scholarly journals Analisis Kendala Penggunaan Sistem Informasi JSC with FAI di Kabupaten Jember berdasarkan Theory of Constraint (TOC)

2020 ◽  
Vol 11 (1) ◽  
pp. 84
Author(s):  
Maya Weka Santi ◽  
Atma Deharja
Keyword(s):  
Information System ◽  
Group Discussion ◽  
Financial Knowledge ◽  
Financial Constraint ◽  
District Health Office ◽  
District Health ◽  
Descriptive Research ◽  
Depth Interview ◽  
System Data ◽  
Theory Of Constraint

Jember Safety Center (JSC) with Fokus Anak Ibu (FAI) is an information system based on android to optimize the implementation of pregnant women referral in Jember Regency, but it is not running well. This research aims to analyze the constraints of JSC with FAI in Jember Regency based on Theory of Constraint from several aspects as market, resources (people and equipment), material, vendor, financial, knowledge, dan policy. It was a descriptive research. The object of research was JSC with FAI information system. Data were collected by questionnaire, in-depth interview, group discussion, and document study. Market constraint was the information system capability was not accordance with end user’s demand. People constraint was respondent did not really understand what features were in JSC with FAI. Equipment constraint indicated frequent Wi-Fi errors when inputting data; server in the Jember District Health Office often deal with problems; android mobile phones that used to input the data had limited memory and full of memory. Material constraint was no manual guide for user. There was also a problem with vendor of JSC with FAI, so the maintenance of information system could not be done optimally. There was no financial constraint of JSC with FAI information system. Knowledge or competence constraint was the respondent was still not familiar with the features of JSC with FAI. The policy constraint showed the Absence of policies which support the use of JSC with FAI in Healthcare Center and Jember District Health Office. Keywords: theory of constraint; Jember Safety Center; Fokus Anak Ibu ABSTRAK Jember Safety Center (JSC) with Fokus Anak Ibu (FAI) merupakan suatu sistem informasi berbasis android untuk mengoptimalisasi pelaksanaan rujukan ibu hamil dan bersalin di Kab. Jember dan masih belum berjalan secara optimal. Tujuan penelitian adalah menganalisis kendala penggunaan sistem informasi JSC with FAI di Kabupaten Jember berdasarkan Theory of Constraint (TOC) melalui beberapa aspek antara lain market, resources (people and equipment), material, vendor, financial, knowledge, dan policy. Ini adalah penelitian deskriptif observasional dengan pendekatan sistem. Objek penelitian adalah sistem informasi JSC with FAI. Data dikumpulkan melalui kuesioner dan wawancara mendalam, diskusi kelompok terarah, dan studi dokumen. Market constraint adalah kemampuan sistem informasi masih belum sesuai dengan tuntutan end user. People constraint adalah responden belum begitu paham tentang fitur apa saja yang ada di JSC with FAI. Equipment constraint menunjukkan wifi sering error saat melakukan penginputan data; server yang ada di Dinas Kesehatan Kabupaten Jember sering mengalami gangguan; handphone android yang digunakan menginputkan data kesehatan ibu dan bayi memiliki memori yang terbatas dan sering kali memori penuh. Material constraint adalah tidak ada manual guide. Vendor/ supplier constraint adalah vendor pembuat sistem informasi JSC with FAI sedang bermasalah, sehingga perbaikan dan pemeliharaan sistem tidak dapat dilakukan secara optimal. Tidak ada financial constraint dalam pengoperasian sistem informasi JSC with FAI. Knowledge atau competence constraint adalah responden belum begitu paham dengan fitur apa saja yang ada di sistem informasi JSC with FAI. Policy constraint adalah belum adanya kebijakan yang mendukung penggunaan JSC with FAI di lingkungan Puskesmas dan Dinas Kesehatan Kabupaten Jember. Kata kunci: theory of constraint; Jember Safety Center; Fokus Anak Ibu

scholarly journals Analisis Implementasi Sosialisasi Pemberian Asi Eksklusif Oleh Bidan Praktek Swasta (BPS) Di Kabupaten Bengkulu Selatan

