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Papers by Septo Arso

Jurnal kesehatan vokasional, Jun 16, 2023

Latar Belakang: Puskesmas Krobokan Semarang mempunyai antrean rawat jalan yang cukup banyak di te... more Latar Belakang: Puskesmas Krobokan Semarang mempunyai antrean rawat jalan yang cukup banyak di tempat pendaftaran. Dalam mengatasinya, Puskesmas Krobokan menerapkan layanan Puskesmas Tanpa Antrean Kota Semarang (PUSTAKA) yang telah dikembangkan oleh Dinas Kesehatan Kota Semarang. Namun, dalam pelaksanaannya layanan ini belum dimanfaatkan secara optimal oleh masyarakat. Tujuan: Mengetahui hubungan antara kondisi fasilitasi, motivasi hedonis, nilai harga dan kebiasaan dengan minat masyarakat dalam memanfaatkan PUSTAKA. Metode: Penelitian kuantitatif ini menggunakan desain cross sectional. Teknik pengambilan sampel adalah accidental sampling dengan menggunakan kuesioner sebagai instrumen penelitian. Dalam penelitian ini dilakukan analisis univariat dan analisis bivariat dengan menggunakan uji chi-square. Pengumpulan data dilakukan secara kualitatif untuk menggali informasi lebih dalam terhadap responden. Hasil: Sebanyak 71,3% responden berminat dalam memanfaatkan layanan PUSTAKA. Terdapat hubungan antara kondisi fasilitasi, motivasi hedonis, nilai harga dan kebiasaan dengan minat masyarakat dalam memanfaatkan layanan PUSTAKA dengan p-value ≤ 0,05. Kesimpulan: Sebagian besar responden berminat menggunakan layanan PUSTAKA di Puskesmas Krobokan.

Journal of public health for tropical and coastal region, Apr 11, 2023

Introduction: Patient visits at dr. Gunawan Mangunkusuma Regional General Hospital in 2020-2021 h... more Introduction: Patient visits at dr. Gunawan Mangunkusuma Regional General Hospital in 2020-2021 have increased by 9.78%. However, there is a decrease in the level of patient satisfaction with the services provided. This study aims to examine whether brand equity and customer value with the mediating factor of customer satisfaction affect repeat visits of the patients to dr. Gunawan Mangunkusumo Regional General Hospital. Methods: This type of research is a quantitative approach. The time of the study was in July 2022. The sample in the study was 185 patients using a purposive sampling technique. Linearity analysis in this study was carried out using SmartPLS. Results: The results showed that brand equity had a positive effect on patient satisfaction with a t-count of 4.006 > 1.96 (p<0.05). Brand equity has a positive effect on patient repeat visits with at value of 2,449 > 1.96 (p <0.05). Customer value has a positive effect on patient satisfaction with a t-value of 10,889 > 1.96 (p <0.05). Customer value also has a positive effect on patient repeat visits with a t value of 2,247 > 1.96 (p <0.05). Patient satisfaction has a positive effect on repeat visits of the patients with a t value of 2,869 > 1.96 (p <0.05). The mean repeat visits of the patients variable is 3.76. There are still indicators with a mean <3.76, namely RV1 and RV4 Conclusion: The conclusion from this study is that brand equity and customer value greatly influence patient satisfaction and patient satisfaction greatly influences repeat visits. The hospital should be more aggressive in promoting the existence of the hospital to the community, assessing the suitability of prices paid by patients with the services received, reviewing service procedures at the hospital, improving the HR department that handles patients so that customer satisfaction increases and repeat visits as well increase.

Jurnal Ilmu Kesehatan Masyarakat: The Indonesian Journal of Public Health, Mar 31, 2023

Rawalo sub-district had a relatively high number of COVID-19 cases compared to other sub-district... more Rawalo sub-district had a relatively high number of COVID-19 cases compared to other sub-districts in Banyumas Regency. The government provides COVID-19 vaccination which aims to reduce the number of COVID-19 cases by forming Herd Immunity in the community. The elderly are a group at high risk of morbidity and mortality due to exposure to COVID-19. However, the coverage of COVID-19 vaccination for the elderly at the Rawalo Health Center is still relatively low. This study was aimed to evaluate the program with the CIPP (Context, Input, Process, Product) model in a complex and comprehensive manner regarding how the implementation of the COVID-19 vaccination program in the elderly. This research was a qualitative study with a descriptive approach using observation and in-depth interview methods selected by purposive sampling technique. The research subjects as the main informants included the Head of the Puskesmas, the Head of the COVID-19 Vaccination Program Team, the COVID-19 Vaccination Coordinator and health cadres. Meanwhile, the elderly group and the Banyumas Regency Health Office as triangulation informants. The results showed that vaccination coverage in the elderly was still low, at 10% for dose 3. This was due to less thorough education, lack of human resources (vaccination officers), and ineffective coordination, there is data that is not synchronous or valid. There are technical and non-technical obstacles in recording and reporting with PCare. Iprovements need to be made to aspects that affect the vaccination implementation process and low coverage.

