Pelayanan Kesehatan Research Articles

Evaluasi Program Pelayanan Kesehatan Ramah Remaja (PKRR) dalam Pendidikan Kesehatan Reproduksi Remaja Awal

Introduction: In Indonesia, one of the efforts to prevent risky sexual behavior is to provide reproductive health education among adolescents. One of the programs that collaborate with schools in providing reproductive health education is the pelayanan kesehatan ramah remaja (PKRR) organized by the Dinas Kesehatan. However, studies on the evaluation of the PKRR program among early adolescents in Indonesia have not been widely studied. Methods: A qualitative study was conducted on 14 early adolescents, 1 provider and 1 practitioner PKRR in November 2019-February 2020. Data were collected by Focused Group Discussion (FGD) and semi-structured interviews using the RE-AIM framework. Data was analyzed using Stevick-Colaizzi-Keen method in Nvivo 12 software. Result: The advantage of this program is that it can reach the target of early adolescents in the school. One of the weaknesses of this program is the limited time when socialization was carried out in schools. In addition, another weakness is the implementation at the community level, in the form of Posyandu remaja and counseling. It is difficult to reach early adolescents in the community level, because there is a feeling of shame to come to the place of services. Conclusion: This evaluation succeeded in revealing the needs of adolescents for reproductive health information, including the desire of adolescents to better understand reproductive health. The implication of this study is that there is a need for improvement in the implementation of the PKRR program. Improvements include the addition of comprehensive sexual education, cross-sectoral collaboration and the regeneration of young implementers for better implementation. Keywords: Evaluation, Early Adolescents, PKRR, Reproductive Health Education, RE-AIM.

Design of Personal Health Monitoring Devices for Early Detection of Silent Hypoxia

Silent hypoxia in Covid-19 patients and symptoms of severe hypoxemia require appropriate treatment. These cases often appear asymptomatic but risk fatal to life-threatening. One of the recommended devices is pulse oximetry. Embedded systems technologies and the Internet of Things (IoT) can develop low-cost personal health monitoring devices. This study developed a pulse oximetry prototype integrated with a digital temperature sensor and equipped with the interpretation results of both "normal" and "hypoxic" conditions. It is called OxyTemp. IoT technologies monitor user conditions remotely using the Blynk application via mobile phones. This study used Research & Development with the Reverse engineering method. The OxyTemp has Different types of prototype testing are physical and functional inspection, electrical safety testing, and performance testing of each parameter using an appropriate calibrator. The working method refers to SK Direktur Jenderal Pelayanan Kesehatan Tahun 2018 No. 041-18 on Pulse Oximeter Testing Working Methods.

The Model of Job Performance : Leadership, Workplace, and Motivation

The Model of Job Performance : Leadership, Workplace, and Motivation

EVALUASI PELAKSANAAN SISTEM SURVEILANS HEALTHCARE ACQUIRED INFECTIONS (HAIS) DI RSU HAJI SURABAYA TAHUN 2020

Healthcare Acquired Infections (HAIs) or nosocomial infections are infections that occur in patients during hospitalization. HAIs are classified into 4 namely Catheter-Associated Urinary Tract Infection, Surgical Site Infection, Ventilator-Associated Pneumonia, and Blood Stream Infection. The purpose of this study is to evaluate the implementation of the HAIs surveillance sistem. The research method used is a descriptive evaluation study with an observational research design. The data sources used are the Reports and dissemination of HAIs Surveillance at RSU Haji Surabaya in 2019-2020. The results showed that HAIs cases at RSU Haji Surabaya in 2020 were 0.03%. The problems in the implementation of HAIs surveillance are the accuracy and completeness of data reports, implementation support facilities, and employee participation in training has not been running optimally, application bundle items are under repair, and job rotation for employees. Conclusion : the implementation of HAIs surveillance activities is in accordance the Regulation of the Peraturan Menteri Kesehatan Republik Indonesia Number 27 of 2017 Tentang Pedoman Pencegahan Dan Pengendalian Infeksi di Fasilitas Pelayanan Kesehatan, but the implementation still running unoptimally, researchers recommend the implementation of reward and punishment activities for surveillance officers as a solution to improve the sistem surveillance.