2017 ◽  
Vol 4 (2) ◽  
pp. 156-161
Author(s):  
Lela Hartini ◽  
Martha Irene Kartasurya ◽  
Susi Herawati
Keyword(s):  
Infant Formula ◽  
Exclusive Breastfeeding ◽  
Private Practice ◽  
Group Discussion ◽  
Standard Operating Procedure ◽  
District Health Office ◽  
District Health ◽  
Depth Interview ◽  
Regulation Policy ◽  
Data Collection Technique

Profile of South Bengkulu district health office 2008 – 2009 did not include data on exclusive breastfeeding coverage. Private practice midwives (BPS) did not have standard operating procedure (SOP) in providing obstetric service. One of midwives duties was to provide exclusive breastfeeding socialization to pregnant women, childbearing mothers and community. The objective of this study was to analyze the implementation of exclusive breastfeeding socialization by BPS in South Bengkulu district. This study applied qualitative method and using in-depth interview as data collection technique. The main informant was 3 private practice midwives in the city area and 2 private practice midwives in the rural area. Triangulation was done to 5 head of puskesmas, chief of nutritional unit and head of Indonesian Midwifery Association (IBI). Focus group discussion was conducted to 3 mothers and 3 people in the community (family member of the patient) in each selected BPS. Results of the study showed that implementation of exclusive breastfeeding socialization variable was still limited to individual education and no education materials were provided. There was no communication among head of puskesmas, head of district health office and head of IBI towards BPS. BPS facilities were still insufficient to support the success of exclusive breastfeeding. Disposition had not supported exclusive breastfeeding coverage improvement. In the bureaucracy structure variable, there was no reporting format from BPS to puskesmas on exclusive breastfeeding socialization implementation in South Bengkulu district. It was suggested to district health office to formulate regulation policy in the form of decree regarding exclusive breastfeeding and to forbid collaboration between BPS and infant formula companies. Head of puskesmas had to do supervision and monitoring to BPS. Private practice midwives were expected to improve the frequency of exclusive breastfeeding socialization and to avoid collaboration with infant formula companies.

scholarly journals Analisis Manajemen Pengawasan dan Pengendalian Penyalahgunaan Formalin di Dinas Kesehatan Kabupaten Tangerang

2007 ◽  
Vol 2 (2) ◽  
pp. 51
Author(s):  
Hendri Hartati
Keyword(s):  
Depth Information ◽  
District Health Office ◽  
Risk Area ◽  
District Health ◽  
Laboratory Equipment ◽  
High Risk Area ◽  
Depth Interview ◽  
The Media ◽  
Qualitative Technique ◽  
And Control

