Analisis Sebaran Tenaga Kesehatan Puskesmas di Indonesia berdasarkan Peraturan Menteri Kesehatan Nomor 75 Tahun 2014 tentang Puskesmas

Romadhona, Yuni Sari; Siregar, Kemal N.

doi:10.33490/jkm.v4i2.99

Cited by 15 publications

(11 citation statements)

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“…Many Puskesmas , however, especially those in the DFO districts, have found it challenging to attract and retain health workers, especially doctors, which has led to a persistent maldistribution of health workers across the country. 2 , 3 Hence the central government decentralized the responsibility for healthcare delivery down to the districts starting in 1999, 4 assuming a more decentralized healthcare system would lead to a more flexible allocation of resources and more accessible health services. 5–7 However, even though decentralization led to increased utilization of outpatient health services in Indonesia, the overall levels of inequalities in the use of health facilities increased between the more affluent and less affluent parts of the country.…”

Section: Introductionmentioning

confidence: 99%

Determinants of out-of-district health facility bypassing in East Java, Indonesia

Putri

Wulandari

Syahansyah

et al. 2021

International Health

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Background Several large-scale reforms, including policies aimed at achieving universal health coverage, have been implemented to overcome health disparities in Indonesia. However, access to health services remains unequal. Many people ‘bypass’ health services in their home district to access health services in neighbouring districts, even though their health insurance does not cover such services. This study aims to identify the factors that are associated with this out-of-district bypassing behaviour. Methods We surveyed 500 respondents living in the outermost districts of East Java province. We used data on education, income, district, age, gender, household size, district accessibility, insurance coverage status and satisfaction with health facilities in the home district and logistic regression analysis to model the predictors of out-of-district health facility bypassing. Results The most important predictors of the bypassing behaviour were education and poor access to health facilities in the home district. Open-ended data also found that the most important reason for seeking care in another district was mostly geographic. In contrast, health insurance coverage does not appear to be a significant predictor. Conclusions Education and geographic factors are the main predictors of out-of-district bypassing behaviour, which appears to be how border communities express their health facility preferences. Local and central governments should continue their work to reduce inequality in access to health facilities in Indonesia's geographically challenged districts.

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Section: Introductionmentioning

confidence: 99%

Determinants of out-of-district health facility bypassing in East Java, Indonesia

Putri

Wulandari

Syahansyah

et al. 2021

International Health

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“…Persentase tertinggi tenaga kesehatan di puskesmas wilayah Kota Sibolga terdapat pada tenaga kebidanan (42,9%). Hasil penelitian ini sejalan dengan Romadhona and Siregar (2018) yang membuktikan bahwa tenaga kesehatan puskesmas terbanyak di Indonesia adalah tenaga kebidanan. Sugiharti et al (2019) juga membutktikan bahwa bahwa tenaga pendukung pengumpulan data PIS-PK di puskesmas seluruh Indonesia yang mengikuti pelatihan PIS-PK paling banyak adalah tenaga kebidanan.…”

Section: Jenis Tenaga Kesehatanunclassified

Factors Associated With Work Stress Level Among Healthcare Professionals During Coronavirus Disease 2019

2022

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Background: The novel Coronavirus Disease 2019 pandemic has had negative impact on healthcare professionals, such as the risk of stress due to pressure during pandemic and they were afraid of bringing the virus to their home. Purpose: To analyze factors associated with work stress level among healthcare professionals during Coronavirus Disease 2019 pandemic. Method: Survey with cross sectional design was conducted in July 2020. Data was online collected using the Google Forms platform was distributed to healthcare professionals throughout the Public Health Center in Sibolga City. The total of healthcare professionals who met the inclusion criteria and became the sample was 233 people. The data was presented as result of descriptive and analytical analysis using Chi-Square and Spearman test to see the relationship between independent and dependent variable. Result: The sampel was dominated by adults as much as 87.55%. The male was 12.02% and female was 87.98%. As many as 63.52% of healthcare professionals was low stress level, moderate stress level 23.18, and severe stress level 13.30%. Statistical analysis between showed that only the age (p-value = 0.03) and the history of Coronavirus Disease 2019 patients contact (p-value = 0.04) was significantly associated with stress levels. Conclusion: The age of healthcare professionals and the history of Coronavirus Disease 2019 patients contact significantly related to stress level of healthcare professionals in the Public Health Center during the Coronavirus Disease 2019 pandemic.

