Availability Of Human Resources Research Articles

Создание нового порта: фактор влияния на развитие транспортной логистики региона

The process of formation, construction and development of a new international port on a section of the river bank received from another country, which has direct access to the sea, is considered. The analysis of the advantageous location and favorable conditions for the creation of the port, including the conditions for entry into the port of sea and river vessels, the availability and accessibility of road, rail and air transport, is carried out. The created structure of the port is illustrated, as well as brief characteristics, capabilities and features of various port terminals for cargo transshipment and passenger transportation are considered. The organizational and technological experience in creating a logistics hub in the region was studied, taking into account the needs of producers, recipients and the characteristics of transport carriers, including the features of asset management. The analysis of indicators of the volume of transshipment of various cargoes was carried out, the main directions of the port's development in the near future were determined. In the process of studying the experience of creating port infrastructure, the created conditions for business development and investment attraction, the peculiarities of the tax and customs regime, as well as the distinctive features of the port's free economic zone from other similar territories are considered. Calculations of the availability of human resources in the port area and their attractiveness for transport companies are given. The process of development of the merchant fleet of the Republic of Moldova is analyzed, and the role of port infrastructure and transport logistics in the development of maritime activities of the state and the region as a whole is shown. A comparative analysis of the development of similar ports in the region was carried out according to the main indicators. Conclusions are drawn about the impact of the intensity of development of ports and transport logistics in the region on strengthening the state’s maritime potential, its infrastructure and trade.

Evaluation of the accelerate stunting reduction program through stunting care houses (Rumah Pesta) Wakatobi district

Wakatobi Regency as an island region in 2022 has a stunting prevalence of 29.9%, higher than the average prevalence rate for Southeast Sulawesi province of 27.7%. This regency has a high commitment to accelerating the reduction of stunting prevalence through the strategic initiative of stunting care home innovation activities (Rumah Pesta). Serving as a venue for organizing the mobilization and execution of internalizing the acceleration of the reduction of stunting through synchronization and cooperation between stakeholders, village administrations, and agencies. To evaluate the stunting reduction acceleration program through the Stunting Care House (Rumah Pesta) Wakatobi Regency. Qualitative descriptive research, content analysis was carried out on the conditions of natural objects from the context in which the event occurred in an effort to describe the incident through key informants, main informants and supporting informants based on knowledge about the stunting reduction acceleration program policy. This research uses in-depth interviews with tools in the form of recording devices, interview guides, review of rules and documents to answer research objectives using the CIPP model evaluation approach. In the context evaluation, the regional stunting reduction acceleration program policy has influenced the prevalence of stunting through the the Stunting Care House or Rumah Peduli Stunting (Rumah Pesta) innovation program which was implemented through the Decree of the Head of the P2 & KB Department. Input evaluation: The main budgetary support for activities comes from self-help, including the APBN and APBD budgets through related SKPD intermediaries who are directly involved in stunting activities. Human resource capacity is inadequate and there is no support for sustainable training programs through Rumah Pesta. Support for facilities and infrastructure for service activities in the building is inadequate, there are facilities to support stunting activities. Evaluation process: Activity planning house party activities are participatory in nature as a form of implementation of policies to accelerate stunting reduction to realize the mobilization of strategic initiative steps by the relevant SKPD leaders in the form of innovation activities, referring to 29 main indicator service coverage designed through creativity in the form of independent activities with at-risk families, local cultural approaches. Product Evaluation: Contributing directly to reducing the prevalence of stunting in Wakatobi district through interventions through assistance activities for at-risk families which are still ongoing today, Sustainability of programs or activities to accelerate stunting reduction requires synergy and support from data sources, use of accurate data through a good human resource availability approach, supporting infrastructure that meets standards at all levels of implementation of activities to accelerate stunting reduction.