Banyak industri makanan Tangerang ditemukan menggunakan bahan pengawet formalin. Tujuan penelitian ini mengetahui peranan Dinas Kesehatan (Dinkes) Kabuaten Tangerang mengawasi dan mengendalikan formalin pada makanan. Penelitian ini dilakukan pada Nopember 2006-Pebruari 2007. Dengan metode kualitatif wawancara mendalam dan penelusuran dokumen. Sumber data adalah Dinkes Kabupaten Tangerang dan Puskesmas terpilih. Pera respondenadalah Kepala Dinkes Kabid Yankes; Kasi Pengawasan makanan dan minuman; Staf pelaksana Dinkes dan Puskesmas. Hasil yang ditemukan meliputi pengawasan dan pengendalian formalin dilakukan oleh dinas kesehatan secara rutin sejak tahun 2004. Namun, program intensif ketika merebak issue kandungan formalin dalam makanan, tahun 2006. Masalah yang dihadapi: peraturan belum tersosialisasi, dana terbatas, tenaga wasdal terbatas dan tugas rangkap. Pemeriksaan sampel secara kuantitatif dilakukan di BPOM, pemeriksaan kualitatif mulai dilakukan tetapi masih terbatas kerena puskesmas belum punya alat. Material sudah mendukung pelaksanaan wasdal formalin. Jadwal kegiatan ada dan disusun di tingkat puskemas. Data tersedia tetapi tidak tersusun dalam sistem informasi. Buku panduan kegiatan belum ada. Faktor yang mendukung antara lain kerjasama lintas sektor; partisipasi laporan masyarakat, dan supervisi oleh POM/ Dinkes propinsi. Kabupaten Tanggerang Faktor yang menghambat adalah area kerja luas, sumberdaya dan faktor pendukung, iterbatas ndustri makanan (UKM), jasa boga, rumah makan dan pasar yang banyak. Perlu dilakukan upaya peningkatan sumberdaya dan faktor-faktor yang mendukung serta mengatasi hambatan yang ada.Kata kunci : Pengawasan, pengendalian, formalinAbstractThe district of Tangerang is a high risk area of the misuse of formaldehyde as food preservative. Researches show that many types of food are contaminated by formaldehyde. The aim of this study was to obtain in-depth information on the implementation, supervision and control of formaldehyde misuse managed by the Tangerang District Health Office. This study is a descriptive study using qualitative technique with District Health Office as analysis unit. In-depth interview technique and document analysis were used to collect data. The variables of this research were determined before the research conducted. The study showed that the process of management had not been successfully implemented in an intensive way except in the occasion when the issue was published extensively in the media. Non-intensive supervision and controlling happened due to some factors namely, lack of resources (regulation, money, personnel, laboratory, equipment, and guideline), non-routine inter-sector collaboration, and non-periodic supervision from province level. In order to achieve the optimal supervision and controlling activity, it is suggested that the resources and supporting factors should be enhanced through varied strategies.Keywords : Supervision, controlling, formaldehyde

scholarly journals PENGEMBANGAN SISTEM INFORMASI TB PARU TERINTEGRASI BERBASIS WEB UNTUK EVALUASI PROGRAM TB PARU DI WILAYAH PERBATASAN KABUPATEN SINTANG

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Evy Hariana ◽  
Gandha Sunaryo Putra
Keyword(s):  
Information System ◽  
Qualitative Methods ◽  
Quantitative Methods ◽  
System Development ◽  
Border Region ◽  
P Value ◽  
District Health Office ◽  
District Health ◽  
Pulmonary Tb ◽  
Hiv Aids

ABSTRAKTuberkulosis Paru (TB Paru) merupakan penyakit yang endemis di Kabupaten Sintang. Akan tetapi evaluasi program TB Paru tidak berjalan sebagaimana mestinya. Hal ini disebabkan karena pengelolaan data TB masih dilakukan secara manual sehingga timbul permasalahan laporan tidak tepat waktu, sulitnya untuk mengakses informasi dan laporan mengenai pasien TB dengan HIV-AIDS masih belum ada. Tujuan dari penelitian ini adalah untuk mengembangkan sistem informasi TB Paru terintegrasi berbasis Web untuk mendukung evaluasi program TB Paru Di Wilayah Perbatasan Kabupaten Sintan. Metode penelitian ini adalah metode kuantitatif dan kualitatif. Metode kuantitatif digunakan untuk mengevaluasi kualitas informasi setelah dilakukan pengembangan sistem informasi menggunakan kuesioner. Sementara metode kualitatif digunakan untuk membantu dalam proses indentifikasi pada setiap tahapan dalam metodologi pengembangan sistem menggunakan tekhnik wawancara mendalam (indept interview) kepada pengguna sistem. Hasil penelitian menunjukkan terdapat pengaruh yang positif dan signifikan tentang aksesibilitas informasi (p value=0,008), kecepatan untuk memperoleh informasi (p value=0,016), dan ketepatan waktu informasi (p value=0,016) sebelum dan sesudah sistem dikembangkan. Perlu adanya dukungan dan komitmen dari Dinas Kesehatan Kab. Sintang dalam mendukung implementasi dari Sistem Informasi TB terintegrasi sebagai sumber informasi untuk mendukung evaluasi kegiatan TB di Dinas Kesehatan Kab. Sintang.Kata-kata kunci : TB Paru, sistem informasi, kabupaten sintangABSTRACTPulmonary tuberculosis is an endemic disease in Sintang Regency. However, the evaluation of the Pulmonary TB program did not proceed as it should. This is due to the fact that TB data management is still done manually resulting in problems with reports that are not timely, it is difficult to access information and reports regarding TB patients with HIV-AIDS. The purpose of this research is to develop a Web-based integrated pulmonary TB information system to support the evaluation of the Pulmonary TB program in the Border Region of Sintang Regency. This research method is quantitative and qualitative methods. Quantitative methods are used to evaluate the quality of information after the development of information systems using a questionnaire. While qualitative methods are used to assist in the identification process at each stage in the system development methodology using indepth interview techniques to system users. The results showed a positive and significant effect on information accessibility (p value = 0.008), speed to obtain information (p value = 0.016), and timeliness of information (p value = 0.016) before and after the system was developed. There needs to be support and commitment from the District Health Office. Sintang in supporting the implementation of the integrated TB Information System as a source of information to support the evaluation of TB activities in the District Health Office. SintangKeywords : Pulmonary tuberculosis, information systen, sintang regency