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“…Hal ini sejalan dengan penelitian Yuni Sari Romadhona (2018) menyebutkan bahwa apabila pada fasilitas kesehatan jumlah dan kualitas tenaga kesehatan dapat mencukupi, hal tersebut dapat menjadi pendukung agar pelayanan kesehatan dapat berjalan optimal. 8 Diketahui pula terdapat keterkaitan antara pelaksanaan yakni masih terdapat bidan yang tidak paham mengenai teknis Pelayanan Imunisasi pada bayi atau orang tua dengan kategori riwayat COVID-19 dan tidak ada kegiatan screening COVID-19 serta pengecekan suhu yang tertuang pada pedoman dengan unsur Input kesiapan SDM yakni belum ada diklat khusus pelayanan lmunisasi pada masa Pandemi COVlD-19. Permasalahan ini sejalan dengan penelitian Usman (2016) menyebutkan bahwa ketrampilan tenaga kesehatan merupakan penunjang utama dalam mendukung capaian hasil kerja.…”

Section: Keluaran/outputunclassified

Analisis Sistem Program Imunisasi Dasar Lengkap (IDL) selama Masa Pandemi Covid-19 (Studi Kasus Puskesmas Tempel I Kabupaten Sleman)

Fathahidin

Budiyanti

Nandini

2021

MKMI

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Latar belakang: Provinsi Daerah Istimewa Yogyakarta (DIY) mengalami penurunan cakupan Imunisasi Dasar Lengkap (IDL) hingga 36% pada tahun 2020, penurunan paling drastis terjadi di Puskesmas Tempel, Kabupaten Sleman. Puskesmas memiliki tanggung jawab untuk memberikan pelayanan dasar dengan tugas tambahan sebagai ujung tombak pemutus mata rantai penularan COVID-19. Tujuan penelitian adalah menganalisis peIaksanaan program lmunisasi Dasar Lengkap pada Masa Pandemi COVlD-19 di Puskesmas Tempel I dari unsur Input, Proses, dan Lingkungan.Metode: Penelitian ini termasuk jenis kualitatif dengan pendekatan deskriptif melalui wawancara mendalam pada informan bidan pelaksana, Penanggungjawab KIA-KB Upaya Kesehatan Perorangan (UKP) Puskesmas, Penanggungjawab Imunisasi Dinas Kesehatan Kabupaten Sleman, kepala Puskesmas, dan ibu yang membawa anaknya Imunisasi di tengah Pandemi COVlD-19.Hasil: Hasil penelitian menunjukkan pada awal Pandemi COVlD-19, Puskesmas Tempel I menutup pelayanan Imunisasi selama 1 bulan. Puskesmas kemudian melakukan perencanaan ulang terkait upaya pelayanan Imunisasi di tengah wabah COVID-19. Pada pelaksanaanya ditemukan kendala dari unsur input terkait aspek jumlah, kecukupan dan kesiapan SDM, sarana dan prasarana, dan pemanfaatan pedoman. Kemudian pada unsur proses ditemukan kendala pada aspek pengorganisasian dan pelaksanaan, serta pada unsur lingkungan ditemukan kendala pada respon orang tua.Simpulan: Terdapat keterkaitan antara aspek SDM dengan pengorganisasian dan respon orang tua, keterkaitan aspek sarana dan prasarana dengan pelaksanaan, serta keterkaitan pemanfaatan pedoman dan pelaksanaan. Kata kunci: Pandemi COVID-19; Imunisasi Dasar Lengkap; Analisis Pelaksanaan Program Background: Special Region of Yogyakarta (DIY) province a decrease in the coverage of Complete Basic Immunization to 36% in 2020, the most drastic decline occurred at the Puskesmas Tempel I, Sleman Regency. Tempel I Public Health Center (Puskesmas) have the responsibility to provide basic services with additional duties as the spearhead of breaking the chain of COVID-19 transmission. The purpose of the study was to analyze the implementation of the Complete Basic Immunization program during the COVID-19 Pandemic at Puskesmas Tempel I from the elements of Input, Process, and Environment.Method: This research is a qualitative type with a descriptive approach through in-depth interviews with implementing midwife informants, Person in charge of KIA-KB (UKP), Person in charge of Immunization at the Sleman District Health Office, Head of Tempel I, and mothers who brought immunizations amid in the COVID-19 Pandemic. Result: The results showed that at the beginning of the COVID-19 Pandemic, the Tempel I Health Center closed the immunization service for 1 month. Tempel I then re-planned the immunization service efforts amid in the COVID-19 outbreak. In implementation, it was found there were obstacles from the inputs related to aspects of the number, adequacy, and readiness of human resources, facilities and infrastructure, and the use of guidelines. The process elements found obstacles in the aspects of organizing and implementing, as well as on the elements of the environment found obstacles in the response of parents.Conclusion: It is concluded that there is a relationship between the HR aspect and the organization and response of parents, the link between the facilities and infrastructure aspects and the implementation, as well as the link between the use of guidelines and implementation. Keywords: COVID-19 Pandemic; Complete Basic Immunization; Analysis of Program Implementation

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Analisis Sebaran Tenaga Kesehatan Puskesmas di Indonesia berdasarkan Peraturan Menteri Kesehatan Nomor 75 Tahun 2014 tentang Puskesmas

Cited by 15 publications

References 0 publications

Determinants of out-of-district health facility bypassing in East Java, Indonesia

Determinants of out-of-district health facility bypassing in East Java, Indonesia

Factors Associated With Work Stress Level Among Healthcare Professionals During Coronavirus Disease 2019

Analisis Sistem Program Imunisasi Dasar Lengkap (IDL) selama Masa Pandemi Covid-19 (Studi Kasus Puskesmas Tempel I Kabupaten Sleman)

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