Background: As a form of health promotion, Antenatal Education (AE) class is expected to improve the knowledge, attitudes, and practices of mothers facing their pregnancy. Access to antenatal classes for mothers has not been optimal because of the low level of participation. Not all mothers are willing to join antenatal classes for various reasons.Aim: This study aimed at analyzing the determinant factors that influence the mother’s participation in antenatal classes.Method: This study was a quantitative study with a cross-sectional approach. The population was all pregnant women in Semarang City with 140 pregnant mothers as samples from 3 Primary Healthcare Centers including Rowosari, Purwoyoso, and Gayamsari which were selected by using a purposive sampling technique. Data were collected through an interview using a structured questionnaire.Results: The findings showed that only 54.3% of mothers attended the antenatal classes. Knowledge, support from health personnel, facilities, and infrastructure, as well as a history of illness and pregnancy, affect mothers’ participation in antenatal classes where the support of health workers had the most dominant influence (OR 5.394). The overall influence was 39.2%.Conclusion: The low mothers’ participation in antenatal classes was influenced by the lack of knowledge and support, inadequate facilities as well as the low health status of mothers. Further socialization and engagement across related sectors with strong networking are needed to solve this problem.Keywords: antenatal education, participation, primary healthcare center.
Abstract The inability of pregnant women to identify and recognize danger signs of pregnancy indicates the lack of knowledge, attitudes and perceptions of mothers about healthy pregnancies which has an impact on the low practices of prevention of high risk of pregnancy. Pregnant Women Class Program (KIH) which is held is not optimal because of the low presence of pregnant women for various reasons. The aim of study to determine the effect of the KIH-Virtual model on the practice of preventing high risk of pregnancy. This is a quasi-experimental study with case-control approach. The population is pregnant women in Semarang City. The total sample was 60 mothers for the intervention group and 61 mothers for control group. The independent variable is KIH-Virtual intervention and dependent variable is the practice of preventing high risk pregnancy (covering 7 dimensions). Data collection through interviews and observations with four times measurements (pretest, posttest 1,2,3). Partial analysis using independent-T test and Paired test. Simultaneous analysis with Linear-Mixed-Model. Statistically, there were differences in the practice of preventing high risk pregnancy between intervention groups and control at the last measurement (p<0.05). Although both groups experienced an increase in scores at each measurement stage, it was evident in the intervention group that the increase was higher for all dimensions of practice. The highest increase in the effect of interventions on communication and collaboration practices was followed by health status monitoring practices. Daily self-care practices and lifestyle practices are the dimensions with the lowest intervention effect. Virtual-KIH influences the practice of pregnant women in the prevention of high risk of pregnancy and is able to improve the practice better than conventional models that have been underway. Abstrak Ketidakmampuan ibu hamil mengidentifikasi dan mengenali tanda bahaya kehamilan mengindikasikan rendahnya pengetahuan, sikap dan persepsi ibu tentang kehamilan sehat, yang berdampak pada rendahnya praktik pencegahan risiko tinggi kehamilan. Program Kelas Ibu Hamil (KIH) yang diselenggarakan belum optimal karena terkendala rendahnya kehadiran ibu hamil dengan berbagai alasannya. Tujuan penelitian menganalisis pengaruh model KIH Virtual terhadap praktik pencegahan risiko tinggi kehamilan. Penelitian ini merupakan penelitian quasi experimental dengan pendekatan kasus-kontrol. Populasi adalah ibu hamil di Kota Semarang. Jumlah sampel 60 ibu untuk kelompok intervensi dan 61 ibu untuk kelompok kontrol. Variabel bebas yaitu intervensi KIH Virtual dan variabel terikatnya yaitu praktik pencegahan risiko tinggi kehamilan (meliputi 7 dimensi). Pengumpulan data melalui wawancara dan observasi dengan 4 kali pengukuran (pretest, posttest-1,2,3). Analisis parsial menggunakan uji beda independen dan berpasangan. Analisis simultan dengan Linear-Mixed-Model. Secara statistik ada perbedaan praktik pencegahan risiko tinggi kehamilan antara kelompok intervensi dengan kontrol pada pengukuran terakhir (p<0,05). Meski kedua kelompok mengalami peningkatan skor pada setiap tahap pengukuran, namun terbukti pada kelompok intervensi peningkatannya lebih tinggi untuk semua dimensi praktik. Peningkatan tertinggi efek intervensi pada praktik komunikasi dan kerjasama, diikuti praktik pemantauan status kesehatan. Praktik perawatan diri sehari-hari dan praktik gaya hidup merupakan dimensi praktik dengan efek intervensi terendah. KIH Virtual memengaruhi praktik ibu hamil dalam pencegahan risiko tinggi kehamilan dan mampu meningkatkan praktik tersebut dengan lebih baik dibandingkan model konvensional yang selama ini berlangsung.
