scholarly journals Factors Related to Giving Hb0 Immunization at Batu Anam Health Center, Simalungun

2021 ◽  
Vol 5 (4) ◽  
pp. 123-128
Author(s):  
Sondang Sidabutar ◽  
Srirahma Friani

More than 11 million people with Hepatitis-B in Indonesia, with a low prevalence of hepatitis B, most of the sufferers were aged 20-40 years, while in countries with a high prevalence of hepatitis B, the majority of people with hepatitis B were children.. The purpose of this study was to determine the factors associated with giving Hb0 immunization to infants. The design of research was analytical. The study population was all mothers who had babies 0-7 days in Batu Anam Community Health Center. The sample size was 60 people. The research results were obtained based on the provision of Hb0 immunization, it was known that the majority of respondents were not given the Hb0 immunization as many as 33 respondents (55.0%) and the minority of respondents were given the Hb0 immunization as many as 27 respondents (45.0%) and it could be concluded that there was a relationship between education, work, number of children, knowledge, helpers. delivery, delivery assistance and family support for Hb0 immunization in infants. It is hoped that this research can become input for health workers to improve the quality of health services and education as well as information about Hb0 immunization in infants by providing counseling. Keywords: Hb0 immunization; infants

2021 ◽  
Vol 2 (2) ◽  
pp. 41-50
Author(s):  
Melda Andriani ◽  
Megawati Megawati ◽  
Asriwati Asriwati ◽  
Lucia Lastiur

Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of ​​the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.


2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli

The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future research on factors influencing HIV-related stigma is needed to improve patients’ quality of life.


Author(s):  
Adam Badwi ◽  
Periyenti Ba'ru

Background: During the COVID-19 pandemic that has hit the world including the Indonesia since March 2020, it may not reduce the quality of public health services at the Community Health Center for visiting people on the one hand, however, on the other hand, it is still necessary to prioritize the safety of patients and health workers. Health services at the Community Health Center during the Covid-19 Pandemic will be very different from the situation before COVID-19.Methods: The research was conducted using quantitative research with a descriptive approach which was carried out at the Pontap Community Health Center, Palopo City for 3 months, namely September to November 2020.The population in this study were all patients who visited the Pontap Community Health Center in Palopo City at the time of the study with a sample of 130 people who were determined using purposive sampling technique.Results: The results of the study showed the reliability of health workers in the good category was 93.8%, the health worker assurance in the good category was 90.0%, tangibles displayed by health workers was more in the good category, namely 88.5%, empathy for health workers was 93.8%, good responsiveness of 90.0%.Conclusions: So it is concluded to provide recommendations, namely for health workers to maintain professionalism at work, especially during the COVID-19 pandemic and increase their attention to patients in terms of building good communication between health workers and the public.


2021 ◽  
Vol 4 (6) ◽  
pp. 1459-1464
Author(s):  
Maria Sriana Banul ◽  
Silfia A.N. Halu ◽  
Yuliana Suryati ◽  
Maria Fridolin Kawu

ABSTRAK Kepercayaan masyarakat Manggarai Timur terhadap dukun sebagai penolong persalinan masih cukup tinggi. Program kemitraan dukun dengan bidan merupakan salah satu cara untuk mencegah terjadinya pertolongan persalinan oleh dukun. Program ini sebagai salah satu strategi untuk meningkatkan cakupan pertolongan persalinan oleh tenaga kesehatan. Kegiatan ini dilakukan untuk meningkatkan program kemitraan dukun dengan bidan di Wilayah Kerja Puskesmas Mamba Kabupaten Manggarai Timur, sehingga cakupan pertolongan persalinan oleh dukun tidak terjadi lagi. Kegiatan ini diikuti oleh kepala puskesmas, dukun, dan bidan setempat. Motode yang digunakan adalah melalui edukasi dengan penyajian materi menggunakan metode ceramah, diskusi, tanya jawab serta pembagian leaflet dan lembar balik kepada peserta. Semua peserta yang ikut dalam kegiatan ini sangat antusias dan aktif dan mampu memahami materi yang disampaikan. Peserta bersama bidan dan pemerintah setempat berkomitmen untuk bekerja sama dalam meningkatkan program kemitraan dukun dan bidan ini. Diharapkan, dengan kegiatan ini cakupan pertolongan persalinan oleh dukun tidak terjadi lagi. Kata Kunci: Kemitraan, Dukun, Bidan, Persalinan  ABSTRACT The trust of the East Manggarai community towards traditional healers as birth attendants is still quite high. The shaman's partnership program with the midwife is one way to prevent birth assistance by shamans. This program is one of the strategies to increase the coverage of delivery assistance by health workers. This activity was carried out to improve the traditional healer's partnership program with midwives in the Mamba Health Center Work Area, East Manggarai Regency so that the coverage of delivery assistance by traditional birth attendants would no longer occur. This activity was attended by the head of the health center, traditional healers, local midwives, and pregnant women. The method used is through education by presenting the material using lecture, discussion, question and answer methods, and distributing leaflets and flipcharts to participants. All participants who took part in this activity were very enthusiastic and active and were able to understand the material presented. Participants together with midwives and the local government are committed to working together in improving this partnership program between traditional healers and midwives. It is hoped that with this activity the coverage of delivery assistance by traditional birth attendants will not occur again.  Keywords: Partnership, traditional healers, midwives, childbirth


