Pemberdayaan masyarakat adalah salah satu strategi dalam pembangunan kesehatan yang digunakan oleh pemerintah Indonesia. Pemberdayaan masyarakat ini menjadi salah satu fungsi puskemas yang wajib dijalankan oleh seluruh puskesmas di tanah air. Walaupun strategi pemberdayaanmasyarakat sudah lama digunakan, sampai sekarang belum ada instrumen spesifik untuk mengukur tingkat pemberdayaan masyarakat pada sektor pembangunan kesehatan di Indonesia. Penelitian ini bertujuan untuk mengukur tingkat pemberdayaan masyarakat pada level komunitas sebagai wilayah kerja puskesmas di Depok dan Jakarta Selatan. Pemberdayaan masyarakat diukur menggunakan tujuh potensi masyarakat meliputi kepemimpinan, organisasi, dana, sumber daya, teknologi, pengetahuan, dan pengambilan keputusan. Metode pengukuran dilakukan dengan membandingkanketujuh potensi masyarakat di wilayah kerja puskesmas diDepok (32 puskesmas) dan wilayah kerja puskesmas terpilih Jakarta Selatan (28 puskesmas) dengan potensi standar yang dikembangkan peneliti. Hasil penelitian memperlihatkan bahwa tingkat pemberdayaan masyarakat di wilayah kerja puskesmas di Depok umumnya banyak yang memenuhi kategori baik, sebaliknya di Jakarta Selatan banyak kategori kurang. Provinsi Daerah Khusus Ibu Kota Jakarta berupaya pemberdayaan masyarakat dan promotif preventif lebih mudah dilakukan oleh kantor kelurahan daripada puskesmas.Kata kunci: Pemberdayaan masyarakat, pembangunan kesehatan, puskesmasAbstractCommunity empowerment is one of strategies in health development that is used by government of Indonesia. It is also one of puskesmas (primary health center) function that must be run by every primary health center in Indonesia. Though community empowerment has been used for a very long time, there is not any specific instrument to measure level of community empowerment in health sector development in Indonesia. This research aimed at measuring community empowerment at community level using neighbourhood association as work area in two cities in Indonesia, Depok and South Jakarta. Community empowerment is measured using seven community potentials including leadership, organizations, fund, resource, technology, knowledge, and decision making. The measurement method is comparing those community existed potentials with potential standard developedby researcher in 32 primary health center in Depok and 28 selected primary health center in South Jakarta. The result shows that level of community empowerment in primary health center work area in Depok is generally in good categories, but South Jakarta is generally in less category.In Jakarta, the effort of community empowerment and promotive preventive is conducted easier by village administration office than primary health center.Key words: Community empowerment, health development, primary health center
The current and future of the healthcare system will face various problems, ranging from digitizing the health system, digital transformation and disruption of the health world or the problem of digital application during the Covid-19 pandemic in Health 4.0 and Community 5.0 and its leadership. The objective of the study is to explore digital information and the role of leadership in healthcare services in the future. This research is a narrative literature review and searched relevant articles from ProQuest and PubMed. Digital health is transforming healthcare delivery around the world to meet the evolving challenges of an aging population with a variety of chronic conditions. Digital transformation and disruptive innovation illustrate a comprehensive reorientation of the industry, including its business model due to the advent of digital technology in the form of digitizing products, services, and processes. Digital health products can be in the form of electronic health (eHealth), cellular health (mHealth), health information technology, teleconsultation (telehealth/telemedicine). All these digital products, if they cannot be applied now and in the future, will cause digital disruption in traditional healthcare services in hospitals. The current world of health also has an impact because of the COVID-19 pandemic, where this situation is a race for Health 4.0 and Society 5.0 (super smart people). Where Health 4.0 will relax and reflect digital health and implement it in Society 5.0. The leadership strategies that can be selected are systems thinking, contextual intelligence, and metacognitive strategies.
AbstrakSecara nasional, konsumsi garam beryodium cukup adalah 62,3% dan di Provinsi Jawa Barat adalah 58,3%. Cakupan konsumsi garam beryodium tingkat rumah tangga di Kota Bekasi hanya sekitar 62,14%. Pemantauan garam beryodium di tingkat rumah tangga oleh Dinas Kesehatan Kota Bekasi tahun 2004 menunjukkan bahwa garam yang mengandung yodium cukup adalah 51%. Penelitian ini dilakukan untuk mengetahui analisis faktor demand dan supply terhadap konsumsi garam beryodium tingkat rumah tangga di wilayah kerja Puskesmas Kecamatan Bekasi Barat Kota Bekasi dengan menggunakan desain cross sectional. Populasi yang diteliti yaitu 110 orang ibu dengan menggunakan uji chi square. Pada faktor demand didapatkan hasil bahwa ada hubungan pengetahuan dengan konsumsi garam beryodium tingkat rumah tangga. Namun, tidak ada hubungan antara pendapatan dengan konsumsi garam beryodium tingkat rumah tangga. Pada faktor supply didapatkan hasil bahwa tidak ada hubungan antara ketersediaan di pasar dan harga dengan konsumsi garam beryodium tingkat rumah tangga. Untuk meningkatkan cakupan konsumsi garam beryodium tingkat rumah tangga diperlukan kerja sama dari berbagai pihak. Kata kunci: Garam beryodium, rumah tangga, demand, supplyAbstract Nasionaly, the consumption of iodized salt is 62,3% and in Province of West Jawa is 58,3%. The coverage consumption of iodezed in household level in Bekasi city only about 62,14%. The monitoring iodezed salt in household level by district health departemen in 2004 showed that the enough iodezed salt is 51%.This research was conducted to determine the factor analysis of demand and supply of iodized salt consumption at household level in the District of West Bekasi. This iodesed salt udy used cross sectional design. The population that was studied was 110 mothers using chi square test. On the demand factor, the result shows that there is a relationship between knowledge and the consumption of iodized salt at household level. However, there is no relationship between the revenue and the consumption of iodized salt at household level. While in the supply factor, shows that there is no relationship between availability and price in the market and the consumption of iodized salt at household level. To improve the coverage of iodized salt consumption at household level, it is required cooperation from various parties.
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