EVALUASI INPUT SISTEM INFORMASI TB TERPADU (SITT) DI WILAYAH KERJA DINAS KESEHATAN KABUPATEN SINTANG

2018 ◽  
Vol 11 (2) ◽  
Author(s):  
Gandha Sunaryo Putra ◽  
Evy Hariana
Keyword(s):  
Information System ◽  
Global Fund ◽  
Evaluation Process ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
The Internet ◽  
District Health Office ◽  
District Health ◽  
West Kalimantan ◽  
Pulmonary Tb

ABSTRACTBackground: Sintang Regency is one of the regencies in West Kalimantan Province that is endemic to pulmonary TB with CNR in 2017 of 95 / 100,000 inhabitants. Addressing cases of pulmonary TB that are always high, one of the important roles that must be performed by the Sintang District Health Office is to monitor and evaluate the pulmonary TB program. However, this does not work as it should because the Integrated TB Information System(ITIS) in each puskesmas does not  work. This impedes the evaluation process at the Sintang District Health Office.  Research Objectives: Conduct Input Evaluation of Integrated TB Information System in the Sintang District Health Office Working Area.Methods: This research is a descriptive study with a qualitative approach. This research was conducted in May-June 2018 in the Working Area of the Sintang District Health ServiceResults: There is no problem with the availability of HR to operate ITIS. Problems were found in ITIS supporting facilities and infrastructure especially on the internet network and ITIS Software version 10.04 which could not operate on all computers managing TB programs. Constraints were also found in the limited funds supporting the implementation of ITIS which only relied on funds from the Global Fund. There is no special allocation of funds from the Sintang District Health Office for the implementation of ITIS.

scholarly journals District Health Information System on Maternal, Newborn and Child Health How Good Is It? A Case of Deli Serdang and Sumedang Districts

2010 ◽  
Vol 4 (5) ◽  
pp. 230
Author(s):  
Anhari Achadi
Keyword(s):  
Information System ◽  
Health Information ◽  
Health Information System ◽  
Routine Data ◽  
Monitoring And Evaluation ◽  
District Health ◽  
Inaccurate Data ◽  
Depth Interview ◽  
And Child Health ◽  
Village Health