Evaluation of the Implementation of the Youth Care Health Service Program in the West Lingkar Health Center of Bengkulu City

Background: One of the strategies to overcome adolescent problems is the formation of the Youth Care Health Service Program or Pelayanan Kesehatan Peduli Remaja (PKPR). PKPR itself is a health service program aimed at adolescents and is a forum for overcoming adolescent problems. This study aimed to analyze the implementation of the PKPR program in the working area of the West Lingkar Health Center. Method: This research was a qualitative descriptive study conducted in March-April 2021. The methods used were observation and in-depth interviews with seven informants: the person in charge of the PKPR program, health workers, peer counselors, and youth participating in PKPR. Results: The results showed that the PKPR program was aligned with the 2014 standard guidelines. This research was done inside and outside the health center by collaborating with PKPR's person in charge and the health team based on the Decree of PKPR implementation. PKPR program is held in three schools in the working area of the West Lingkar Health Center and provides services such as health checks, counseling, and education about youth health. The peer counselor training subprogram has fulfilled the standard 10% of the target schools. PKPR is fully funded by the Special Operational Assistance or Bantuan Operasional Khusus (BOK) fund. Recording and reporting were done every two to three months to the public health office. Monitoring was reported during the activities, while the evaluation report is annual. This research discovered the availability of counseling rooms and related references about communication, information, and education books on PKPR. This research had collaborated with cross-sectors such as schools and the National Antinarcotics Agency. Conclusion: Implementation is under PKPR guidelines, but overall it was still not optimal. There was no regular socialization of PKPR, especially for youth who did not attend school.

Doctor’s Responsibility in Providing Telemedicine Services among Health Care Facilities: Legal and Professional Dimensions

To provide specialist health care closer and improve quality in health care facilities, especially for remote areas, the central government utilizes information and communication technology through telemedicine services among health care facilities. This matter is regulated in the Ministry of Health Regulation No. 20 Tahun 2019 tentang Penyelenggaraan Telemedicine Antar Fasilitas Pelayanan Kesehatan. This article aims to describe the forms of legal responsibility and professional responsibilities of doctors in telemedicine services among health care facilities. The method used in this study is normative juridical. The study results show that physicians' responsibilities in telemedicine services among health care facilities can be divided into legal responsibilities (which are divided into civil, criminal, and administrative) and professional responsibilities (ethics and discipline). Doctors’ responsibility in telemedicine services among health care facilities is an obligation that doctors must fulfill because obligations are nothing but part of the tasks carried out in a particular work environment.

Pelatihan Komunikasi Pelayanan Kesehatan kepada Petugas Kesehatan di Puskesmas Cempaka Putih

Health service communication is a form of communication that occurs between health service providers (such as doctors, nurses, midwives, pharmacists, and other health workers) with patients, patients' families or with other health workers. In essence, health service communication is a process of interaction between two parties to obtain information, provide information and provide support, which is carried out in a health setting. Effective communication can reduce patient doubts about the treatment process and increase patient compliance with a series of treatments, so that health problems can be resolved. Therefore, health workers need to maintain a good cooperative relationship with patients. Based on the community service activities that have been carried out, data are obtained that health service communication training provided to health workers at the Cempaka Putih Health Center shows the results of an increase in understanding and knowledge of training participants regarding techniques for communicating health services to patients. The future program is expected to not only sharpen the knowledge and understanding possessed by participants, but can also be improved by training the operational technical skills of health practitioner participants in communicating health services. How to cite: Caninsti, R., Febriani, Z., & Brebahama, A. (2020). Pelatihan Komunikasi Pelayanan Kesehatan kepada Petugas Kesehatan di Puskesmas Cempaka Putih. Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang, 5 (1), 47-52. DOI: https://doi.org/10.26905/abdimas.v5i1.3299

Kualitas Pelayanan Kesehatan Di Puskesmas Pembantu (Pustu) Desa Lebang Kecamatan Cendana Kabupaten Enrekang