Amerta nutrition, Mar 3, 2023

Background: Premarital period is the best time to prepare for the quality of family health; howev... more Background: Premarital period is the best time to prepare for the quality of family health; however, In Indonesia, examinations and promotion of reproductive health and premarital counseling have yet to be carried out in all districts. Objectives: This study aimed to identify the description of reproductive health services and marriage counseling in Grobogan Regency, Central Java. Methods: This study used an assessment method of the implementation of the Reproductive Health Service Program for the bride, which includes IEC (Communication, Information, and Education) and medical examination of the bride and groom by health workers conducted in community health centers (Puskesmas) and other health care facilities, and office of religious affair (KUA), with the In-depth Interview Method. The subject was the KUA Officer under the Department of Religious Islamic Education in the Marriage Guidance program. Results: The interviews with KUA officers obtained results in 2017. There were still underage marriages, and the number increased in 2018. Prospective brides have submitted forms (N1, N2, N3, and N4) to KUA. Most of the brides were not physically examined (pulse, breathing frequency, blood pressure, body temperature) by health workers (63.7%), and blood groups were not examined (91.4%). Half of the respondents examined blood sugar, HIV, IMS, Hepatitis, and TORCH (56.8%). The bridegrooms were not examined for mid-upper arm circumferences (MUAC) (17.2%) and for signs of anemia (8.6%). The brides were not immunized against Hepatitis B (72.4%). Almost all brides get TT immunization at the Puskesmas (94.8%). Health workers stated that only some brides had been getting counseling about the bride's mental health (29,3%). Only 17.2% of the officers stated that the bride still needs to get a certificate of following the reproductive health IEC. Conclusions: KUA has conducted pre-marriage courses for couples according to the rules of the Ministry of Religion. Some PUSKESMAS had carried out activities for the bride and groom on a scheduled basis (for example, every Tuesday/Wednesday) but have not been carried out routinely, even stopped due to budgetary problems. The certificate is given after the bride and groom take the marriage guidance course, but it has yet to be required for marriage registration.

Jurnal Manajemen Kesehatan Indonesia, Jun 20, 2022

Health services require quality services and good patient safety on an ongoing basis, and accredi... more Health services require quality services and good patient safety on an ongoing basis, and accreditation is considered a powerful method to improve the quality of health services. This study aims to describe and analyze the role of leadership and motivation of the accreditation team in achieving accreditation at Pekalongan X Hospital. This research is a qualitative descriptive study. Information was obtained through in-depth interviews, observation, and document review. The sampling technique used purposive sampling, with the main informants as many as 19 respondents consisting of a number of hospital directors and the head of the accreditation team and triangulation informants as many as 4 respondents consisting of representatives from hospital owners, accreditation supervisors, and members of the accreditation team. Based on the research results, all parties in the hospital play a role in the accreditation process and all employees have their respective roles. The director's leadership type is transformational. The Director is directly and actively involved in hospital accreditation activities as the head of hospital accreditation. To increase employee motivation, management provides various kinds of material and non-material rewards, including accreditation activities. The Board of Directors and management held a meeting with the accreditation team to discuss Strategic Improvement Planning from the surveyors and make a Follow-Up Plan, but in reality the activities to complete the assessment instrument were only intensively carried out at the completion of the survey and approaching the accreditation survey, especially during the Covid-19 pandemic for all hospital employees. focused on suppressing the spread of the Covid-19 virus.

Jurnal Kesehatan Masyarakat (Undip), Oct 1, 2018

The Government established Law Number 40 Year 2004 About SJSN and the Government also formed BPJS... more The Government established Law Number 40 Year 2004 About SJSN and the Government also formed BPJS Healthcare on January 1, 2014. The high number of BPJS healthcare members demands Hospitals to maintain the quality while the quantity of patients was increasing, and have a potential on the issue of gap rights and obligations of patients. After Vedika (the verification of healthcare system) RSUD Ungaran does not have a special unit in handling problems related to the participant of BPJS. The purpose of this study was to analyze legal compliance efforts to fulfill the rights and obligations of BPJS Healthcare patients at RSUD Ungaran using innovation diffusion theory from Rogers. In order to completed all this, the research used qualitative methods with descriptive approach. The Data collection used In-depth Interview. The main informants were medical record staff and head of general and staffing sub-division. The triangulation informants were the head of medical record division, the PIC officer, and the head of medical services. The result of this study that was about hospital's rights and obligations and BPJS Healthcare participant with legal compliance and good law sanction, persuasion aspect is assessed from high level relative advantage, high compatibility, low complexity, high trialability, and high observability resulting in the decision of related parties to adopt the establishment of a replacement unit of the BPJS Health Center, which was renamed SIPP as a form of legal compliance efforts for the participants of BPJS patient in RSUD Ungaran and the hospital needs. In addition, there were 4 elements of innovation diffusion that is innovation, communication channels in the form of internal and external, time of planning and execution, and social system that is the party involved. The findings of the research suggested that to discuss more the adoption of legal services unit of BPJS regulator as a replacement BPJS Health center that handles all affairs concerning BPJS Healthcare .

Jurnal Kesehatan Masyarakat Universitas Diponegoro, Nov 1, 2016

Jurnal Manajemen Kesehatan Indonesia, Dec 29, 2021

The hospital is a plenary individual health service with one of the service standards in the form... more The hospital is a plenary individual health service with one of the service standards in the form of patient assessment. The incomplete rate of filling out the initial assessment of patients in April 2018 at the inpatient area reached 37.35% from the standard which should have been 0% incomplete in 1x24 hours. The purpose of this study was to analyze the relationship between the completeness of the patient's initial assessment with the patient's complaint theme. This was an analytical descriptive study used total sampling. Data were collected from December 2020 to February 2021. The research variable used was the completeness of the initial assessment as an independent variable with the patient's complaint theme as the dependent variable. Data analysis was performed using a frequency distribution table and relationship analysis using the chi-square test. The most (76%) complaints were made by patients and were found 67.2% of all medical record by the initial assessment was incomplete. Among 8 theme of complaints the highest complaints with incomplete initial assessment were found in the nurse service theme (17.6%). There was relationship between the completeness of the patient's initial assessment and the patient's complaint theme (p-value = 0.016). Evaluation of the hospital was needed to improve the quality of service that can be documented through completeness of initial assessment and medical record. Further research can be conducted to determine the factors causing the numbers of complaints themes.

International Journal of Health, Education & Social (IJHES), Dec 31, 2019

Papua Health Insurance, abbreviated as Jamkespa or "Jaminan Kesehatan Papua" (Jamkespa), is a pol... more Papua Health Insurance, abbreviated as Jamkespa or "Jaminan Kesehatan Papua" (Jamkespa), is a policy of the former Governor of Papua Province, Barnas Suebu, to release the cost of health services, especially for the indigenous people of Papua.

