables that affectthe performance of midwives in the management of anemia in pregnancy is knowledge (ρ=0.002)and leadership (ρ=0.006).

Factors Affecting Village Midwives Work Performance in Conducting Early Detection of High Risk Pregnancy in the Antenatal Care in South Bengkulu District

Yunita, Harlen, Kuntjoro, Tjahjono, Purnami, Cahya Tri

Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Original Source | Check in Google Scholar | | DOI: 10.14710/jmki1210320

Abstract

Antenatal care provided health service for pregnant women and their fetuses according to theminimum standard of 7T, and minimum of four examinations during pregnancy. These standardswere intended to assure protection to pregnant women, such as risk factors early detection,complication prevention and management. Based on the coverage of maternal and children localarea monitoring (PWS-KIA), maternal and infant mortality rates, and preliminary survey tovillage midwives, it was concluded that work performance of village midwives was stillinadequate. Objective of this study was to identify factors affecting work performance of villagemidwives in conducting early detection of high risk pregnancy in the antenatal care. This was anexplanatory research with cross sectional approach. Data were collected using structuredquestionnaire and observation. Study population was village midwives. Samples consisted of 93respondents who were selected using simple random sampling technique. Results of the studyshowed that 73.1% of village midwives’ age were in the range of 25-35 years old, and 37.6% ofvillage midwifes duration of work were in the range of 36-60 months. Bivariate analysis withcross tabulation and Pearson Product Moment test indicated that variables related to workperformance were knowledge (p= 0.000), motivation (p= 0.004), perception on supervision ofcoordinator midwives (p= 0.016), and perception on workload (p= 0.047). Multivariate analysisusing multivariate logistic regression test indicated common effect of knowledge and facilitiesvariables with significance value of 0.000 and r 2 = 0.394; it meant that 39.4% of workperformance variable could be explained by variation of those two variables. District healthoffice is expected to provide training, to complete facilities for village midwives before startingto work in the village; to form team or committee as a consultation place. Puskesmas is expectedto complete documentation facilities; head of puskesmas and coordinator midwives are advisedto actively doing supervision.

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