The objectives of this research were to describe and to explain about the quality of health services at auxiliary community health centers in Lebang village of Cendana subdistrict in Enrekang regency. The research method of this research was quantitative descriptive that used to explain about the quality of auxiliary community health centers.The respondent were 68 people which were chosen by using incidental sampling. There were some steps in procedures of collecting data. They were question, observation, and interview. The collected data were analyzed by using frequency table. The result of the research showed that the quality of health services at auxiliary community health centers was already good and qualified. These results were based on the recapitulations of each indicators as follows tangible, reliability, competence, and responsiveness where all the mean results were in a good and qualified category.Keywords: quality, healthy service Penelitian ini bertujuan untuk menggambarkan dan menjelaskan kualitas pelayanan kesehatan di Puskesmas pembantu (PUSTU) Desa Lebang Kecamatan Cendana Kabupaten Enrekang. Jenis penelitian adalah deskriptif kuantitatif yang menjelaskan mengenai kualitas pelayanan kesehatan di PUSTU. Responden sebanyak 68 orang yang dipilih secara sampling insidental.Teknik pengumpulan data yaitu kuesioner, observasi, dan wawancara. Data tersebut dianalisis secara deskriptif kuantitatif menggunakan tabel frekuensi.Hasil penelitian menunjukkan bahwa kualitas pelayanan kesehatan sudah baik dan berkualitas.Hal ini berdasarkan hasil rekapitulasi dari tiap-tiap indikator yaitu bukti fisik (tangible), keandalan (reliability), kompetensi (competence), dan responsivitas (responsiveness) dengan hasil rata-rata persentase berada pada kategori baik dan berkualitas.Katakunci: kualitas, pelayanan kesehatan.

Analisis Sekuen Gen Tubulin-β Isotipe 1 Cacing Haemonchus contortus Isolat Resisten terhadap Benzimidazole pada Domba di Indonesia

<p>Benzimidazole (BZ)<br />resistance to gastrointestinal nematodes in small ruminants<br />(sheep and goat) has become a significant problem worldwide.<br />Evidences of anthelmintic resistance to albendazole in<br />Indonesia has been reported from some government owned<br />farms in West Java, Central Java, and Yogyakarta. Previous<br />study on the sheep parasite H. contortus had shown that the<br />BZ resistance was related to selection for individuals in a<br />population possesing a spesific β-tubulin isotype 1 gene. The<br />study is aimed to determine mutation on coding region of<br />central part of β-tubulin isotype 1 gene of H. contortus resistant<br />strain from Indonesia. Seven H. contortus worms were<br />isolated from four BZ resistant sheep from two government<br />farms (SPTD Trijaya, Kuningan, West Java, and UPTD<br />Pelayanan Kesehatan Hewan, Bantul, Yogyakarta), and from<br />a BZ susceptible sheep from Cicurug, Sukabumi, West Java.<br />DNA was extracted individually from female H. contortus<br />worms. A fragment of 520 bp β-tubulin isotype 1 gene exon<br />3, 4, 5 was amplified using the PCR technique and then<br />sequenced. The results showed that a single mutation<br />occurred in codon 200 (from phenilalanine to tyrosine) had<br />caused benzimidazole resistance in H. contortus from SPTD<br />Trijaya, Kuningan, West Java. Mutation in β-tubulin isotype 1<br />gene of H. contortus from UPTD Pelayanan Kesehatan<br />Hewan, Yogyakarta, occurred in codon 198 (from glutamate<br />to glycine), codon 201 (from cystein to stop codon), and<br />codon 202 (from isoleucyne to stop codon).</p>

ABORSI DAN HAK ATAS PELAYANAN KESEHATAN: Sebuah Tinjauan Teologis, Yuridis, dan Medis