International Journal of Scientific & Technology Research, Jan 25, 2020

The researcher wishes to analyze the existence of waste with a lean hospital management approach ... more The researcher wishes to analyze the existence of waste with a lean hospital management approach on the process of patient care in the Emergency Installation (IGD) of Government Hospital X of Riau Province.Congestive Heart Failure was chosen to describe th e flow of the patients-care process starting from the registration until the patient was ready to be delivered to the treatment room. This study employed a qualitative type utilizing a descriptive analytic approach. Primary data were obtained through the observations to 20 patients delivered by families, supplemented by in-depth and unstructured interviews of with the patient's family and emergency installation staff as a respondent. In addition, the primary respondent is a head of the emergency installation and a person who carry out role as a coordinator as well as in charge of the emergency installation. Secondary data was obtained from the collection of documents, journals, and reference books related to the research topic. The results showed th at the Emergency Installation of the Government Hospital X of Riau Province had not implemented Lean Management yet. The care process flow had a non-value added ratio of 31.8% for recent patients and a non-value added ratio of 31.5% for preceding patients.Over-processing, over-motion, unused employee creativity, waiting, defects, unnecessary transportation and unnecessary inventory were the forms of waste found during research. Adding the Human Resources (HR), optimizing managerial activities, implementing 5S work culture (Seiri/Concise; Seiton/Neat; Seiso/Clean; Seiketsu/Care; Shitsuke/Diligent) and error proofing, adding visual management, improving the ability of Hospital Management Information Sys tem using E-Kanban, and planning re-layout with line balancing analysis were expected to reduce waste of the patient care process in the Emergency Installation of the Government Hospital X of Riau Province.

Jurnal Kesehatan Masyarakat (Undip), Oct 1, 2018

Services provided by the Hospital will affect patient satisfaction as a customer. Hospital servic... more Services provided by the Hospital will affect patient satisfaction as a customer. Hospital services that are not in accordance with customer expectations, will cause dissatisfaction so that it will make people complain about the services. Handling of complaints in several health care institutions, is still considered not optimal enough. The Community Satisfaction Index on the handling of complaints, suggestions and input from Tugurejo Regional General Hospital decreased from 84,657% in 2016 to 73,078% in 2017. The purpose of this study is to describe the handling of customer complaints at the Tugurejo Hospital , Semarang. This research uses descriptive qualitative research design. The results of this study indicate that in the Input section: there is no specific training in handling customer complaints that have been followed by Customer Service officers, there is no specific budget for handling complaints, facilities and infrastructure to support handling complaints are complete, but still require improvement of conditions and management. This hospital also has no SOP for handling complaints in the Customer Service Unit. In part of Process: handling of complaints made by the Customer Service Unit Hospital Tugurejo is respond to, complaint, investigate, resolve, check, complete, compile, deploy and develop. There are still some problem in the process of responding, overcoming, checking and compiling. Output: incoming complaints have been handled well, but there are still some complaints are repeated in the next month and there are some complaints that must be completed to the management level. The indicator of the handling of complaints in the Customer Service Unit is the complaining customer, can receive an answer from the officer and is willing to sign the complaint settlement form. From the results of the identification of the relationship between product / service failure, customer complaints and actions to be taken, the Tugurejo Hospital Customer Service Unit is in Quadrant 2 of Barlow-Moller.

Jurnal Kesehatan Masyarakat (e-Journal), May 25, 2018

Mutu pelayanan kesehatan merupakan sesuatu yang merujuk pada tingkat kesempurnaan pelayanan keseh... more Mutu pelayanan kesehatan merupakan sesuatu yang merujuk pada tingkat kesempurnaan pelayanan kesehatan yang dapat menimbulkan kepuasan pada setiap pasien serta dipihak lain. Mutu berhubungan erat dengan kepuasan pasien yaitu dalam hal persepsi pasien. Tujuan penelitian ini adalah mengetahui hubungan mutu pelayanan dengan kepuasan pasien klinik pratama PT X Kota Semarang. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional dengan 100 responden yang merupakan pasien klinik PT X Kota Semarang. Analisis data yang digunakan adalah analisis univariat, bivariat menggunakan uji rank spearman dan uji regresi logistik. Hasil penelitian analisa bivariat uji rank spearman menunjukkan bahwa ada hubungan antara mutu pelayanan pada dimensi tangible (p value 0,000; r 0,603), reliability (p value 0,000; r 0,595), responsiveness (p value 0,000; r 0,625), assurance (p value 0,000; r 0,581) dan emphaty (p value 0,000; r 0,604) dengan kepuasan pasien. Responsiveness merupakan dimensi yang memiliki korelasi paling kuat, diikuti emphaty, tangible, reliability dan assurance. Berdasarkan uji regresi logistik diketahui bahwa karakterisktik pasien yang berhubungan dengan kepuasan dan mempengaruhi hubungan mutu pelayanan dengan kepuasan adalah status pegawai yaitu mempengaruhi hubungan dimensi tangible dan responsiveness terhadap kepuasan pasien. Sebagian besar responden telah memberikan penilaian yang baik terhadap mutu pelayanan dan menyatakan puas terhadap pelayanan klinik pratama PT X Kota Semarang. Namun klinik tetap harus mengoptimalkan dan memperbaiki hal-hal yang dirasa kurang oleh pasien