SEC adalah layanan unggulan dari RSISA yang memberikan pelayanan pada kesehatan mata yang menjadi pusat rujukan pengobatan mata bagi masyarakat Jawa Tengah. Dalam tiga tahun terakhir jumlah kunjungan rawat jalan mengalami peningkatan meskipun terdapat kecenderungan menurun. Kepuasan pasien menjadi salah satu indikator yang digunakan sebagai pencitraan awal rumah sakit apakah rumah sakit tersebut memberikan pelayanan yang baik bagi pelanggannya. Pihak rumah sakit perlu memahami karakteristik pasien untuk pengambilan keputusan terkait pelayanan rumah sakit sehingga pasien dapat merasa puas. Namun dalam pelaksanaan masih ada kecenderungan kurang puas pada pasien yaitu terhadap fasilitas pelayanan, waktu menunggu, pelayanan dokter, tarif, dan pelayanan administrasi pendaftaran pasien ASKES serta pelayanan administrasi pembayaran. Tujuan penelitian dilakukan untuk mengetahui hubungan antara karakteristik pasien dengan kepuasan pasien pada pelayanan poli mata SEC RSISA. Penelitian dilaksanakan di SEC RSISA menggunakan penelitian kuantitatif dengan survei kepuasan Cross Sectional dengan jumlah responden 100 orang pasien. Hasil penelitian menunjukkan bahwa karakteristik responden termasuk dalam kelompok umur dewasa (68%), jenis kelamin wanita (58%), asal suku jawa (86%), pendidikan lanjut (61%), bekerja (54%), pendapatan tinggi (75%), diagnosa penyakit kasus dengan operasi (72%), dan tipe pembiayaan umum (55%). Selain itu sesuai dimensi kepuasan Linder-Pelz bahwa pasien merasa puas pada dimensi accessibility (43%), availibility of resources (35%), countinuity of care (29%), efficacy (54%), finances (47%), hummaneness (37%), information of gathering (44%), information of giving (30%), pleassantness of surrounding (35%), dan quality (10%). Hasil uji ChiSquare, uji korelasi Pearson Product Moment dan uji korelasi Rank Spearman menunjukkan tidak ada hubungan antara karakteristik dengan kepuasan pasien.
Pemerintah Kota Semarang membentuk Puskesmas PONED dan Rumah Sakit PONEK untuk sistem rujukan dalam pengelolaan kasus obstetri. Faktanya, response time rujukan masih dirasakan lama oleh pasien untuk mendapatkan pelayanan. Tujuan penelitian menganalisis response time penatalaksanaan rujukan kegawatdaruratan obstetri ibu hamil di Kota Semarang. Jenis penelitian survei dengan pendekatan deskriptif kualitatif dan teknik purposive. Pengumpulan data menggunakan wawancara mendalam, dokumentasi, dan triangulasi sumber. Hasilnya response time pelaksanaan dan penerimaan rujukan belum optimal seperti harapan pasien. Lama waktu dari pasien datang di IGD Puskesmas PONED hingga siap dirujuk ke RS PONEK rata-rata 1-2 jam. Lama waktu penerimaan pasien datang di IGD RS PONEK hingga mendapatkan kamar perawatan 2 -3 jam. Lama waktu disebabkan kesiapsiagaan tim medis yang kurang tanggap merespon pasien, ibu hamil tidak membawa buku KIA dan tidak melengkapi persyaratan administrasi, sopir ambulans sulit dihubungi, konfirmasi pemberian informasi dari RS rujukan dan lamanya proses pemindahan pasien dari ruang bersalin ke kamar perawatan.
The Scaling-Up Nutrition (SUN) Movement was an intervention to overcome chronic malnutrition through integrated stakeholder collaboration. Furthermore, the roles of stakeholders' in the SUN-Movement were not optimal and their characteristics were not yet known based on the groups and government areas (cities and regency). This study aims to map the SUN-Movement stakeholders' roles in different groups and government areas based on their attitudes, powers, and interests. This is an observational descriptive research with a qualitative approach. Totally of 30 institutions as stakeholders were involved in this study and divided into 3 different groups, namely Decision Maker (DM), Provider (P), and Clients & Representatives (CR). The DM group have the power to influence programs. Also, the P group was better at handling technical issues, however, it cannot build collaboration with other stakeholders. The CR tend to build this collaboration passively, nevertheless, it does not consider the SUN-Movement to be important. Consequently, each stakeholder views their roles differently. Different perceptions about stakeholders' roles in various indicators and government areas reveals an implementation gap in the SUN-Movement. Therefore, in conclusion, strengthening advocacy, coordination, routine socialization, and communication between stakeholders could bridge the needs, constraints and challenges that cause malnutrition and stunting.
