Mohamad Sadli Program Studi Kesehatan Masyarakat STikes CirebonE-mail: msadli333@gmail.com.ABSTRAKMasa pertumbuhan bayi adalah masa yang kritis sehingga pemberian makanan harus selalu diperhatikan baik proses, jenis dan jumlahnya. Makanan tambahan yang diberikan kepada bayi selain ASI setelah bayi berusia 6 bulan sampai bayi berusia 24 bulan akan memenuhi kebutuhan gizi bayi tetapi kenyataanya sebelum usia 6 bulan banyak bayi yang sudah diberi MP-ASI. Berdasarkan data yang diperoleh dari UPT Puskesmas Pulasaren, bahwa cakupan ASI Eksklusif di Puskesmas Pulasaren dari tahun ke tahun tidak pernah melebihi target. Tujuan penelitian ini adalah untuk mengetahui hubungan sosial budaya dan peran petugas kesehatan dengan perilaku pemberian MP-ASI dini pada bayi usia 0-6 bulan di wilayah kerja UPT Puskesmas Pulasaren Kota Cirebon. Metode penelitian ini menggunakan rancangan penelitian deskriptif analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah seluruh bayi usia 0-6 bulan yang ada di wilayah kerja UPT Puskesmas Pulasaren Kota Cirebon sebanyak 58 bayi. Jumlah sampel sebanyak 58 bayi. Teknik pengambilan sampel menggunakan total sampling. Metode pengumpulan data pada penelitian ini menggunakan wawancara dan instrumen penelitian ini adalah kuesioner. Data dianalisis secara statistik menggunakan Uji Chi Square pada tingkat kemaknaan 5% (0,05). Hasil uji statistik didapatkan bahwa sosial budaya (PValue=0,000) mempunyai hubungan yang bermakna dengan perilaku pemberian MP-ASI dini pada bayi usia 0-6 bulan. Dan peran petugas kesehatan (P Value=0,078) tidak ada hubungan dengan perilaku pemberian MP-ASI dini pada bayi usia 0-6 bulan di wilayah kerja UPT Puskesmas Pulasaren Kota Cirebon. Disarankan kepada petugas kesehatan aktif melakukan konseling ASI dengan dibuatnya jadwal konseling ASI.Kata Kunci : Sosial Budaya, Peran Petugas Kesehatan, Makanan Pendamping ASI (MP-ASI)SOCIAL CULTURE RELATIONSHIP AND THE ROLE OF HEALTH OFFICIALS WITH BEHAVIOR OF PRIVATE BREAST ASSEMBLY IN BABIES 0-6 MONTHSABSTRACTThe baby's growth period is a critical period so feeding must always be considered both the process, the type and the amount. Additional food given to babies other than breast milk after babies aged 6 months to 24 months old babies will meet the nutritional needs of infants but in fact before the age of 6 months many babies have been given MP-ASI. Based on data obtained from the UPT Pulasaren Health Center, that exclusive breastfeeding coverage in Pulasaren Health Center from year to year has never exceeded the target. The purpose of this study was to determine the socio-cultural relationship and the role of health workers with the behavior of early MP-ASI giving to infants aged 0-6 months in the work area of the Pulasaren Health Center in Cirebon City. This research method uses descriptive analytic research design with Cross Sectional approach. The population of this study were all infants aged 0-6 months in the working area of the Cirebon Pulasaren Health Center UPT as many as 58 babies. The number of samples is 58 babies. The sampling technique uses total sampling. The method of data collection in this study used interviews and the research instrument was a questionnaire. Data were statistically analyzed using Chi Square Test at a significance level of 5% (0.05). The statistical test results showed that socio-culture (PValue = 0,000) had a significant relationship with the behavior of early MP-ASI giving to infants aged 0-6 months. And the role of health workers (P Value = 0.078) is not related to the behavior of early MP-ASI giving to infants aged 0-6 months in the work area of the Pulasaren Public Health Center in Cirebon City. It is recommended that health workers actively carry out breastfeeding counseling with a timetable for breastfeeding counseling.Keywords : Social Culture, The Role of Health Workers, Food Companion ASI (MP-ASI)
The purpose of this study was to determine the relationship between health promotion strategies and the MHP activities (Mask-wearing, Hand-washing and Physical Distancing). The design in this research is Cross Sectional. The population consists of people of productive age (15-59 years) after the December 2020 period totaling 2,738 people. The number of samples was 96 respondents who were taken by systematic random sampling. Data collection is done by using interviews. The instrument in this study was a questionnaire. The data were statistically analyzed using the Chi Square test at a significance level of 5% (0.05). The results of the statistical test showed that advocacy (p = 0.009), social support (p = 0.023) and community empowerment (p = 0.001) had a significant relationship with the MHP activities in Prajawinangun Wetan Village in 2021. The results of this study can be followed up by conducting counseling and counseling by health workers involving community leaders regarding the MHP activities including using masks, washing hands, maintaining distance regularly and conducting evaluations to ensure the continued application of MHP activities.