2022 ◽  
Vol 1 (1) ◽  
pp. 134-148
Author(s):  
Siti Mar'atus Sholikah ◽  
Sri Anggraeni ◽  
Ari Tri Rahayu

ABSTRAK Indikator keteraturan pemeriksaan kehamilan menggambarkan kualitas pelayanan Program Kesehatan Ibu dan Anak (KIA). Pada tahun 2019 di Puskesmas Kalitidu cakupan Kunjungan Kehamilan (K4) di Puskesmas Kalitidu belum mencapai target 100% yaitu tercapai 91%. Komplikasi kehamilan targetnya 15-20%, tercapai 40.96% dan komplikasi persalinan 44,17%. Angka Kematian Bayi (AKB) sebesar 8,13/1000 KH. Sedangkan Bidan di wilayah Puskesmas Kalitidu yang belum mengikuti pelatihan KIP/K sebesar 20 orang (90,91%) dari 22 bidan.Tujuan umum untuk meningkatkan pengetahuan dan keterampilan Bidan  melalui pelatihan bidan tentang Komunikasi Interpersonal dan Konseling (KIP/K) dalam upaya peningkatan kualitas ANC. Pelatihan ini dilaksanakan selama tiga hari di Puskesmas Kalitidu, diikuti 22 bidan dengan metode ceramah tanya jawab,demonstrasi dan praktik KIP/K. Hasil kegiatan adalah peningkatan kualitas Bidan dalam KIP/K yaitu peningkatan pengetahuan dengan nilai rata-rata post tes 94,55 %, keterampilan KIP/K nilai rata-rata 82,50%, terbentuknya Komitmen Bersama Bidan dalam mendukung mensukseskan kegiatan Bidan tentang KIP&K dalam upaya peningkatan kualitas ANC. Luarannya peningkatan kualitas Bidan, HKI, Modul dan jurnal. Saran: sosialisasi KIP/K pada Bidan yang belum mengikuti pelatihan dan 7 hak ibu hamil pada pelayanan ANC serta menerapkannya dalam pelayanan ANC. Kata kunci: Bidan, KIP/K, Pengabmas, pelatihan.  ABSTRACT The indicators of regularity for antenatal care describe the quality of services for the Maternal and Child Health Program (MCH). In 2019 at the Kalitidu Health Center cThe coverage of Pregnancy Visits (K4) at the Kalitidu Health Center has not reached the 100% target, which is 91%. The target for pregnancy complications is 15-20%, achieved 40.96% and delivery complications 44.17%. The Infant Mortality Rate (IMR) is 8.13/1000 KH. Meanwhile, 20 midwives in the Kalitidu Community Health Center have not attended KIP/K training (90.91%) out of 22 midwives. ANC quality. This training was held for three days at the Kalitidu Health Center, attended by 22 midwives with a question and answer lecture method, demonstration, and KIP/K practice. The result of the activity is an increase in the quality of Midwives in KIP/K, namely an increase in knowledge with an average post-test score of 94.55%, KIP/K skills an average score of 82.50%, the formation of a Joint Commitment of Midwives in supporting the success of Midwives' activities on KIP&K in an effort to improve the quality of ANC. The output is improving the quality of midwives, HKI, modules, and journals. Suggestion: socialization of KIP/K to midwives who have not attended training and 7 rights of pregnant women in ANC services and apply them in ANC services. Keywords: Midwife, KIP/K, Community Service, training.