Valid data and information are critical for any health programs, in particular for planning, monitoring and evaluation purposes. District Health Information System is designed to produce routine data on process and output type of indicators at district level. This study, taking place at Deli Serdang and Sumedang districts, has its objectives as to learn about the current practice of DHIS, specifically looking at its process and the availability, quality and utilization of thedata. Methods of data collection include in-depth interview with stakeholders at village, health facility and district levels, examination of existing forms at all levels as well as other documents and reports. Findings suggest that weaknesses of DHIS prevail at each level of the system. Complexity of the system has produced inaccurate and suboptimal the use of generated data and information.Key words : District health information system, inaccurate data and informationAbstrakData dan informasi yang valid sangat penting untuk program kesehatan, terutama untuk perencanaan, pemantauan, dan evaluasi. Sistem Informasi Kesehatan Kabupaten dibuat untuk menghasilkan data rutin tentang indikator proses dan output program kesehatan di tingkat kabupaten. Studi ini, yang dilakukan di kabupaten Deli Serdang dan Sumedang, bertujuan untuk mengetahui proses bekerjanya SIK Kabupaten, serta ketersediaan, kualitas dan penggunaan data yang dihasilkan. Pengumpulan data dilakukan dengan menggunakan beberapa cara, yaitu wawancara mendalam dengan para pemangku kepentingan di desa, fasilitas kesehatan, dan kabupaten, pemeriksaan formulir-formulir yang digunakan disemua tingkatan, dokumen lainnya, serta laporan. Temuan studi menunjukkan adanya kelemahan-kelemahan SIK dalam semua tingkatan. Karena kompleknya, sistem menghasilkan data dan informasi yang tidak akurat, dengan tingkat penggunaan yang rendah.Kata kunci : Sistem informasi kesehatan kabupaten, data dan informasi yang tidak akurat

scholarly journals Perancangan Model Sistem Informasi Tuberkulosis Paru Terintegrasi Berbasis Web

2019 ◽  
Vol 5 (1) ◽  
pp. 40
Author(s):  
Gandha Sunaryo Putra ◽  
Evy Hariana
Keyword(s):  
Information System ◽  
Control Program ◽  
System Model ◽  
Research Subjects ◽  
District Health Office ◽  
District Health ◽  
Web Based ◽  
Pulmonary Tb ◽  
Tb Control ◽  
Tb Control Program

Abstract: Design of Web-Based Integrated Pulmonary Tuberculosis Information Model. Pulmonary TB is one of the health problems in Sintang District where in 2016 Pulmonary TB Case Notifcation Rate (CNR) is 100/100,000 population. An important step that must be carried out by the Sintang District Health Office is to evaluate the Pulmonary TB program. Based on preliminary studies, the evaluation of the Pulmonary TB control program is still not working properly. This is because the data management process is still done manually so that reports are often late. Therefore, the need for an appropriate information system model and in accordance with the needs of TB program users to support the evaluation of the Pulmonary TB program. The purpose of this study was to design a web-based integrated pulmonary TB information system model to support the evaluation of Pulmonary TB programs. This research is a qualitative research. Subjects in this study were all users of the TB information system consisting of Head of Division, Section Head, TB Wasor, TB Staff in Health Service and several managers of Pulmonary TB programs. The results of this study were obtained a design model of integrated WEB-based TB information system based on the needs and desires of system users. Sintang District Health Office is recommended to build a system that has been designed based on the needs of system users so that the problem of the TB information system can be overcome. Abstrak: Perancangan Model Sistem Informasi Tuberkulosis Paru Terintegrasi Berbasis Web. TB Paru merupakan salah satu permasalahan kesehatan di Kabupaten Sintang yang pada tahun 2016 memiliki Case Notifcation Rate (CNR) sebesar 100/100.000 penduduk. Langkah penting yang harus dilakukan oleh Dinas Kesehatan Kabupaten Sintang adalah melakukan evaluasi program TB Paru. Kegiatan evaluasi program penanggulangan TB Paru masih belum berjalan sebagaimana mestinya. Hal ini disebabkan proses pengelolaan data masih dilakukan secara manual sehingga laporan sering terlambat. Oleh karena itu, perlu dikembangkan suatu model Sistem Informasi yang tepat serta sesuai dengan kebutuhan pengguna program TB guna mendukung evaluasi program TB Paru. Tujuan penelitian ini adalah untuk merancang model Sistem Informasi Tuberkulosis Paru terintegrasi berbasis Web untuk mendukung evaluasi program TB Paru. Penelitian ini merupakan penelitian kualitatif. Subjek dalam penelitian ini adalah semua pengguna Sistem Informasi TB yang terdiri dari Kepala Bidang, Kepala Seksi, Wasor TB, Staf TB Dinas Kesehatan dan beberapa pengelola program TB Paru. Penelitian ini menghasilkan suatu model rancangan Sistem Informasi TB terintegrasi berbasis WEB berdasarkan kebutuhan dan keinginan dari pengguna sistem. Disarankan kepada Dinas Kesehatan Kabupaten Sintang untuk membangun sistem yang sudah dirancang berdasarkan kebutuhan dari pengguna sistem sehingga permasalahan Sistem Informasi TB bisa diatasi.

