Covid-19 has been declared a world pandemic by WHO. Large-scale social restrictions and community appeal to stay at home in an effort to oppose Covid-19 transmission will have an impact on the sustainability of public health services, including family planning services. 54,6% of the total family services planned by midwives are conducted at the private midwifery practice. The purpose of this study was to analyze family planning service visits at the private midwifery practice in Yogyakarta. This study used article quantitative descriptive research method. The population in this study is midwives who have private midwifery practice in the Special Region of Yogyakarta. The results showed that almost all methods of contraception experienced a decrease in service in the private midwifery practice, but the method of family planning through progestin injection did not decrease. As many as 44,7% of midwives provide family services planned through the post placenta Intrauterine Device (IUD) was a method of contraception that was added as a post partum contraception during the main Covid-19 pandemic. Family service protocols have been implemented in the pandemic era with 19% 78% of midwives, online, and using standard personal protective equipment. There was a decrease in family planning services by midwives in the practice of independent midwives in Yogyakarta during the Covid-19 pandemic by 13,8% (from February to April 2020). By the decline predicted to result in a high chance of a baby boom that gives various impacts on the condition of an area. Midwives are expected to improve family planning services after delivery, especially the IUD, and utilize online media. Other efforts can be made through the BKKBN, namely by encouraging not to become pregnant during the Covid-19 pandemic and the existence of free family planning services so that productive partners can routinely control the use of acceptors.
1 , ritadianp@ugm.ac.id 2 ABSTRAK Latar Belakang: Semua pelayanan medis dan non medis di Puskesmas harus didokumentasikan dalam suatu berkas disebut rekam medis. Salah satu data yang dituliskan dalam berkas rekam medis, SIMPUS, dan P-Care adalah diagnosis dan kodenya. Pelaksanaan sistem klasifikasi klinis dan kodefikasi penyakit yang berkaitan dengan kesehatan harus sesuai terminologi medis yang benar. Pemberian kode diagnosis ini berdasarkan pada sistem klasifikasi penyakit yang ditetapkan oleh WHO saat ini yaitu ICD-10. Hasil studi dokumentasi terhadap 10 sampel berkas rekam medis rawat jalan yang dikode oleh petugas kesehatan, ditemukan 60% kode tidak akurat dan 80% terminologi medis tidak tepat atau tidak sesuai dengan ICD-10. Tujuan: Mengetahui hubungan ketepatan terminologi medis dengan keakuratan kode diagnosis rawat jalan oleh petugas kesehatan di Puskesmas Bambanglipuro Bantul. Metode: Jenis penelitian ini adalah survei analitik dengan pendekatan kuantitatif. Rancangan penelitian yang digunakan adalah cross-sectional. Populasi dalam penelitian ini adalah semua diagnosis rawat jalan beserta kodenya selama bulan Januari 2017. Teknik sampling yang digunakan yaitu systematic random sampling. Analisis data menggunakan analisis bivariate dengan program R.Hasil: Dari sampel sebanyak 360 diagnosis rawat jalan beserta kodenya, terdapat 82 (22,8%) terminologi medis tepat dan 278 (77,2%) terminologi medis tidak tepat, serta kode diagnosis rawat jalan akurat sebanyak 127 (35,3%) kode dan kode diagnosis rawat jalan tidak akurat sebanyak 233 (64,7%) kode. Dari hasil uji statistik Chi-squared Test, diperoleh nilai p-value sebesar 0,03376 yang menunjukkan bahwa Ha diterima dengan nilai Odd Ratio (OR) sebesar 1,7.Kesimpulan: Terdapat hubungan antara ketepatan terminologi medis dengan keakuratan kode diagnosis rawat jalan oleh petugas kesehatan di Puskesmas Bambanglipuro Bantul. Peluang terminologi medis tidak tepat menyebabkan ketidakakuratan kode diagnosis rawat jalan 1,7 kali lebih besar dibandingkan terminologi medis tepat.Kata kunci: Ketepatan, Terminologi Medis, Keakuratan, Kode Diagnosis, ICD-10 ABSTRACT Background: All medical and non-medical services in primary health center should be recorded in a document called medical record. One of the data that should be written down in the medical record document, SIMPUS, and P-Care is patient's diagnosis and its codes. The implementation of disease and clinical classification system which related to health problems should be appropriate with correct medical terminology. The determining of the diagnosis code is based on the disease classification system which stated by WHO today, that is called ICD-10. Based on documentation study by sample of 10 outpatient medical record documents coded by health care practitioners, found 60% inaccurate codes and 80% imprecise medical terminologies.Objective: To know the correlation between the precision of medical terminology and the accuracy of diagnosis codes by health care practitioners in Puskesmas Bambanglipuro Bantul.Methods: This...