Jurnal Kesehatan Masyarakat (Undip), Oct 1, 2018

Immunization is one of the preventive basic health services that aims to reduce infant morbidity ... more Immunization is one of the preventive basic health services that aims to reduce infant morbidity and mortality to avoid PD3I. Complete Basic Immunization Coverage in Semarang City has met the target, but PD3I cases are still found, namely in 2017 there were 2 cases of diphtheria, 143 cases of measles experienced an increase from 2016 and cases of hepatitis were as many as 102 cases and increased every year. The purpose of this study was to find out the description and analyze the implementation of the Complete Basic Immunization Program in infants at Kedungmundu Primary Health Care and Candilama Primary Health Care. This type of research is qualitative with a descriptive analytic approach. Data collection was carried out by in-depth interviews and based on purposive sampling criteria. Subjects in this study were 2 midwives of immunization holders as the main informants, 2 heads of PHC, 1 immunization program holder from DKK Semarang and 2 mothers of toddlers. The variables studied are man, money, material, method, planning, organization, implementation, assessment and environment.The results of this study are the differences in the analysis of the implementation of the Complete Basic Immunization Program between primary health care with low coverage and primary health care with high coverage in the use of SOP, organizing parties that support immunization programs, implementation of immunization services in counseling, supervision of midwives compliance with SOP by quality and support teams family. In other indicators, the state of the PHC with low coverage is almost the same as the PHC with high coverage. All midwives in the two health care have not received special training on immunization, the funds needed for immunization come from the City Government, infrastructure facilities that are feasible in both PHC. Organizing is equally cross-sectoral, but the role of BPM in PHC with low coverage is still lack in reporting. The results of this study suggest that PHC to supervise using SOP checklists by involving the quality team, visiting BPM to obtain data, in collaboration with Gasurkes in delivering counseling.

Act Number 22, year 2009 on Road Traffic and Road Transportation of the Republic of Indonesia and... more Act Number 22, year 2009 on Road Traffic and Road Transportation of the Republic of Indonesia and Presidential Instruction Number 4, year 2013 on the program of Decade of Action for Road Safety In the mandated General Plan Of National Road Safety. Traffic accidents are stiil high accordingly and yet the implementation of cross-sector partnerships in Semarang. This research aims to analyze a partnership stakeholders in prevention and control of traffic accidents (Indonesia Orderly United Towards safety Number 1) in Semarang City. This research is a qualitative research with descriptive approach. Data were collected by indepth interview. The main informants are Semarang

Jurnal Kesehatan Masyarakat Universitas Diponegoro, Jan 15, 2017

Community Health Center as a public service agencies on health are requied to provide excellent s... more Community Health Center as a public service agencies on health are requied to provide excellent service to community. However, still not met society’s expectations due to complexity of flow budgeting. Implementation of the Local Public Service Agency (BLUD) is proposed solution for the problems with these flexibility to improve the service quality. All of Community Health Center in Semarang will Implement BLUD. The purpose of this study is to determine the readiness of the health center in BLUD Implementation case study in health centers community Ngesrep and Bandarharjo. The approach of this research is a qualitative descriptive. Data of this research were collected by in-depth interviews. The main informants numbered 4 are head of the community health center and head of administration with the triangulans numbered 5, are the treasurer and technical staff at both community health center and escort team of BLUD from Semarang Health Departement. the result of this research, Ngesrep and Bandarharjo Community Health Center is not ready to implement BLUD. It seen from lack of educational competences and lack number of staff because have no administrative personnel to implement BLUD and lack of infrastructure. The documents and requirement available as well, targets to be BLUD are good enough. Lack of communication and coordination. Executor Characteristics has support enough. Environment of social, economics, and politics is good, but there has no governing policy to regulate BLUD in municipal level. Executor Disposition is good it seen from Community Health Center Commitment and positive staffs attitude towards BLUD, but understanding and involvement of staff towards BLUD is still lack. The research suggest is to improve the understanding and qualification of staff and addition of administrative personnel for implementation of BLUD. Increase the intensity information of BLUD, making BLUD technical regulations on municipal level and improve the communication and coordination between community health center and Semarang health department.

Contagion, Jun 15, 2023

The hospital pharmacy is one of revenue center, besides 50% of all income derived from hospital m... more The hospital pharmacy is one of revenue center, besides 50% of all income derived from hospital management pharmaceutical supplies..The implementation of the inventory control the disposable material in hospitals is still done manually without any method of special calculations. The purpose of this study is to analyze the inventory control of disposable medical materials in the inpatient installation of X private Hospital, in Central Java. This research is the qualitative study with those great case study aimed to locate and understand what is behind the phenomenon. This research was conducted at X Hospital in Central Java from August to December 2022. The sample of this research is 8 informants. Collecting data in this study with in-depth interviews. Analysis of the research data is data reduction, data presentation and drawing conclusions. The results of the study did not find any special calculation method and still found accumulation of disposable materials in several inpatient wards. The obstacle that most contributed to hindering the planning process was the absence of average usage data in one month because there was no reporting from the user. Therefore, it can be concluded that the availability control at X Private Hospital in Central Java is not in accordance with the guidelines issued by the Ministry of Health. it is suggested to the hospital to create a recording and reporting system regarding the use of consumable medical materials and it is necessary to have standard operating procedures and policies for the use of consumable medical materials in inpatient wards so that effective and efficient availability control can be carried out.

Medical sains : jurnal ilmiah kefarmasian, Dec 22, 2022

Medical consumable supply management is done in a continuous cycle, or a logistics cycle, in acco... more Medical consumable supply management is done in a continuous cycle, or a logistics cycle, in accordance with the goals of logistics management. The planning, budgeting, purchasing, storing, distributing, withdrawing, destroying, and controlling of the requirements come first. Logistics management strongly emphasize inventory and material movement from the point of origin to consumption to satisfy the demands of consumers and users. In other words, the logistics system aims to provide the most excellent service while minimizing costs. Inventory is a vital component of every organization such as hospital. This study aims to understand the management procedure in the hospital installation's logistics unit. The study used a narrative review methodology. The publications compiled for this study were found using the keywords

An Nadaa : Jurnal Kesehatan Masyarakat, Dec 3, 2022

Hospital is a health service institution that provides complete individual health services and pr... more Hospital is a health service institution that provides complete individual health services and provides inpatient, outpatient, and emergency services. Hospital patient safety is a priority for a system where hospitals make patient care safer by preventing injuries caused by incorrectly implementing an action or not taking the appropriate action. This study uses a systematic review approach. Based on the results of the analysis, organizational culture has a large correlation with patient reporting incidents. Overall, the culture developed to increase the incidence of patient reporting in hospitals is a clan culture that focuses on internal organization and can respond quickly when there are various reporting responses. The weakness of implementing a patient safety culture is due to the lack of information or mechanisms related to the reporting system, the person in charge, and feedback to the complainant. Organizational management should provide full support to the complainant and provide rewards so that the complainant is motivated to report patient safety incidents. Internally, teamwork, learning organization, communication, and non-blaming behavior are things that need to be improved in the organization so that everyone, both nurses and patients, can provide reports on patient safety in hospitals.