scholarly journals Development of Administration Information System Using Web-Based Vaccine to Support Immunization Management at West Aceh District Health Office

2017 ◽  
Vol 5 (3) ◽  
pp. 56-64
Author(s):  
Fikri Faidul Jihad ◽  
Eko Sediyono ◽  
Nurjazuli Nurjazuli
Keyword(s):  
Information System ◽  
District Health Office ◽  
District Health ◽  
Web Based

Universitas DiponegoroFakultas Kesehatan MasyarakatProgram Studi Magister Ilmu Kesehatan MasyarakatKonsentrasi Sistem Informasi Manajemen Kesehatan2017 ABSTRAK Fikri Faidul JihadPengembangan Sistem Informasi Administrasi Penggunaan Vaksin Berbasis Web untuk Mendukung Pengelolaan Imunisasi di Dinas Kesehatan Kabupaten Aceh Baratxvii + 137 halaman + 28 tabel + 41 gambar + 15 lampiran  Imunisasi terbukti efektif dalam mencegah berbagai penyakit yang dapat dicegah dengan imunisasi (PD3i). Mekanisme penyelenggaraan imunisasi termasuk pengelolaan rantai vaksin, pencatatan dan pelaporan serta supervisi dan bimbingan teknis. Agar pelaksanaan program imunisasi berhasil, maka semua unsur harus berjalan dengan baik, termasuk manajemen penggunaan vaksin yang bertujuan terhadap peningkatan pengelolaan administrasi vaksin imunisasi. Tujuan dari penelitian ini adalah untuk mengembangkan sistem informasi administrasi penggunaan vaksin untuk mendukung pengelolaan imunisasi di Dinas Kesehatan Kabupaten Aceh Barat.Jenis penelitian yang digunakan merupakan Pra-Eksperimental Design (One-Group Pretest-Postest Design). Pengembangan sistem menggunakan metode FAST (Framework for the Application of System Techniques). Subjek penelitian terdiri dari 7 responden untuk Analisa kebutuhan pengembangan sistem informasi dan 15 responden untuk uji coba sistem informasi. Hasil Analisis data secara deskriptif menunjukkan bahwa nlai rerata tertimbang secara keseluruhan kualitas informasi sebelum pengembangan sistem sebesar 2,27 dan setelah pengembangan sistem 3,36. Terdapat peningkatan nilai rerata sesudah pengembangan sistem sebesar 1,09 artinya terdapat perbedaan kelengkapan, kemudahan, kesesuaian, keakuratan, ketepatan waktu sebelum dan sesudah pengembangan sistem.Perlu adanya dukungan dan komitmen dari Dinas Kesehatan Kabupaten Aceh Barat untuk memanfaatkan sistem informasi ini sebagai sumber informasi untuk mendukung pengelolaan administrasi vaksin imunisasi di Dinas Kesehatan Kabupaten Aceh Barat. Kata kunci       : Sistem Informasi, administrasi vaksin, Dinas Kesehatan Kabupaten Aceh BaratKepustakaan   : 42 (2001-2015)

scholarly journals Kinerja Sanitarian Puskesmas

2009 ◽  
Vol 3 (5) ◽  
pp. 212
Author(s):  
Ardinal Ardinal
Keyword(s):  
Community Health ◽  
Health Center ◽  
Group Discussion ◽  
Community Health Center ◽  
Low Frequency ◽  
Public Access ◽  
District Health Office ◽  
District Health ◽  
Budget Policy ◽  
Low Performance