Inclusion and the availability of educational resources – capturing stakeholder voices

ABSTRACT Background Greater provision of inclusive education is an important goal for education systems internationally. Frequently identified barriers to progress include a lack of resources to support students with special educational needs (SEN) in mainstream education settings. Purpose This study from Spain sought to gain insight into the availability of educational resources to support students with SEN in mainstream schools in the region of Murcia, by exploring the perceptions of stakeholders. Methods Participants were 27 stakeholders involved in the development and operation of special classrooms in mainstream settings for students with SEN who require highly specialised attention. Perceptions were gathered from participants across 18 mainstream centres in the region, via semi-structured interviews and focus groups. Data were analysed qualitatively, according to an existing categorisation that distinguished between material, human and teaching space resources. Findings In-depth analysis suggested that, according to many stakeholders, an insufficiency of educational resources constituted one of the main barriers to achieving inclusive education. Participants believed that material resources in education centres should be increased to support students with SEN, reporting a lack of digital resources and the necessary teacher education for their application in the classroom. Limited availability of human resources was also highlighted, with participants desiring a more substantial presence of professionals in mainstream centres and a deeper commitment towards inclusion. They considered that there should be more space in the centres to conduct multisensory and motivating activities for students with SEN. Conclusions Catering to the diverse learning needs of all students is a key concern globally. This study underscores the significance of different types of resources in inclusive provision. It draws attention to the importance of increasing the availability of resources in mainstream educational settings to support students with SEN.

The role of healthcare providers and caregivers in monitoring critically ill children: a qualitative study in a tertiary hospital, southern Malawi

BackgroundCritically ill children require close monitoring to facilitate timely interventions throughout their hospitalisation. In low- and middle-income countries with a high disease burden, scarce paediatric critical care resources complicates effective monitoring. This study describes the monitoring practices for critically ill children in a paediatric high-dependency unit (HDU) in Malawi and examines factors affecting this vital process.MethodsA formative qualitative study based on 21 in-depth interviews of healthcare providers (n = 12) and caregivers of critically ill children (n = 9) in the HDU along with structured observations of the monitoring process. Interviews were transcribed and translated for thematic content analysis.ResultsThe monitoring of critically ill children admitted to the HDU was intermittent, using devices and through clinical observations. Healthcare providers prioritised the most critically ill children for more frequent monitoring. The ward layout, power outages, lack of human resources and limited familiarity with available monitoring devices, affected monitoring. Caregivers, who were present throughout admission, were involved informally in monitoring and flagging possible deterioration of their child to the healthcare staff.ConclusionBarriers to the monitoring of critically ill children in the HDU were related to ward layout and infrastructure, availability of accurate monitoring devices and limited human resources. Potential interventions include training healthcare providers to prioritise the most critically ill children, allocate and effectively employ available devices, and supporting caregivers to play a more formal role in escalation.

Implementation of Vaccination Policy for Controlling Foot and Mouth Disease in Livestock in the Fisheries and Service Office

This research is motivated by the problem of effectiveness, efficiency and distribution of vaccines for Foot and Mouth Disease (FMD) in livestock in Bogor Regency. The purpose of this study is to analyze how the implementation of vaccination policies on livestock in Bogor Regency and what factors support and do not support the implementation of FMD vaccination. This research uses a qualitative descriptive research method using the model developed by George C. Edward III that policy implementation is influenced by 4 factors. Edward III that policy implementation is influenced by 4 (four) variables, namely communication, resources, disposition, and bureaucratic structure. The results showed that the implementation of FMD vaccination policy in Bogor District has been running well and successful in tackling FMD in livestock. The results include decreased FMD cases, improved livestock health and productivity. Communication, disposition, and bureaucratic structure variables are supporting factors for the successful implementation of FMD vaccination policy. Meanwhile, the resource dimension is a factor that does not support the implementation of FMD vaccination. This can be seen from the lack of staff (vaccination officers), inadequate vaccine storage (cool boxes), and lack of budget. Collaborative efforts with third parties (non-governmental organizations, private sector, universities) in terms of providing supporting facilities to ensure vaccine storage facilities meet the required standards and meet the availability of trained human resources.