Jurnal Ilmu Kesehatan Masyarakat, 2021

Anemia and iron deficiency anemia (IDA) are indirectly caused by environmental factors. However, ... more Anemia and iron deficiency anemia (IDA) are indirectly caused by environmental factors. However, there are currently no studies on the differences in hematological parameters of anemia and nutritional intake in adequate and inadequate environmental conditions. This study aims to determine the differences in hematological parameters and nutritional intake of female students based on the environmental conditions of the Islamic boarding schools. It was a descriptive study with a cross-sectional design. A total of 167 girls from seven Islamic boarding schools in Tasikmalaya, West Java were recruited. Anemia was assessed by determining hemoglobin (Hb) levels, hematocrit (Ht) levels, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH,) and mean corpuscular hemoglobin (MCHC). Environmental conditions of the boarding schools observed were the kitchen, bedrooms, toilet/bathrooms, and the outside environment (trash bins and handwashing stations). The study found that there is no...

In 2015 Semarang ranked second with cases of maternal deaths in Central Java with 35 cases in 201... more In 2015 Semarang ranked second with cases of maternal deaths in Central Java with 35 cases in 2015. One of the efforts undertaken by the Health Department of Semarang in efforts to reduce maternal deaths in the city of Semarang was to recruit Tenaga Surveilans Kesehatan (Gasurkes) KIA. Gasurkes duty to perform data collection and assistance to pregnant women routinely until parturition. This study aims to analyze the performance of Gasurkes KIA seen on several variables such as knowledge and skills, resources, leadership, supervision, compensation, job design and structure, perception, and motivation. This research is a qualitative with in-depth interviews conducted in Gasurkes KIA, midwife coordinator, Semarang City Health Department, and for postpartum mothers. The results showed that the Gasurkes KIA overall performance is still not optimal seen from assisting pregnant women and postpartum mothers are not in accordance with the provisions Gasurkes. KIA still lack of skills in com...

Jurnal kesehatan vokasional, Jun 16, 2023

Latar Belakang: Puskesmas Krobokan Semarang mempunyai antrean rawat jalan yang cukup banyak di te... more Latar Belakang: Puskesmas Krobokan Semarang mempunyai antrean rawat jalan yang cukup banyak di tempat pendaftaran. Dalam mengatasinya, Puskesmas Krobokan menerapkan layanan Puskesmas Tanpa Antrean Kota Semarang (PUSTAKA) yang telah dikembangkan oleh Dinas Kesehatan Kota Semarang. Namun, dalam pelaksanaannya layanan ini belum dimanfaatkan secara optimal oleh masyarakat. Tujuan: Mengetahui hubungan antara kondisi fasilitasi, motivasi hedonis, nilai harga dan kebiasaan dengan minat masyarakat dalam memanfaatkan PUSTAKA. Metode: Penelitian kuantitatif ini menggunakan desain cross sectional. Teknik pengambilan sampel adalah accidental sampling dengan menggunakan kuesioner sebagai instrumen penelitian. Dalam penelitian ini dilakukan analisis univariat dan analisis bivariat dengan menggunakan uji chi-square. Pengumpulan data dilakukan secara kualitatif untuk menggali informasi lebih dalam terhadap responden. Hasil: Sebanyak 71,3% responden berminat dalam memanfaatkan layanan PUSTAKA. Terdapat hubungan antara kondisi fasilitasi, motivasi hedonis, nilai harga dan kebiasaan dengan minat masyarakat dalam memanfaatkan layanan PUSTAKA dengan p-value ≤ 0,05. Kesimpulan: Sebagian besar responden berminat menggunakan layanan PUSTAKA di Puskesmas Krobokan.

Journal of public health for tropical and coastal region, Apr 11, 2023

Introduction: Patient visits at dr. Gunawan Mangunkusuma Regional General Hospital in 2020-2021 h... more Introduction: Patient visits at dr. Gunawan Mangunkusuma Regional General Hospital in 2020-2021 have increased by 9.78%. However, there is a decrease in the level of patient satisfaction with the services provided. This study aims to examine whether brand equity and customer value with the mediating factor of customer satisfaction affect repeat visits of the patients to dr. Gunawan Mangunkusumo Regional General Hospital. Methods: This type of research is a quantitative approach. The time of the study was in July 2022. The sample in the study was 185 patients using a purposive sampling technique. Linearity analysis in this study was carried out using SmartPLS. Results: The results showed that brand equity had a positive effect on patient satisfaction with a t-count of 4.006 > 1.96 (p<0.05). Brand equity has a positive effect on patient repeat visits with at value of 2,449 > 1.96 (p <0.05). Customer value has a positive effect on patient satisfaction with a t-value of 10,889 > 1.96 (p <0.05). Customer value also has a positive effect on patient repeat visits with a t value of 2,247 > 1.96 (p <0.05). Patient satisfaction has a positive effect on repeat visits of the patients with a t value of 2,869 > 1.96 (p <0.05). The mean repeat visits of the patients variable is 3.76. There are still indicators with a mean <3.76, namely RV1 and RV4 Conclusion: The conclusion from this study is that brand equity and customer value greatly influence patient satisfaction and patient satisfaction greatly influences repeat visits. The hospital should be more aggressive in promoting the existence of the hospital to the community, assessing the suitability of prices paid by patients with the services received, reviewing service procedures at the hospital, improving the HR department that handles patients so that customer satisfaction increases and repeat visits as well increase.