This study discusses the dominant socio-economic and environmental risk factors for TB disease. The design of this study was a case-control study with 70 case samples and control with a contribution of n = 1. Variables from this study contacted personal, ventilation of the house, humidity, the temperature of the house, density of the house, kitchen, and family earnings. Multivariate data analysis uses multiple logistic regressions. The study notes that from 140 samples, 47% have basic education, and 30% are farmers. People who had a past of contact with TB cases were ten times more likely to contract TB than those who had no contacted (OR = 10.00; p <0.001). Personalities who live in poorly ventilated homes who have a risk of contracting TB are 2.2 times greater than those who live in homes with standard ventilation (OR = 2.20; p <0.018). The moisture increases the risk of TB by four times the low moisture (OR = 4.00; p = 0.001). Living in a house with a higher temperature of TB is 3.8 times higher than a lower temperature (OR = 3.80; p = 0.009). Living in a high population density of the house improves TB five times more than living in a lesser home (OR = 5.00; p <0.001). Kitchen gas enhances the risk of TB 2.5 times greater than gasless (OR = 2.50; p = 0.007). Low family earnings raise the risk of TB three times greater than high family earnings (OR = 3.00; p = 0.002). A past of contact, poorly ventilated homes, high humidity, hothouse temperature, population density, kitchen gas, and low family earnings, are risk factors for TB in Wonosobo, Central Java.
Kata kunci: kelengkapan, berkas persyaratan klaim, asuransi bpjs, pasien rawat inap. ABSTRACTBackground: BPJS health are the agency law the government to provide social security program. Way billing about the cost of services that is by using a claim system, the required files claims delivered to verifikator bpjs health. Based on the results of observation there is a problem is that related to return claim files by the verifikator BPJS. Purpose: know the percentage of completeness a requirement claims bpjs in-patient care and knowing what course he was returning the factors causing the claims bpjs inpatients at the hospital pku muhammadiyah yogyakarta. Method: Survey analytic with the approach case control. The sample collection constitute a whole claim documents returned by verifikator bpjs in the first week of march that is 38 sample (comparative the sample of the case and control is 1: 1 namely 38 the case file and 38 file control of) .Technique the sample collection use of sampling saturated. Results: the results of the analysis completeness there are several file requirements that incomplete the report individual patients with the percentage incompleteness 84%.Supporting report with the incompleteness 18% and fotocopy cards bpjs with the 7% incompleteness.To know relations file not complete the claims by a factor of return next tested relationship with on the R Program, resulting having p-value<0.05 means H0 rejected, namely report individualpatients ( p-value = 2,491.10 -11 ) and reports supporting ( p-value = 0,0115 ).
The main transmission route of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is through individual droplets of respiratory secretions. Accordingly, the most basic preventive measure is wearing a face mask. Since the issue of medical waste during the pandemic is concerning, developing face masks made of reusable and biodegradable materials is necessary. This study aimed to develop "do-it-yourself"<em> </em>face masks and test the effectiveness of banana leaf-filtered cloth face masks. The design development was conducted by a series of trials for making a mask pattern that can be applied to the cloth. Then, we performed bacterial filtration efficiency (BFE) and water resistance tests to investigate the effectiveness of banana leaf-filtered cloth-based face masks. The dimensions of the developed face mask are 20x18 cm, with a semi-duckbill model, consisting of three layers of washable cotton cloth and a pocket designed for the banana leaf filter. Among 34 leaf-filtered face masks, 61.8% showed water resistance abilities. Based on the BFE test, the leaf-filtered face masks contained significantly fewer bacteria (the average of 0.417x10<sup>3 </sup>cfu/cm<sup>2</sup>) compared to the cloth face masks without additional leaf filter (30x10<sup>3 </sup>cfu/cm<sup>2</sup>). Thus, banana leaf-filtered cloth face masks could be considered as alternative protection during the pandemic.
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