Persepsi Beban Kerja Tenaga Kesehatan Puskesmas di Kabupaten Nagekeo Provinsi Nusa Tenggara Timur Tahun 2019

Human resources in the health sector are an important factor in quality and comprehensive health services that play a role in the implementation of the health system. The limited number of health personnel and their competency is a particular obstacle in the implementation of the health system. The purpose of this article is to provide an overview of the availability and perceptions of workload felt by health center staff in Nagekeo District. This type of research is a qualitative method applying interviews with informants who are program holders at seven health centers in 2019. The results showed that the types of personnel in the health centers include general practitioners, dentists, pharmacists, pharmacist assistants, nurses, dental nurses, public health, nutrition workers, midwives, analysts and sanitarians.. Health personnel types in the health centers are still limited and there are 3 health centers that do not yet have dentists and pharmacist assistants, health workers are given basic tasks inside and outside the building and additional tasks as administrative staff. Health workers must perform simultaneously to complete technical and administrative tasks. The study conclude that the types of health personnel is still limited compared to their workload including core and additional tasks. Keywords: Perception of workload, health workers, Nagekeo. Abstrak Sumber daya manusia dalam bidang kesehatan merupakan faktor penting dalam pelayanan kesehatan yang bermutu dan komprehensif yang berperan dalam implementasi sistem kesehatan. Jumlah tenaga kesehatan yang terbatas dan rendahnya kompetensi menjadi hambatan tersendiri dalam pelaksanaan sistem kesehatan. Tujuan penelitian ini adalah memberi gambaran tentang ketersediaan dan persepsi beban kerja yang dirasakan oleh tenaga kesehatan puskesmas di Kabupaten Nagekeo Provinsi Nusa Tenggara Timur. Jenis penelitian adalah kualitatif yang melakukan wawancara dengan informan petugas pemegang program di tujuh puskesmas tahun 2019. Hasil penelitian menunjukan bahwa jenis tenaga yang ada di puskesmas meliputi dokter umum, dokter gigi, apoteker, asisten apoteker, perawat, perawat gigi, kesehatan masyarakat, tenaga gizi, bidan, analis dan sanitarian. Tenaga kesehatan di puskesmas masih terbatas dan terdapat 3 puskesmas yang belum memiliki dokter gigi dan asisten apoteker. Tenaga kesehatan diberi tugas pokok di dalam dan di luar gedung dan tugas tambahan sebagai tenaga administrasi. Tenaga kesehatan harus bekerja ekstra dengan mengatur waktu kerja dengan sebaik-baiknya antara waktu melayani pasien dan menyelesaikan tugas administrasi lainnya. Kesimpulan jumlah tenaga kesehatan di puskesmas di Kabupaten Nagekeo masih sangat terbatas dengan beban kerja yang cukup berat antara tugas pokok dan tugas tambahan. Kata kunci: Persepsi beban kerja, tenaga kesehatan, Nagekeo.

Optimalisasi Peran Guru PAUD dalam Pemantauan Tumbuh Kembang Balita dan Anak Prasekolah

The implementation of the SDIDnTK Program in Padang City was carried out in all Puskesmas Kota Padang. SDIDTK implementation since January-Jue 2018 in Nanggalo Public Health Center has only reached 61,34% of infants, only 88,14% toddlers, while in preschool children only 28,64%. For the implementation of this program, there are still workers who can be involved, one of which is a PAUD/TK teacher. But in reality, PAUD/TK teachers have not been further exposed about the implementation of this program. Therefore it is important to provide knowledge and skills to PAUD teachers about this SDIDTK, because several aspects are assessed, can be observed directly by the teacher. The teacher interacts with ank every day. The hope is that the findings of the growth and development of teachers can be informed to the health center staff every month. The solution offered in this activity is training on the implementation of the SDIDTK program for PAUD teachers and making a communication book. The steps taken are identifying the level of PAUD teacher’s knowledge of the SDIDTK Program followed by providing material about SDIDTK and working with the health center staff in evaluating the implementation of the program. Output in the form of publication of articles in the ISSN Journal of Communication Service, Social Media and improvement of community empowerment and strengthening of knowledge and development of community habits in helathy behavior.

Influence of Team Work on Employee Performance in Community Health Center of Pancoran Mas Depok West Java in 2019

Nowadays organizations that use teams to compete become a trend. Working with teams is more effective and efficient than working individually because tasks are more quickly collected, distributed and more focused. The team facilitates employee participation in decisions. So the team is an effective means for management to democratize the organization and increase employee motivation. However, working with a team is not always effective because some staff prefer to work individually. The purpose of the study was to determine the effect of teamwork with the effectiveness of employee performance. This research method is a descriptive survey, which is a research design conducted using a questionnaire and direct interviews with interview guidelines. The number of samples was 30 people from a total of 75 employees. The results of the relationship between teamwork and team effectiveness show a strong relationship (r = 0.624) and have a positive pattern which means that the more effective teamwork, the more effective the team. The coefficient value with a determination of 0.389 means, the regression line equation that we can explain 38.9% of variations in team effectiveness or the obtained line equation is good enough to explain the team effectiveness variable. Statistical test results found that there was a significant relationship between teamwork and team effectiveness. The results of the statistical tests show that there is a significant relationship between teamwork and the effectiveness of Community Health Center staff (p = 0,0005). The conclusion of teamwork has a positive and significant effect on work effectiveness for the Pancoran Mas Community Health Center staff can be seen from the positive linear equation. After conducting the research it turned out that teamwork was quite positive and significant effect on the effectiveness of work on the Pancoran Mas Community Health Center staff this can be seen from the coefficient of determination (R2) of 38.9%. This value indicates the variable X, namely teamwork is able to explain the variable Y for work effectiveness by 38.9%. While the remaining 61.1% is caused by other factors not examined by this study.