Jurnal Ilmu Kesehatan Masyarakat: The Indonesian Journal of Public Health, Mar 31, 2023

Rawalo sub-district had a relatively high number of COVID-19 cases compared to other sub-district... more Rawalo sub-district had a relatively high number of COVID-19 cases compared to other sub-districts in Banyumas Regency. The government provides COVID-19 vaccination which aims to reduce the number of COVID-19 cases by forming Herd Immunity in the community. The elderly are a group at high risk of morbidity and mortality due to exposure to COVID-19. However, the coverage of COVID-19 vaccination for the elderly at the Rawalo Health Center is still relatively low. This study was aimed to evaluate the program with the CIPP (Context, Input, Process, Product) model in a complex and comprehensive manner regarding how the implementation of the COVID-19 vaccination program in the elderly. This research was a qualitative study with a descriptive approach using observation and in-depth interview methods selected by purposive sampling technique. The research subjects as the main informants included the Head of the Puskesmas, the Head of the COVID-19 Vaccination Program Team, the COVID-19 Vaccination Coordinator and health cadres. Meanwhile, the elderly group and the Banyumas Regency Health Office as triangulation informants. The results showed that vaccination coverage in the elderly was still low, at 10% for dose 3. This was due to less thorough education, lack of human resources (vaccination officers), and ineffective coordination, there is data that is not synchronous or valid. There are technical and non-technical obstacles in recording and reporting with PCare. Iprovements need to be made to aspects that affect the vaccination implementation process and low coverage.

Amerta nutrition, Mar 3, 2023

Background: Premarital period is the best time to prepare for the quality of family health; howev... more Background: Premarital period is the best time to prepare for the quality of family health; however, In Indonesia, examinations and promotion of reproductive health and premarital counseling have yet to be carried out in all districts. Objectives: This study aimed to identify the description of reproductive health services and marriage counseling in Grobogan Regency, Central Java. Methods: This study used an assessment method of the implementation of the Reproductive Health Service Program for the bride, which includes IEC (Communication, Information, and Education) and medical examination of the bride and groom by health workers conducted in community health centers (Puskesmas) and other health care facilities, and office of religious affair (KUA), with the In-depth Interview Method. The subject was the KUA Officer under the Department of Religious Islamic Education in the Marriage Guidance program. Results: The interviews with KUA officers obtained results in 2017. There were still underage marriages, and the number increased in 2018. Prospective brides have submitted forms (N1, N2, N3, and N4) to KUA. Most of the brides were not physically examined (pulse, breathing frequency, blood pressure, body temperature) by health workers (63.7%), and blood groups were not examined (91.4%). Half of the respondents examined blood sugar, HIV, IMS, Hepatitis, and TORCH (56.8%). The bridegrooms were not examined for mid-upper arm circumferences (MUAC) (17.2%) and for signs of anemia (8.6%). The brides were not immunized against Hepatitis B (72.4%). Almost all brides get TT immunization at the Puskesmas (94.8%). Health workers stated that only some brides had been getting counseling about the bride's mental health (29,3%). Only 17.2% of the officers stated that the bride still needs to get a certificate of following the reproductive health IEC. Conclusions: KUA has conducted pre-marriage courses for couples according to the rules of the Ministry of Religion. Some PUSKESMAS had carried out activities for the bride and groom on a scheduled basis (for example, every Tuesday/Wednesday) but have not been carried out routinely, even stopped due to budgetary problems. The certificate is given after the bride and groom take the marriage guidance course, but it has yet to be required for marriage registration.

Jurnal Manajemen Kesehatan Indonesia, Jun 20, 2022

Health services require quality services and good patient safety on an ongoing basis, and accredi... more Health services require quality services and good patient safety on an ongoing basis, and accreditation is considered a powerful method to improve the quality of health services. This study aims to describe and analyze the role of leadership and motivation of the accreditation team in achieving accreditation at Pekalongan X Hospital. This research is a qualitative descriptive study. Information was obtained through in-depth interviews, observation, and document review. The sampling technique used purposive sampling, with the main informants as many as 19 respondents consisting of a number of hospital directors and the head of the accreditation team and triangulation informants as many as 4 respondents consisting of representatives from hospital owners, accreditation supervisors, and members of the accreditation team. Based on the research results, all parties in the hospital play a role in the accreditation process and all employees have their respective roles. The director's leadership type is transformational. The Director is directly and actively involved in hospital accreditation activities as the head of hospital accreditation. To increase employee motivation, management provides various kinds of material and non-material rewards, including accreditation activities. The Board of Directors and management held a meeting with the accreditation team to discuss Strategic Improvement Planning from the surveyors and make a Follow-Up Plan, but in reality the activities to complete the assessment instrument were only intensively carried out at the completion of the survey and approaching the accreditation survey, especially during the Covid-19 pandemic for all hospital employees. focused on suppressing the spread of the Covid-19 virus.

Jurnal Kesehatan Masyarakat (Undip), Oct 1, 2018

The Government established Law Number 40 Year 2004 About SJSN and the Government also formed BPJS... more The Government established Law Number 40 Year 2004 About SJSN and the Government also formed BPJS Healthcare on January 1, 2014. The high number of BPJS healthcare members demands Hospitals to maintain the quality while the quantity of patients was increasing, and have a potential on the issue of gap rights and obligations of patients. After Vedika (the verification of healthcare system) RSUD Ungaran does not have a special unit in handling problems related to the participant of BPJS. The purpose of this study was to analyze legal compliance efforts to fulfill the rights and obligations of BPJS Healthcare patients at RSUD Ungaran using innovation diffusion theory from Rogers. In order to completed all this, the research used qualitative methods with descriptive approach. The Data collection used In-depth Interview. The main informants were medical record staff and head of general and staffing sub-division. The triangulation informants were the head of medical record division, the PIC officer, and the head of medical services. The result of this study that was about hospital's rights and obligations and BPJS Healthcare participant with legal compliance and good law sanction, persuasion aspect is assessed from high level relative advantage, high compatibility, low complexity, high trialability, and high observability resulting in the decision of related parties to adopt the establishment of a replacement unit of the BPJS Health Center, which was renamed SIPP as a form of legal compliance efforts for the participants of BPJS patient in RSUD Ungaran and the hospital needs. In addition, there were 4 elements of innovation diffusion that is innovation, communication channels in the form of internal and external, time of planning and execution, and social system that is the party involved. The findings of the research suggested that to discuss more the adoption of legal services unit of BPJS regulator as a replacement BPJS Health center that handles all affairs concerning BPJS Healthcare .