Strategi Pengembangan Ekowisata Mangrove di Pesisir Pantai Kertomulyo, Kecamatan Trangkil, Kabupaten Pati

This research aims to find out the strategy for developing Mangrove ecotourism in the coastal area of Kertomulyo village, Trangkil sub-district, Pati Regency. This research is classified as a type of field research, with a qualitative-descriptive method. The data collection techniques use observation, interviews and documentation. And data analysis using SWOT theory. The results of this research show that the strengths possessed by the organization in carrying out the strategy that has been determined are the availability of applicable laws and regulations, the availability of human resources both in quality and quantity, sufficient availability of supporting facilities and infrastructure, and awareness from the public. The weaknesses that an organization has in implementing the strategy that has been determined can be an obstacle to the success of the strategy, such as: Lack of professionalism of the employee apparatus. Public awareness regarding the implementation of development has not yet accumulated. Accurate data regarding the development that will be implemented is not yet available. There has not been a culture of transparency in budget management and good management. Opportunities or opportunities that an organization has in carrying out a predetermined strategic plan can be supporting factors that will have a positive impact on the success of the strategy, including: The existence of business opportunities. There is development in the business world. The occurrence is cross-sectoral. Increased mobility of goods and services. There is coordination from related agencies. Threats definitely occur in every organization which can be a trigger to increase an organization's efforts and creativity in carrying out planned strategies. Some of the threats in tourism strategies are: High business competition, lack of development of facilities and infrastructure, lack of government role, and lack of attractiveness and uniqueness of tourist attractions.

Overcoming Barriers in Hospital-Based Health Technology Assessment (HB-HTA): International Expert Panel Consensus.

The purpose of this article is to investigate the common facilitators and barriers associated with the implementation of hospital-based health technology assessment (HB-HTA) across diverse hospital settings in seven countries. Through a two-round Delphi study, insights were gathered from a panel of 15 HTA specialists from France, Hungary, Italy, Kazakhstan, Poland, Switzerland, and Ukraine. Experts initially conducted a comprehensive review of the HB-HTA implementation in their respective countries, identifying the barriers and facilitators through descriptive analysis. Subsequently, panel experts ranked these identified barriers and facilitators on a seven-point Likert scale. A median agreement score ≥ 6 and interquartile range (IQR) ≤ 1 was accepted as reaching a consensus. Out of the 12 statements categorized as external and internal barriers and facilitators, the expert panel reached consensus on six statements (two barriers and four facilitators). The external barrier, which achieved consensus, was the lack of the formal recognition of the role of HB-HTA in national or regional legislations. The internal barrier reaching consensus was the limited availability of human resources dedicated to HB-HTA. This qualitative study indicates that HB-HTA still has progress to make before being formally accepted and integrated across most countries, although by building on the facilitating factors we identified there may be an opportunity for the implementation of internationally developed strategies to strengthen HB-HTA practices.

Exploring the determinants of disaster and climate resilience building in Zimbabwe’s rural communities

AbstractWith the burgeoning threats from natural hazards and extreme weather events driven by climate change in every section and sector of society, building resilience against disasters and risks posed by climate change has become an unescapable discourse. The study’s main thrust is to establish the determinants of resilience building in Zimbabwe’s rural communities. The study adopted the qualitative constructivist grounded theory approach in conjunction with participatory action research to gain insights from community members and traditional leaders. A total of forty-six participants from Chimanimani District, Zimbabwe participated in the study. The findings revealed that the availability of natural and human resources, collective efficacy, government and development agency support systems, indigenous knowledge systems, and livelihood diversification were crucial determinants of resilience building for rural communities in Zimbabwe. The identified determinants for resilience building signal that these determinants need to be harnessed to inform policy and practice interventions. Furthermore, the availability of the identified determinants implies that rural communities can minimise, and prevent losses, reduce exposure to natural hazards, disasters and climate change risks and manage the impacts of natural hazards whenever they emerge. The study recommends that these determinants be complemented by access to technology, resilient community infrastructures, robust social protection systems, and hazard risk assessment participatory processes by rural communities. In addition, effective emergency and health services, among other contingent measures essential to improve community resilience.