Program penyehatan air bersih dilaksanakan untuk pemenuhan akses masyarakat terhadap air bersih yang mencakup aspek jumlah dan kualitas. Untuk itu, perlu kerja keras pemegang program penyehatan air, khususnya sanitarian puskesmas yang merupakan ujung tombak pelaksanaan program di puskesmas. Tujuan penelitian ini mendapatkan gambaran kinerja petugas sanitasi Puskesmas dan faktor-faktor yang berperan di Kabupaten Solok Tahun 2007. Penelitian ini menggunakan pendekatan kualitatif melalui wawancara mendalam, Diskusi Kelompok Terarah dan observasi, dengan informan sanitarian puskesmas dilanjutkan triangulasi sumber dengan Kepala Puskesmas dan Kepala Bidang PL & PKM Dinas Kesehatan Kabupaten Solok. Kinerja sanitarian puskesmas dalam pelaksanaan program penyehatan air bersih yang rendah terlihat pada cakupan rendah, penyuluhan kurang, pembinaan pokmair kurang, pengawasan air kurang, sistem informasi program tidak jalan. Faktor yang berperan dalam kinerja sanitarian meliputi; kemampuan dan keterampilan kurang, supervisi dari Kabupaten dan Puskesmas kurang; pelatihan sanitarian yg kurang dan tidak sesuai kebutuhan, motivasi sanitarian rendah, imbalan dan dana operasional kurang, beban kerja tambahan, sarana dan prasarana tidak memadai, prioritas program kurang, akses wilayah kecamatan terisolir tidak lancar, serta prog-ram air bersih yang belum prioritas. Kata kunci : Program penyehatan air bersih, petugas sanitasi, air bersihAbstractHealthy and hygienic water program is implemented to fulfill public access to hygienic water, not only in quantity but also the quality of hygienic water consumed by public. This study aim is to describe performance of sanitation officer in community health center and factors related in Solok District in 2007. This study used qualitative method by in-depth interview, focus group discussion and observation; informant is sanitation officer in community health center, which was source triangulated with the head of community health center and head of PL and PKM of District Health Office. Low performance of sanitation officer was reflected in low coverage, low frequency of counseling, low frequency of community training, low frequency of water monitoring, information system program was not functioned well. Factors which are important on sanitation officer performance include: less ability and skill of sanitation officer, less supervision of district and community health center head, less training frequency of sanitation officer and the need is not matched, low motivation of sanitation officer, less reward and operational fund, many extra jobs, facility and basic facility are not adequate, less program priority by head of community health center, access to several working areas is not good especially in the isolated subdistrict, and budget policy of District Health Office which is not prioritizing sufficient budget for health and hygienic water program.Keywords: Healthy and hygienic water program, sanitation officer, hygienic water

scholarly journals Challenges for National Deworming Policy in Indonesia: Experience From Bandung District West Java Province

2020 ◽  
Author(s):  
Riyadi Adrizain ◽  
Djatnika Setiabudi ◽  
Lia Faridah ◽  
Nisa Fauziah ◽  
Budi Setiabudiawan
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Control Strategy ◽  
Small Area ◽  
Group Discussion ◽  
District Health Office ◽  
District Health ◽  
Primary Health ◽  
Irregular Mass

Abstract Background The strategy of regular deworming has been the main STH control strategy recommended by the WHO for over a decade. In 2017, Indonesian government has also adapted this strategy by launching the Ministry of Health (MoH) Regulation No. 15 year 2017 regarding helminthiasis control. However, deworming effort is often hindered by various factors including poor hygiene, habits, and irregular mass drug administration in developing countries. To obtain a picture of how the deworming regulation is carried out and key challenges in Indonesia, this study investigated deworming conduct in Bandung District – one of the densest areas in Indonesia. Methods The main methodology was qualitative using published documents, interview and focus group discussion with related agencies such as MoH, Bandung District Health Office, primary health care and cadres (community participants). Results From this study, we discovered incompleteness and inconsistency of conduct – even within a relatively small area such as Bandung District. Moreover, this study also found that deworming is combined with stunting programs in some areas without proper study directly correlating the improvement of nutritional status with reduced incidence of STH. Conclusions This study has demonstrated the challenges sustaining a consistent nationwide campaign over a wide area such as in Indonesia. In the end, we recommended that further nationwide evaluation is required – placing emphasis on dissemination of policy to ensure more standardized conduct.

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