<p align="center"><strong>ABORSI DAN HAK ATAS PELAYANAN KESEHATAN:</strong></p><p align="center"><strong>Sebuah Tinjauan Teologis, Yuridis, dan Medis</strong></p><p align="center"><strong> </strong></p><p align="center"><em>Aliba’ul Chusna</em><em></em></p><p> </p><p><strong>Abstract:</strong><strong><em> </em></strong><em>Abortion, at this contemporary era, is fiercely controversial issue for amount of people. Nevertheless, It is a health problem of so many society cause not only diseases but also mother’s death. Abortion is also supposed to be one of several factors for rising mother’s death in Indonesia. It happens because of cases; it can be medical or non-medical motive. Abortion which is medical motive is permitted for prerequisites. Otherwise Abortion which is non-medical motive such as sex harassment pregnancy is not permitted by both Islamic jurisprudence and legal law. But in fact, amount of abortion cases are due to non-medical motives. This paper tries to explore and describe abortion and its connection to health service rights. </em></p><p><em> </em></p><p><strong>Keywords</strong>: Aborsi, hak, pelayanan kesehatan</p>

ROLE PERCEPTION OF CAREER DEVELOPMENT AND SUPPORT ORGANIZATION TO ORGANIZATION COMMITMENT (RESEARCH NURSE ON HEALTH SERVICES AGENCY REGIONAL HOSPITAL "MARDI WALUYO" BLITAR EAST JAVA)

This research was aimed at examining the role of perception of career development and organizational support on the organizational commitment. This study involved seventy nurses of Badan Pelayanan Kesehatan Rumah Sakit Daerah “Mardi Waluyo” Blitar as the subjects of the research. The research data were collected using three scales, that are, scale of perception of career development, organizational support, and organizational commitment. The hypothesis was that the organizational commitment could be predicted from the perception of career development and organizational support. The data were analyzed with multivariate regression analysis.The results of this research showed that perception of career development and organizational support had very significant role on organizational commitment (F: 6.589; R2 = 0.164; p = 0.003), beside that, perception of career development had very significant with organizational commitment (F = 12.922; r = 0.161; p = 0.001), but the organizational support with organizational commitment was insignificant (F = 0.257; r = 0.003; p = 0.620).Keywords: organizational commitment, career development, organizational support.

PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI REMAJA

Pemanfaatan Pelayanan Kesehatan Reproduksi Remaja. Penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik remaja, akses dan akseptabilitas keluarga dengan pemanfaatan pelayanan kesehatan reproduksi di wilayah kerja Puskesmas Tegallalang I. Desain penelitian adalah cross sectional analytic dengan populasi adalah remaja di wilayah kerja puskesmas sebanyak 4725 orang dengan jumlah sampel 84 orang. Sampel dipilih secara systematic random sampling. Data dikumpulkan dengan wawancara. Pada analisis multivariat didapatkan akses memiliki kontribusi tertinggi yang berhubungan dengan pemanfaatan pelayanan kesehatan reproduksi (p=0,022, OR=3,481). Diperlukan upaya, pembinaan dan sosialisasi tentang pelayanan kesehatan reproduksi pada remaja.

Maternal Health Accessibility in Tangerang District Banten, 2006

Indonesia has developed many programs to reduce maternal death, which is beliefs related to access to maternal care, but still only limited pregnant women have access to health facility. This research tried to show which variables that contribute the decision to utilize the maternal health care. Using secondary data from survey lKinerja Pelayanan Kesehatan berdasarkan Indikator Kabupaten Tangerang Sehat 2010r, conducted in 2006, by the Health District Office, Kabupaten Tangerang-Banten.. Maternal health utilization was consisted of complete antenatal care (ANC) examination, and delivery attended by professional birth attendance. In term of the ante natal care (ANC), 97.6% of the respondents had at least one time ANC to the health personnel, and 85.7% to the midwife. Complete ANC and at least 4 times meet medical personnel (K4) was 52.5%. Delivery by professional health attendance was around 80.3%, and 70.7% of the delivery were obtained in the health facility. Maternal health utilization is explained by variables ATP (ability to pay) from economic accessibility, and from the social accessibility by knowledge of ANC, knowledge of risk from the pregnancy, risk of giving birth and the involvement in decision making process to choose service delivery, but there was no physical accessibility could explained the utilization difference. Multilevel analysis proved that there was a random intercept from level I to level II, with MOR=2.13. It means there was a difference in median of OR in the level I to level II. The difference can be explained by the supply factor, which is measured by midwife ratio to 10.000 population, with IOR (0.24 n 4.16). Since the variation of IOR exceeded 1, it means the variation among the sub-district is relatively bigger than the contextual variable (midwife ratio). Still this research could explain that midwives were playing the very important role in maternal health accessibility in district level.