KINDAI ◽  
2021 ◽  
Vol 17 (2) ◽  
pp. 227-241
Author(s):  
Setia Lestari

Abstrak: Setia Lestari,  Npm.1911.32202.5182, Pengaruh Komitmen Manajemen, Perilaku Positif Tenaga Kesehatan Dan Dukungan Dinkes Terhadap Kualitas Layanan Pada UPTD Puskesmas Di Kabupaten Barito Selatan Provinsi Kalimantan Tengah, Dibawah Bimbingan Lanny Purnama Kosasi Dan H.M. Zaid Abdurakhman, 2021. Tujuan penelitian ini adalah Untuk mengetahui dan menganalisi pengaruh komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh  secara simultan terhadap kualitas layanan, Untuk mengetahui dan menganalisi pengaruh komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh  secara parsial terhadap kualitas layanan dan untuk mengetahui dan menganalisis diantara komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes yang berpengaruh dominan terhadap kualitas layanan pada UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah.Populasi penelitian adalah tenaga kesehatan di UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah 685 sedangkan sampel 87 responden dengan analisis regresi berganda. Hasi uji hipotesis pertama diketahui bahwa komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh signfikan secara simultan terhadap kualitas layanan, uji hipotesis kedua diketahui bahwa komitmen manajemen, perilaku positif tenaga kesehatan dan dukungan Dinkes berpengaruh signfikan secara parsial terhadap kualitas layanan dan hasi uji hipotesis ketiga diketahui bahwa komitmen manajemen, berpengaruh signfikan secara dominan terhadap kualitas layanan pada UPTD Puskesmas di Kabupaten Barito Selatan Provinsi Kalimantan Tengah.   Kata Kunci : Komitmen Manajemen, Perilaku Positif, Dukungan Dinkes dan  Kualitas Layanan     Abstract: Setia Lestari, Npm.1911.32202.5182, The Effect Of Management Commitment, Positive Behavior Of Health Personnel And Dhopping Support On Quality Of Service At The UPTD Puskesmas In Barito Selatan District Province Kalimantan, Tengah. Under The Guidance Lanny Purnama Kosasi And Zaid Abdurakhman, 2021. The purpose of this study was to determine and analyze the effect of management commitment, positive behavior of health workers and the support of the Health Office simultaneously influence the quality of service, to determine and analyze the effect of management commitment, positive behavior of health workers and support from the Health Office partially affect service quality and to determine and analyze between management commitment, positive behavior of health workers and support from the Health Office which have a dominant influence on service quality at UPTD Puskesmas in South Barito Regency, Central Kalimantan Province. The study population was health workers at the UPTD Puskesmas in South Barito Regency, Central Kalimantan Province, 685 while the sample was 87 respondents with multiple regression analysis. The results of the first hypothesis test are known that management commitment, positive behavior of health workers and support from the Health Office have a significant simultaneous effect on service quality, the second hypothesis test is known that management commitment, positive behavior of health workers and support from the Health Office have a partially significant effect on service quality and the results of hypothesis testing Third, it is known that management commitment has a dominant significant effect on service quality at the UPTD Puskesmas in South Barito Regency, Central Kalimantan Province.   Keywords: Management Commitment, Positive Behavior, Health Office Support and Service Quality


Author(s):  
Eman M. Ezzat ◽  
Maher A. Al Amir ◽  
Abdelrahman A. Ewais

Background: Hypertension is a preventable cause of premature death worldwide. Data from the Egyptian National Hypertension Project (NHP) revealed that hypertension is a significant problem among Egyptians. We studied the prevalence of hypertension, related risk factors and its complications in Fayoum governorate. Patients and Methods: This study included 2800 Egyptian participants aged 18 to 60 years old from Fayoum governorate selected randomly from different places in Fayoum governorate. Blood pressure was measured for them. Re-measurement for those with BP measurements ≥ 140/90 was done with a further assessment. Known hypertensive patients were thoroughly evaluated by clinical examination and laboratory investigations. Results: Our survey revealed that the prevalence rate of hypertension in Fayoum governorate was 28.4% (19.3% were aware and 9.1% were first diagnosed and unaware of their hypertension), 11% of the study population were pre-hypertensives. Poorly controlled hypertensive patients were 59.9%. Of all hypertensive patients, 63.4% of them were females, 87.9% of them were overweight and obese, while 26.3% of them had diabetes mellitus. Also, 41% of known hypertensive patients had complications. Conclusion and Recommendations: There is a high prevalence rate of hypertension in Fayoum governorate. More knowledge is required to reveal the reasons behind this high prevalence in addition to the low levels of control and awareness of hypertension, to put the appropriate strategy to improve the rate of control, awareness, and quality of life of hypertensive patients in Egypt.


NSC Nursing ◽  
2021 ◽  
pp. 20-33
Author(s):  
Lia Artika Sari ◽  
Yuli Suryanti ◽  
Enny Susilawati

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services


2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 


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