TRANSPARENCY IN HEALTH SERVICES AT MAJENE REGIONAL GENERAL HOSPITAL, WEST SULAWESI

The research objective was to determine the transparency of the implementation of health services and the driving factors for the transparency of the implementation of health services at the Regional General Hospital Majene, West Sulawesi. This research uses a qualitative approach, this type of research is classified as qualitative descriptive research. Data collection through observation made direct observations in the field about events related to the object of research, while interviews conducted interviews with informants to obtain information on implementation transparency issues and driving factors affecting health services, and documentation is research by collecting data in the form of documents such as decrees and regulations. regulations relating to the object of the problem. For analysis starting from data collection, data reduction, data presentation and conclusion. The results of the study show that the transparency of the implementation of health services is transparent because of several indicators, namely, the suitability of service standards, the information system has been published clearly, and the requirements and administration of services are carried out properly and by those set by the hospital. The driving factor that affects the transparency of the implementation of health services at the Majene Regional General Hospital, West Sulawesi, is the availability of Human Resources, namely employees who are tasked with wearing identification and carrying out their duties and responsibilities according to their respective fields, and facilities and infrastructure have been provided to satisfy health services to the community.

IJCM_206A: Building a demographic, developmental and environmental surveillance site in an urban slum and resettlement colony in Delhi, India: processes, engagement, and challenges – a SWOT analysis

Background: Demographic, developmental and environmental surveillance sites (DDESS) enable accurate and prospective health-related data collection amongst socioeconomically disadvantaged populations that facilitate health planning and interventions. Objectives: We explored the community-engagement strategies, enablers, and barriers in building a DDESS site in an urban slum and resettlement colony-based field practice area of a government medical college in Delhi. Methodology: We conducted qualitative research through SWOT analysis that identified both internal (strength and weaknesses), and external (opportunities and threats) factors in building the DDESSS. Informal interviews with multiple stakeholders including researchers, field investigators, project staff, local medical officers, resident doctors, community health workers, local residents, and leaders were conducted. Results: The themes related to SWOT analysis were identified as: (1). Internal factors – Strengths (a). Pre-existing linkage with the community especially provision of comprehensive primary care services (b). Establishment of community-advisory boards (c). Community needs assessment (2): Internal factors - Weaknesses (a). Perceived lack of individual benefit in residents (b). Dissatisfaction with functioning of existing health services (c). Inadequate digital literacy among senior staff hindering generation and adoption of health data to meet population healthcare needs (c) Concerns over privacy in questions related to socioeconomic status and mapping of the area. (3). External factors – Opportunities (a). Employment of field workers belonging to the community to demonstrate trust and build confidence (b). Outreach health services including noncommunicable screening camps, and child vaccination. (4). External factors - Threats (a). Inefficient functioning of health system such as out-of-stock drugs, delayed vaccination, unavailability of diagnostic services in existing primary health facilities. (b). ensuring availability of adequate human and financial resources beyond the project period. (c) dominance of CABs by influential individuals or groups. Conclusion: Garnering community support and active community engagement enable the process of establishment of medical college based DDESS sites.

Human resources for health and maternal mortality in Latin America and the Caribbean over the last three decades:a systemic-perspective reflections.

The role of human resources for health in the operation of health systems is crucial. However, training and incorporating them into institutions is a complex process due to the continuous misalignment between the supply and demand of health personnel. Taking the case of the Latin American and Caribbean region countries, this comment discusses the relationship between the availability of human resources for health and the maternal mortality ratio for the period 1990-2021. It proposes the need to resume planning exercises from a systemic perspective that involves all areas of government and the private sector linked to the training and employment of health workers. We used secondary data from a global source to show patterns in the relationship between these two aspects and identify gaps in the Latin American and Caribbean regions. The results show enormous heterogeneity in the response of regional health systems to the challenge of maternal mortality in the region. Although most countries articulated specific programs to achieve the reduction committed by all countries through the Millennium Development Goals, not all had the same capacity to reduce it, and practically none met the target. In addition, in the English Caribbean countries, we found significant increases in the number of health personnel that do not explain the increases in the maternal mortality rate during the period. The great lesson from the data shown is that some countries could articulate responses to the problem using available resources through effective strategies, considering the specific needs of their populations. Although variations in maternal mortality rate cannot be explained solely through the provision of health personnel, it is important to consider that it is critical to find new modalities on how human resources for health could integrate and create synergies with other resources to increase systems capacity to deliver care according to conditions in each country.