The regional public hospital (RSUD) of Arjawinangun's service performance has yet to be fully optimal. One indication is from the Bed Occupancy Ratio (BOR) is still around 55% in 2019. This condition must reach the ideal BOR range from 60-85%. This 30% BOR is certainly a problem for the performance of the regional public hospital, especially when it is associated with patient or customer satisfaction, especially in 2020 the BOR has dropped to 50%. This study aimed to determine the relationship between the status and length of membership with patient satisfaction at the Outpatient Installation of the RSUD of Arjawinangun, Cirebon Regency, West Java, Indonesia, in 2021. The associative quantitative method was employed in this study. The population in this study were all BPJS participants who visited the RSUD of Arjawinangun, which recorded until May 2021 as many as 43,998 people with a sample of 110 respondents. The results showed that the number of non-PBI respondents was more than PBI, with as many as 76 people (69.1%). The analysis results show that the average length of patient membership in the RSUD of Arjawinangun is about 27 months. Respondents with the lowest length of membership were two months, and the highest length of membership was 38 months with a median of 36 months. The results of the analysis related to patient satisfaction 55.5% stated they were not satisfied. There is no relationship between membership status and patient satisfaction with services; however, there is a tendency for a negative relationship. There was no relationship between the length of membership and patient satisfaction with services; however, there was a tendency for a positive relationship. Based on this, the suggestion for hospitals is to maintain patient satisfaction with services, where the flow of the patient registration system needs to be revised again, so there are no crowds at the registration counter, especially in this pandemic situation. The system must consider the distance between the registrants, the provision of hand-washing facilities, and the supply of masks. In addition, the facilities and infrastructure in the registration area should have been transformed into a healthy and well-organized area.
Coronavirus Disease 2019 (Covid-19) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Berdasarkan Laporan Program Penyakit Menular di Puskesmas Sitanggal Kabupaten Brebes per 8 Desember 2020 ada 37 kasus konfirmasi dengan 8 kematian, 195 kasus suspek, 71 kasus probable, dan 73 kasus kontak erat serta terdapat 3 petugas Puskesmas yang terkonfirmasi. Wilayah Puskesmas Sitanggal Kabupaten Brebes mempunyai risiko tinggi dalam penularan Covid-19. Pada era new normal, pencegahan dan penanggulangan penularan Covid-19 harus tetap mendukung keberlangsungan perekonomian masyarakat, salah satunya dengan penerapan protokol kesehatan termasuk di lingkungan Puskesmas.Tujuan penelitian ini adalah untuk mengetahui gambaran penerapan perilaku protokol kesehatan pada petugas Puskesmas di Puskesmas Sitanggal Kabupaten Brebes.Rancangan dalam penelitian ini adalah rancangan deskriptif dengan pendekatan observasi. Populasi penelitian ini adalah seluruh petugas Puskesmas Sitanggal Kabupaten Brebes yang bekerja di dalam gedung Puskesmas sebanyak 66 petugas. Jumlah sampel sama dengan jumlah populasi, sebanyak 66 responden. Instrumen penelitian ini menggunakan lembar observasi. Metode pengumpulan data dalam penelitian ini yaitu dengan observasi. Analisa data dalam penelitian ini menggunakan analisis univariat dan penyajian data dalam bentuk distribusi frekuensi.Hasil penelitian menunjukkan penerapan perilaku penggunaan masker petugas Puskesmas sebagian besar petugas patuh (83,33%), penerapan perilaku mencuci tangan petugas Puskesmas sebagian besar tidak patuh (71,21%), penerapan perilaku menjaga jarak petugas Puskesmas sebagian besar patuh (60,61%), dan penerapan perilaku penggunaan APD petugas Puskesmas sebagian besar patuh (67,57%).Hasil penelitian dapat ditindak lanjuti dengan sosialisasi secara rutin bagi petugas Puskesmas tentang protokol kesehatan yang berlaku di lingkungan Puskesmas, adanya monitoring serta pemberlakuan sistem reward dan punishment bagi petugas sehingga dapat meningkatkan motivasi dan kesadaran diri petugas dalam mematuhi protokol kesehatan yang berlaku di lingkungan Puskesmas. Kebutuhan akan sarana dan prasarana serta APD bagi petugas juga harus selalu mencukupi agar tidak menghambat dalam penerapan protokol kesehatan.Kata kunci: Perilaku Protokol Kesehatan Petugas Puskesmas AbstractCoronavirus Disease 2019 (Covid-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Based on the Report of the Infectious Disease Program at Sitanggal Community Health Center, Brebes Regency as of December 8, 2020, there were 37 confirmed cases, 8 deaths, 195 suspected cases, 71 probable cases, and 73 close contact cases and there were 3 officers who were confirmed positive for COVID-19. Sitanggal CHC, Brebes Regency, has a high risk of Covid-19 transmission. In the new normal era, prevention and control of Covid-19 transmission must support the sustainability of the community's economy, one of which is by implementing health protocols including in the CHC environment. This study aims to describe the implementation of health protocol behaviors among officers of Sitanggal CHC, Brebes Regency, 2020.This was a descriptive study with an observational approach. The population of this study was all officers of Sitanggal CHC, Brebes Regency who worked in the CHC building as many as 66 officers. The number of samples was the same as the population, as many as 66 respondents. The study instrument used an observation sheet. Data were collected through observation. Data were analyzed using univariate analysis and were presented in the form of frequency distribution.The results of the study showed that most of officers complied with the implementation of using mask behavior (83.33℅), the implementation of hand washing behavior of Puskesmas officers is mostly disobedient (71.21%), social distancing behavior (60.61%), and the use of PPE behavior (67.57%), whereas most of officers did not comply with the implementation of hand washing behavior (28.79%). The study findings can be followed up with routine outreach for CHC officers about the applicable health protocols in the surrounding CHC environment, as well as monitoring and implementation of a reward and punishment system for officers so as to increase their motivation and self-awareness in complying with applicable health protocols in the CHC environment. There is a need for sufficient facilities and infrastructure as well as PPE for officers so as not to hamper the implementation of health protocols.Keywords: Health Protocol Behavior of Health Center Officers
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