Jurnal Kesehatan Masyarakat Universitas Diponegoro, Nov 1, 2016

Jurnal Manajemen Kesehatan Indonesia, Dec 29, 2021

The hospital is a plenary individual health service with one of the service standards in the form... more The hospital is a plenary individual health service with one of the service standards in the form of patient assessment. The incomplete rate of filling out the initial assessment of patients in April 2018 at the inpatient area reached 37.35% from the standard which should have been 0% incomplete in 1x24 hours. The purpose of this study was to analyze the relationship between the completeness of the patient's initial assessment with the patient's complaint theme. This was an analytical descriptive study used total sampling. Data were collected from December 2020 to February 2021. The research variable used was the completeness of the initial assessment as an independent variable with the patient's complaint theme as the dependent variable. Data analysis was performed using a frequency distribution table and relationship analysis using the chi-square test. The most (76%) complaints were made by patients and were found 67.2% of all medical record by the initial assessment was incomplete. Among 8 theme of complaints the highest complaints with incomplete initial assessment were found in the nurse service theme (17.6%). There was relationship between the completeness of the patient's initial assessment and the patient's complaint theme (p-value = 0.016). Evaluation of the hospital was needed to improve the quality of service that can be documented through completeness of initial assessment and medical record. Further research can be conducted to determine the factors causing the numbers of complaints themes.

International Journal of Health, Education & Social (IJHES), Dec 31, 2019

Papua Health Insurance, abbreviated as Jamkespa or "Jaminan Kesehatan Papua" (Jamkespa), is a pol... more Papua Health Insurance, abbreviated as Jamkespa or "Jaminan Kesehatan Papua" (Jamkespa), is a policy of the former Governor of Papua Province, Barnas Suebu, to release the cost of health services, especially for the indigenous people of Papua.

International Journal of Scientific & Technology Research, Jan 25, 2020

The researcher wishes to analyze the existence of waste with a lean hospital management approach ... more The researcher wishes to analyze the existence of waste with a lean hospital management approach on the process of patient care in the Emergency Installation (IGD) of Government Hospital X of Riau Province.Congestive Heart Failure was chosen to describe th e flow of the patients-care process starting from the registration until the patient was ready to be delivered to the treatment room. This study employed a qualitative type utilizing a descriptive analytic approach. Primary data were obtained through the observations to 20 patients delivered by families, supplemented by in-depth and unstructured interviews of with the patient's family and emergency installation staff as a respondent. In addition, the primary respondent is a head of the emergency installation and a person who carry out role as a coordinator as well as in charge of the emergency installation. Secondary data was obtained from the collection of documents, journals, and reference books related to the research topic. The results showed th at the Emergency Installation of the Government Hospital X of Riau Province had not implemented Lean Management yet. The care process flow had a non-value added ratio of 31.8% for recent patients and a non-value added ratio of 31.5% for preceding patients.Over-processing, over-motion, unused employee creativity, waiting, defects, unnecessary transportation and unnecessary inventory were the forms of waste found during research. Adding the Human Resources (HR), optimizing managerial activities, implementing 5S work culture (Seiri/Concise; Seiton/Neat; Seiso/Clean; Seiketsu/Care; Shitsuke/Diligent) and error proofing, adding visual management, improving the ability of Hospital Management Information Sys tem using E-Kanban, and planning re-layout with line balancing analysis were expected to reduce waste of the patient care process in the Emergency Installation of the Government Hospital X of Riau Province.

Jurnal Kesehatan Masyarakat (Undip), Oct 1, 2018

Services provided by the Hospital will affect patient satisfaction as a customer. Hospital servic... more Services provided by the Hospital will affect patient satisfaction as a customer. Hospital services that are not in accordance with customer expectations, will cause dissatisfaction so that it will make people complain about the services. Handling of complaints in several health care institutions, is still considered not optimal enough. The Community Satisfaction Index on the handling of complaints, suggestions and input from Tugurejo Regional General Hospital decreased from 84,657% in 2016 to 73,078% in 2017. The purpose of this study is to describe the handling of customer complaints at the Tugurejo Hospital , Semarang. This research uses descriptive qualitative research design. The results of this study indicate that in the Input section: there is no specific training in handling customer complaints that have been followed by Customer Service officers, there is no specific budget for handling complaints, facilities and infrastructure to support handling complaints are complete, but still require improvement of conditions and management. This hospital also has no SOP for handling complaints in the Customer Service Unit. In part of Process: handling of complaints made by the Customer Service Unit Hospital Tugurejo is respond to, complaint, investigate, resolve, check, complete, compile, deploy and develop. There are still some problem in the process of responding, overcoming, checking and compiling. Output: incoming complaints have been handled well, but there are still some complaints are repeated in the next month and there are some complaints that must be completed to the management level. The indicator of the handling of complaints in the Customer Service Unit is the complaining customer, can receive an answer from the officer and is willing to sign the complaint settlement form. From the results of the identification of the relationship between product / service failure, customer complaints and actions to be taken, the Tugurejo Hospital Customer Service Unit is in Quadrant 2 of Barlow-Moller.