Human Rights-based Public Service in the Class IIA Correctional Facility of Bengkulu

This study is designed to describe problems related to human rights-based public services in the Class IIA Correctional Facility of Bengkulu from the perspective of implementing human rights-based public service policies consisting of accessibility and availability of facilities, human resources availability, officer compliance, public service innovation, and integrity. This type of research uses a qualitative descriptive methodology with data collection techniques that include observation, interviews, and documentation. Data analysis stages involve data reduction, data presentation, and conclusion. The research findings indicate that the implementation of public service at Class IIA Correctional Facility is not yet optimal, as several issues related to the five research aspects are identified, including the inadequacy of facilities and infrastructure for vulnerable groups, overcrowding in the correctional facility housing blocks, limited quality of prison staff, a lack of innovative service provision, and the presence of alleged irregular practices within the correctional facility. Recommendations for improving future service implementation by the jail include providing adequate facilities and infrastructure, enhancing human resources through education and training, facilitating innovations in public service, and establishing effective monitoring and complaint mechanisms.
 Keywords: correctional facility, human rights, public service

Policy Problematics for Implementing the Merdeka Curriculum in Improving the Quality of Student Output at Madrasah Aliyah Negeri (MAN) 01 Kepahiang

The Merdeka Curriculum is currently being widely promoted by the government through the Ministry of Education and Culture as an embodiment of new policies. The research aimed to explain the implementation of the curriculum to improve the quality of graduates, strategies for developing teaching staff as a step to improve the quality of student output and study the supporting and inhibiting factors in implementing the Merdeka curriculum. The research used qualitative methods with a descriptive approach. Data collection used observation, interviews, and triangulation analysis. To achieve learning objectives, teacher guidance is carried out through training. The research results show that the implementation of the Merdeka curriculum at MAN 1 Kepahiang is carried out through a series of management consisting of planning, regulation, implementation, monitoring and evaluation stages. In implementing the Merdeka curriculum, there are several obstacles, including insufficient availability of human resources, inadequate facilities and infrastructure, and real conditions in the field which often contradict the conditions expected by the government. Efforts to overcome these obstacles include training and competency development for teachers and education staff, increasing support from parents and the community, improving facilities and infrastructure, strengthening supervision and monitoring, and developing cooperation between stakeholders. Based on various data and information obtained, the researcher concluded that the implementation of the curriculum to improve the quality of graduates at MAN 1 Kepahiang was adjusted to the needs of the madrasah. To achieve learning goals, especially in realizing educational goals in Madrasas, it is necessary to carry out processes of planning, organizing, implementing, supervising and supervising the course of the curriculum in learning in Madrasas to advance the quality of learning, quality of education, which will ultimately support the realization of improving the quality of graduates.

Implications of absenteeism of health workers on achieving universal health coverage in Nigeria: exploring lived experiences in primary healthcare.

Primary healthcare facilities are the bedrock for achieving universal health coverage (UHC) because of their closeness to the grassroots and provision of healthcare at low cost. Unfortunately, in Nigeria, the access and quality of health services in public primary healthcare centres (PHCs) are suboptimal, linked with persistent occurrence of absenteeism of health workers. We used a UHC framework developed by the World Health Organization-African Region to examine the link between absenteeism and the possible achievement of UHC in Nigeria. We undertook a qualitative study to elicit lived experiences of healthcare providers, service users, chairpersons of committees of the health facilities, and policymakers across six PHCs from six local government areas in Enugu, southeast Nigeria. One hundred and fifty participants sourced from the four groups were either interviewed or participated in group discussions. The World Health Organization-African Region UHC framework and phenomenological approach were used to frame data analysis. Absenteeism was very prevalent in the PHCs, where it constrained the possible contribution of PHCs to the achievement of UHC. The four indicators toward achievement of UHC, which are demand, access, quality, and resilience of health services, were all grossly affected by absenteeism. Absenteeism also weakened public trust in PHCs, resulting in an increase in patronage of both informal and private health providers, with negative effects on quality and cost of care. It is important that great attention is paid to both availability and productivity of human resources for health at the PHC level. These factors would help in reversing the dangers of absenteeism in primary healthcare and strengthening Nigeria's aspirations of achieving UHC.