Sequence variability of the β Tubulin isotype-1 genes in benzimidazole resistant strains of Haemonchus contortus, a nematode parasite of sheep

Resistance to benzimidazole at a population of gastrointestinal nematode, especially Haemonchus contortus is a widespread problem. Therefore, anthelmintic will not effective anymore. Benzimidazole resistance in nematode has been shown to be heritable and defined as an increase in frequency of individual worms able to drug tolerate. In Indonesia resistance to anthelmintic albendazole has been reported on sheep in district of Bogor, Kuningan, Kendal and province of Yogyakarta. Molecular mechanism of resistance to benzimidazole on nematode and fungi related to single gene which code s tubulin. The aim of this research is to determine a genetics variability of isotype-1 s tubulin genes from Indonesian strain of H. contortus which resistant to benzimidazole. Sequencing were carried out at a 520 bp fragment of the isotipe-1 s tubulin gene of six H. contortus resistant strain from four sheep from SPTD Trijaya farm, district of Kuningan, West Java; UPTD Pelayanan Kesehatan Hewan farm, district of Bantul, Yogyakarta respectively. One H. contortus susceptible strains as a control come from farmer from Cicurug, district of Sukabumi, West Java. Results indicated that there are genetics variability of fragment isotype-1 s tubulin genes from H. contortus from UPTD Pelayanan Kesehatan Hewan farm, Bantul, Yogyakarta (H1, H2, and C2). There are no genetics variability in the fragment gene of H. contortus resistant strain from SPTD Trijaya farm, Kuningan, West Java (Kn1, Kn2 and K1). Genetic variability occur between 2 isolate from different location. Key Words : Haemonchus contortus , Benzimidazole, Isotype 1 β-tubulin Gene, Sequencing

Mutation detection on isotype-1 β tubulin genes of Haemonchus contortus resistant strain to benzimidazole using single strand conformation polymorphism

Evidence of anthelmintic resistance of Haemonchus contortus to benzimidazole groups based on Larval development assay (LDA) and Fecal egg count reduction test (FECRT) test has been reported in some areas in Indonesia. Studies on sheep parasite H. contortus have shown that resistance to benzimidazole drugs is correlated with selection for individuals in the population possesing a spesific isotype-1 β tubulin gene. The aim of this study was to determine mutation on central part of isotype-1 β tubulin gene of benzimidazole resistant strain H. contortus using Single Strand Conformation Polymorphism (SSCP). H. contortus worms were isolated from four sheep from two government farms that resistance to benzimidazole have been occurred (SPTD Trijaya, Kuningan, West Java and UPTD Pelayanan Kesehatan Hewan, Bantul, Yogyakarta) and one sheep that susceptible from Cicurug, Bogor, West Java as a kontrol. Resistance status to benzimidazole was reexamined individually with LDA and FECRT before sheep slaughtered. DNA was extracted from female H. contortus worms . A fragment of 520 bp isotype- 1 β tubulin gene was amplified using Polymerase chain reaction ( PCR) and then analyze using SSCP. The results showed that there were polymorphism in isotype-1 β tubulin gene among H. contortus susceptible (Cicurug, Bogor, Jawa Barat) and two H. contortus resistant strains from SPTD Trijaya, Kuningan, West Java and UPTD Pelayanan Kesehatan Hewan, Bantul, Yogyakarta. Mutation occurred in the different nucleotide of the two resistant strain. Key Words: Haemonchus contortus , Benzimidazole, Isotype-1 β tubulin gene, SSCP