The Role of Public Health Center Staffs in Socialization, Education and Campaign to Increase Exclusive Breastfeeding Coverage

Background: The achievement of breastfeeding in Surakarta City in 2017 was 76.7% while the target of infants with exclusive breastfeeding is 80%. The lowest achievement of exclusive breastfeeding was at Gilingan Public Health Center (66.1%). The role of health center staff is very important in improving and supporting social breastfeeding efforts. Methods: The study was descriptive qualitative research using a case study approach. The informant of this research consists of 2 main informants and 3 triangulation informants with a purposive sampling technique. Results: The role of health center staff in socialization were in the form of counseling and individual counseling; education program were in the form of class for pregnant women and class for parents with under-five children. There has been no health campaign implementation in the World Breastfeeding Week celebration. Conclusions: The socialization and education program could be implemented but for the campaign has not been implemented. It was because of a lack of coordination by Gilingan Public Health Center’s staff.

Karakteristik dan Upaya Pencegahan Penularan Pada Penderita Tuberkulosis Paru

Pulmonary tuberculosis is still a global priority health problem because it is the leading cause of death in the world for infectious diseases. According to WHO, Indonesia ranks third in the world after India and China. Estimated cases of pulmonary tuberculosis in Indonesia in 2019, as many as 845,000 people, while the prevalence of patients with pulmonary tuberculosis is 142 per 100 thousand population, Jambi ranked 5th in Indonesia. Lung tuberculosis is highly contagious, and can have a devastating effect on family members who live in the same house as people with pulmonary tuberculosis, if prevention efforts are not made by those with pulmonary tuberculosis. The purpose of this study was to identify the characteristics and efforts to prevent transmission in patients with pulmonary tuberculosis. This research is a descriptive study, with a total sampling technique, conducted on 42 people with pulmonary TB in the work area of PKM Putri Ayu Jambi City. Use demographic and transmission prevention instruments. Data collection was carried out by guided interviews. The results showed. The highest age in patients with pulmonary tuberculosis is productive age (23.8%) with male sex (57.1%) the highest education is basic education (40.5%) and employment is IRT (31.0%). Whereas prevention of transmission for more than half (54.8%) is good. It is expected that patients with pulmonary tuberculosis can increase their knowledge related to the knowledge of pulmonary tuberculosis, how to treat and prevent pulmonary tuberculosis transmission and to be actively involved in the eradication of pulmonary tuberculosis, while the health center staff and cadres can conduct counseling about efforts to prevent transmission of pulmonary tuberculosis to increase public knowledge about lung tuberculosis eradication, while the health center staff and cadres can conduct counseling about efforts to prevent the transmission of pulmonary tuberculosis prevention of pulmonary tuberculosis, as well as periodically do homevisit to the place of residence of tubulosis patients to monitor the condition of pulmonary tuberculosis sufferers.

A Linked Community and Health Facility Intervention to Improve Newborn Health in Cambodia: The NICCI Stepped-Wedge Cluster-Randomized Controlled Trial

Background: Newborn mortality in Cambodia remains high, with sepsis and complications of delayed care-seeking important contributing factors. Intervention study objectives were to improve infection control behavior by staff in health centers; improve referral of sick newborns; increase recognition of danger signs, and prompt care-seeking at an appropriate health facility; and appropriate referral for sick newborns by mothers and families of newborn infants. Methods: The stepped-wedge cluster-randomized controlled trial took place in rural Cambodia from February 2015 to November 2016. Sixteen clusters consisted of public health center catchment areas serving the community. The intervention included health center staff training and home visits to mothers by community health volunteers within 24 h of birth and on days 3 and 7 after delivery, including assessment of newborns for danger signs and counselling mothers. The trial participants included women who had recently delivered a newborn who were visited in their homes in the first week, as well as health center staff and community volunteers who were trained in newborn care. Women in their last trimester of pregnancy greater than 18 years of age were recruited and were blinded to their group assignment. Mothers and caregivers (2494) received counseling on handwashing practices, breastfeeding, newborn danger signs, and prompt, appropriate referral to facilities. Results: Health center staff in the intervention group had increased likelihood of hand washing at recommended key moments when compared with the control group, increased knowledge of danger signs, and higher recall of at least three hygiene messages. Of mother/caregiver participants at 14 days after delivery, women in the intervention group were much more likely to know at least three danger signs and to have received messages on care-seeking compared with controls. Conclusions: The intervention improved factors understood to be associated with newborn survival and health. Well-designed training, followed by regular supervision, enhanced the knowledge and self-reported behavior of health staff and health volunteers, as well as mothers’ own knowledge of newborn danger signs. However, further improvement in newborn care, including care-seeking for illness and handwashing among mothers and families, will require additional involvement from broader stakeholders in the community.