Designing the Curriculum of the Islamic Banking Study Program towards Higher Education Sustainable Learning

The acceleration of change with the COVID-19 pandemic has made a leap in all aspects, including the banking industry. Islamic banking, which is only a few decades old, has shown a significant increase in assets and institutions that need to be supported by the presence of human resources who understand the characteristics of these institutions so that they do not only focus on domestic affairs but develop overseas. Redesigning the Islamic banking curriculum is urgent in order to prepare the students to become graduates who can be in line with the needs of industrial world. This study aims to redesign the Islamic banking curriculum through in-depth study of stakeholders, namely study program administrators, industry associations (Islamic banking), graduate users, and scientific associations. The method used in this research is a combination by first mapping using the Strength, Weakness, Opportunity and Threat (SWOT) method and then deepening and matching it with the Analytic Network Process (ANP) method to produce priority strategy. The priorities generated based on the SWOT and ANP matrices are : (1) Increasing stakeholder links and matches, (2) Increasing graduate competence, (3) Periodic review and evaluation of the curriculum, (4) Increasing Lecturer capacity. Therefore, Sustainable learning in Islamic banking must be supported by stakeholders by linking and matching in order to fill the need with the availability of competent human resources.

Institutional capacity assessment in the lens of implementation research: Capacity of the local institutions in delivering WASH services at Cox's Bazar district, Bangladesh.

The influx of Forcibly Displaced Myanmar Nationals (FDMNs) has left the Southwest coastal district of Cox's Bazar with one of the greatest contemporary humanitarian crises, stressing the existing water, sanitation, and hygiene (WASH) resources and services. This study aimed to assess the existing capacity of local institutions involved in delivering WASH services and identify relevant recommendations for intervention strategies. We used a qualitative approach, including interviews and capacity assessment workshops with institutions engaged in WASH service delivery. We conducted five key informant interviews (KII) with sub-district level officials of the Department of Public Health Engineering (DPHE), Directorate General of Health Services (DGHS), Directorate of Primary Education (DPE) and Bangladesh Rural Advancement Committee (BRAC) to have a general idea of WASH service mechanisms. Seven capacity assessment workshops were organized with the relevant district and sub-district level stakeholders from August 2019 to September 2019. These workshops followed three key areas: i) knowledge of policy, organizational strategy, guidelines, and framework; ii) institutional arrangements for service delivery such as planning, implementation, coordination, monitoring, and reporting; and iii) availability and management of human, financial and infrastructural resources. Data were categorized using thematic content analysis. The majority of stakeholders lacked awareness of national WASH policies. Furthermore, the top-down planning approaches resulted in activities that were not context-specific, and lack of coordination between multiple institutions compromised the optimal WASH service delivery at the local level. Shortage of human resources in delivering sustainable WASH services, inadequate supervision, and inadequate evaluation of activities also required further improvement, as identified by WASH stakeholders. Research evidence suggests that decision-makers, donors, and development partners should consider learning from the WASH implementers and stakeholders about their existing capacity, gaps, and opportunities before planning for any WASH intervention in any particular area.

Human Resources in Public Healthcare Settings in South Asia in the Last 10 Years

Human resources are part and parcel of an effective healthcare system. They not only cater to clinical but non-clinical areas of the healthcare system too. Human resources aim to achieve a sustainable healthcare system globally which is a basic right of every livingindividual. Objective: To review human resources densities and their input in the healthcare system. We also aim to look at the management of human resources and governmental policies and how this has affected patient care. Methods: A search string was generated and databases used to search for articles included: Pubmed, Google Scholar, and Pakmednet. PRISMA guidelines were adopted to screen articles and select based on the inclusion and exclusion criteria proposed. Results: Out of 922 compiled articles,16 were selected after screening and eligibility selection. These articles showed the availability and competency of human resources from Bangladesh, Afghanistan, Pakistan, and other South Asian countries. Various problems and issues were examined surrounding human resources for health and the impact this has on care in South Asia. Conclusion: Necessary policies that aim to increase the availability of human resources and their competency by decreasingworkload must be carried out so the density increase in South Asia can be seen for human resources in the healthcare system.