Background: Semarang City has successfully reduced in reducing the stunting rate by 2.7% in 2018 and 2.5% in 2019. With the Covid-19 pandemic, the stunting prevention program in Semarang City faces problems that have the potential to increase the prevalence risk of stunting. The problem are limited access of intervention and decline of the stunting program quality in work area of the Puskesmas in Semarang City. In addition, it is still unknown how the stunting program was implemented at the puskesmas during the Covid-19 pandemic.Objectives: The purpose of this research was to identify and evaluate the implementation of the stunting prevention program in Semarang City during the Covid-19 pandemic by using the CIPP model.Materials and Methods: This research used a survey research with a qualitative approach. This research was carried out from August to October 2021. The informants for this study consisted of 5 main informants: nutritionists at the puskesmas, 15 triangulation informants, the head of the puskesmas, posyandu cadres, and mothers who had stunted children in five health centers in Semarang City, namely Bandarharjo Health Center, Lamper Tengah Health Center, Tlogosari Wetan Health Center, Gunungpati Health Center, and Pegandan Health Center. Determination of informants using a purposive technique based on the geographic location of the Public Health Center. In-depth interviews used prepared guidelines. Data analysis used content analysis.Results: The results showed that the in the context component, the nutritionists had understood goals and targets of the stunting program. The input component showed that Human Resources was not optimal because they helped in succeed in the Covid-19 program. Funding was disrupted because there were still no technical guidelines for funding during the Covid, infrastructures were not optimal due to a lack of training for posyandu cadres. The process components included: a monitoring program that was carried out door to door, no administration of PMT F100, ineffective online counseling, fewer mothers who were participated in nutrition consultations, no monitoring related to vitamin A administration.Conclusion: The stunting prevention program in the work area of the puskesmas during the Covid-19 pandemic has not been able to be implemented well during the Covid-19 pandemic.
Coronavirus Disease-2019 (COVID-19) is a pandemic disease in all over the world caused by SARS-COV-2 virus. This disease also spread all over Indonesia. The cost of treating People Under Surveillance and Patient under Monitoring, also confirmed patient of COVID-19 will be financed by the Indonesian Government. This research aimed to identify the estimated cost for treating the Covid-19 patients in Indonesia. The calculation method used top up costs and INA CBGs based on the number of hospitalized positive patients. The data source was COVID-19 data in Central Java and national data. Case growth calculated by doubling time positive cases of COVID-19 in Central Java were 1.7 (range 1.73 – 2.73). Range of days was between 6-8 days. The amount of top up cost for one day treatment refers to Health Ministry of Indonesia Decree Number HK.01.07/MENKES/238/2020 and cost estimation of INACBGs with the severity level II and III. This calculation did not include donations, outpatients and other costs. The result of this study, estimation if patients were treated in ICU for 8 days and non ICU for 7 days, and the rest of inpatients according to INACBs, so the cost of COVID-19 treatment for 14 – 28 days estimated at 75.7-77.3 million rupiah/patient. Whereas if the patient treated in ICU for 14 days and non ICU for 14 days, the rest of inpatient according to INACBs, the cost for COVID-19 treatment estimated at 130.4- 133.2 million rupiah/patient. The COVID-19 treatment is quite expensive and can be a burden for the Government of Indonesia’s budget. In addition, the limited access and health facilities also become an obstacle. Strengthening promotive and preventive efforts are needed to prevent the surge of COVID-19 case. Policies which support strict social and physical distancing are needed so that the interventions become more effective.
Background. Hospitals are individual health service facilities that are part of health resources in order to support the implementation of health efforts, one of which is pharmacy services. During pandemic covid-19, all hospitals must continue to provide service to patients, according to technical instructions, including Aisyiyah Kudus Hospital. The quality of service is determined by various factors, including perception of hospital, facilities, policies and competencies. Purpose. This study aims to analyse factors that affect quality of pharmaceutical services in the outpatient pharmacy installation of Aisyiyah Kudus Hospital. Methods. This study was a quantitative study with cross sectional design, population in this study were outpatients who received pharmacy services at Aisyiyah Kudus Hospital with sample size of 98 respondents. Sampling technique in this study was accidental sampling. Data were analysed by using Chi-Square test and Logistic Regression. Results. The result shows that there is a significant relationship between perceptions of hospital, infrastructure, officer competence and policies with service quality with p value 0.000, in a regression analysis show that there is a very strong influence of independent variables on the dependent variable. Conclusion. There is a significant relationship between perceptions of hospital, infrastructure, officer competence and policies with service quality. Hospital management needs to provide soft skill training for all officers in supporting the improvement of services to patients
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