HUMAN RESOURCES DEVELOPMENT IN CHILDREN EYE HEALTH SERVICES IN SOUTH SULAWESI

Introduction: Children eye health are one of the most common problems in ophthalmology that are getting attention globally and nationally especially in South Sulawesi. To optimize its services quality and quantity of human resources are required. This study aims to report the human resources development in children eye health services in South Sulawesi.
 Methods: Surveys were carried out in several districts to assess the availability of human resources in children eye health services. Creating collaborations with several institutes such as Faculty of Medicine, Hasanuddin University and related professional organizations. Conducting several trainings in provinces, districts, subdistricts, village, and urban village.
 Results: Preparation and dissemination of materials and media on prevention of blindness in children, improvement of human resources in the form of District Trainer training in 24 districts that recruited 98 people who were ready to become trainers. For 2 years conducting tiered training at 24 districts, they produced human resources of 1,395 officers at the Puskesmas, 11,145 posyandu cadres, and 3,826 teachers. The results of this built system revealed that 3,248 paediatric patients were screened with vision problems, 3,528 toddlers in Integrated Health Centre were screened and referred to Health Centre as many as 426 toddlers, and at the School Health Unit it was recorded that 173,778 children were screened and there were 28,845 (17%) children who had visual disturbances.
 Conclusion: Development of human resources in children eye health in Indonesia was not only the responsibility of the government and the health sector but also need cross-sectoral roles.

Analysis of Economic Institutional Transformation Description to Ensure Business Sustainability and Improve Farmer Welfare

The process of agricultural development using the agribusiness system requires necessary conditions and sufficient conditions. Some of the requirements for agribusiness development are the availability of capital, natural resources, human resources and technology. All these mandatory conditions will be allocated and mobilized more optimally if there is an adequacy condition, namely the availability of institutional equipment. The close loop agribusiness horticulture program for red chili commodities in Garut Regency is a prototype for the implementation of the agribusiness system that summarizes the various requirements in a closed chain or close loop. The initial initiation of the government's role is still dominant, but in accordance with long-term goals, independence and empowerment of farmers are absolutely necessary so that farmers can be more proactive and progressive in utilizing market opportunities not only locally but regionally, nationally and internationally. Adequacy requirements in the form of institutional tools are needed, not only socio-cultural but institutional that also focus on achieving business profits. In this case, there was a transformation of farmer groups into cooperatives.

STRATEGI PENINGKATAN PENERIMAAN PENGGUNA REKAM MEDIS ELEKTRONIK

Background: The benefits of using electronic medical records have encouraged the government and hospitals in Indonesia to continue developing them. Many factors support and hinder the successful implementation of electronic medical records. User acceptance is a key variable in the mandatory use of electronic medical records. The Unified Theory of Acceptance and Use of Technology is the theory used to evaluate EMR and factors that influence user acceptance, namely intention to use RME.
 Objective: This study aims to identify the influence of UTAUT indicators on the behavior intention to use outpatient electronic medical records.
 Methods : This research used a descriptive case study approach with a location at PKU Muhammadiyah Wonosobo Hospital with a sample of all users of outpatient electronic medical records. The research was conducted with in-depth interviews with 10 informants and distributing questionnaires to 95 respondents who were analyzed using SmartPLS.
 Results: Outpatient RME users at PKU Muhammadiyah Wonosobo Hospital accept to use and utilize the system now and in the future due to positive perceptions of performance expectations, effort expectations, and facility conditions. Obstacles are still found that hamper the acceptance of outpatient RME users including RME not yet integrated with all services in the hospital, RME feature dysfunction, interoperability interference, data access is not automatic, availability of inappropriate infrastructure, lack of availability of skilled IT human resources, lack of regulation. Performance expectation has a positive and significant effect on usage intention (t=2.381; p=0.018). Expectation of effort has a positive and significant effect on intention to use (t=2.004; p=0.046). Facility conditions have a positive and significant effect on usage intention (t=2.245; p=0.025). Social influence has an insignificant positive effect on intention to use (t=1.179; p=0.239).
 Conclusion : Increasing user acceptance of EMR is done by increasing performance expectations, business expectations, and facility conditions that support implementation. User expectations for the use of RME in the future are system improvements, all user needs accommodated, and interoperability so that the system can be fully integrated.