Jurnal Kesehatan Masyarakat (e-Journal), May 25, 2018

Mutu pelayanan kesehatan merupakan sesuatu yang merujuk pada tingkat kesempurnaan pelayanan keseh... more Mutu pelayanan kesehatan merupakan sesuatu yang merujuk pada tingkat kesempurnaan pelayanan kesehatan yang dapat menimbulkan kepuasan pada setiap pasien serta dipihak lain. Mutu berhubungan erat dengan kepuasan pasien yaitu dalam hal persepsi pasien. Tujuan penelitian ini adalah mengetahui hubungan mutu pelayanan dengan kepuasan pasien klinik pratama PT X Kota Semarang. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional dengan 100 responden yang merupakan pasien klinik PT X Kota Semarang. Analisis data yang digunakan adalah analisis univariat, bivariat menggunakan uji rank spearman dan uji regresi logistik. Hasil penelitian analisa bivariat uji rank spearman menunjukkan bahwa ada hubungan antara mutu pelayanan pada dimensi tangible (p value 0,000; r 0,603), reliability (p value 0,000; r 0,595), responsiveness (p value 0,000; r 0,625), assurance (p value 0,000; r 0,581) dan emphaty (p value 0,000; r 0,604) dengan kepuasan pasien. Responsiveness merupakan dimensi yang memiliki korelasi paling kuat, diikuti emphaty, tangible, reliability dan assurance. Berdasarkan uji regresi logistik diketahui bahwa karakterisktik pasien yang berhubungan dengan kepuasan dan mempengaruhi hubungan mutu pelayanan dengan kepuasan adalah status pegawai yaitu mempengaruhi hubungan dimensi tangible dan responsiveness terhadap kepuasan pasien. Sebagian besar responden telah memberikan penilaian yang baik terhadap mutu pelayanan dan menyatakan puas terhadap pelayanan klinik pratama PT X Kota Semarang. Namun klinik tetap harus mengoptimalkan dan memperbaiki hal-hal yang dirasa kurang oleh pasien

Jurnal Kesehatan Masyarakat (Undip), Oct 1, 2018

Immunization is one of the preventive basic health services that aims to reduce infant morbidity ... more Immunization is one of the preventive basic health services that aims to reduce infant morbidity and mortality to avoid PD3I. Complete Basic Immunization Coverage in Semarang City has met the target, but PD3I cases are still found, namely in 2017 there were 2 cases of diphtheria, 143 cases of measles experienced an increase from 2016 and cases of hepatitis were as many as 102 cases and increased every year. The purpose of this study was to find out the description and analyze the implementation of the Complete Basic Immunization Program in infants at Kedungmundu Primary Health Care and Candilama Primary Health Care. This type of research is qualitative with a descriptive analytic approach. Data collection was carried out by in-depth interviews and based on purposive sampling criteria. Subjects in this study were 2 midwives of immunization holders as the main informants, 2 heads of PHC, 1 immunization program holder from DKK Semarang and 2 mothers of toddlers. The variables studied are man, money, material, method, planning, organization, implementation, assessment and environment.The results of this study are the differences in the analysis of the implementation of the Complete Basic Immunization Program between primary health care with low coverage and primary health care with high coverage in the use of SOP, organizing parties that support immunization programs, implementation of immunization services in counseling, supervision of midwives compliance with SOP by quality and support teams family. In other indicators, the state of the PHC with low coverage is almost the same as the PHC with high coverage. All midwives in the two health care have not received special training on immunization, the funds needed for immunization come from the City Government, infrastructure facilities that are feasible in both PHC. Organizing is equally cross-sectoral, but the role of BPM in PHC with low coverage is still lack in reporting. The results of this study suggest that PHC to supervise using SOP checklists by involving the quality team, visiting BPM to obtain data, in collaboration with Gasurkes in delivering counseling.

Act Number 22, year 2009 on Road Traffic and Road Transportation of the Republic of Indonesia and... more Act Number 22, year 2009 on Road Traffic and Road Transportation of the Republic of Indonesia and Presidential Instruction Number 4, year 2013 on the program of Decade of Action for Road Safety In the mandated General Plan Of National Road Safety. Traffic accidents are stiil high accordingly and yet the implementation of cross-sector partnerships in Semarang. This research aims to analyze a partnership stakeholders in prevention and control of traffic accidents (Indonesia Orderly United Towards safety Number 1) in Semarang City. This research is a qualitative research with descriptive approach. Data were collected by indepth interview. The main informants are Semarang

Jurnal Kesehatan Masyarakat Universitas Diponegoro, Jan 15, 2017

Community Health Center as a public service agencies on health are requied to provide excellent s... more Community Health Center as a public service agencies on health are requied to provide excellent service to community. However, still not met society’s expectations due to complexity of flow budgeting. Implementation of the Local Public Service Agency (BLUD) is proposed solution for the problems with these flexibility to improve the service quality. All of Community Health Center in Semarang will Implement BLUD. The purpose of this study is to determine the readiness of the health center in BLUD Implementation case study in health centers community Ngesrep and Bandarharjo. The approach of this research is a qualitative descriptive. Data of this research were collected by in-depth interviews. The main informants numbered 4 are head of the community health center and head of administration with the triangulans numbered 5, are the treasurer and technical staff at both community health center and escort team of BLUD from Semarang Health Departement. the result of this research, Ngesrep and Bandarharjo Community Health Center is not ready to implement BLUD. It seen from lack of educational competences and lack number of staff because have no administrative personnel to implement BLUD and lack of infrastructure. The documents and requirement available as well, targets to be BLUD are good enough. Lack of communication and coordination. Executor Characteristics has support enough. Environment of social, economics, and politics is good, but there has no governing policy to regulate BLUD in municipal level. Executor Disposition is good it seen from Community Health Center Commitment and positive staffs attitude towards BLUD, but understanding and involvement of staff towards BLUD is still lack. The research suggest is to improve the understanding and qualification of staff and addition of administrative personnel for implementation of BLUD. Increase the intensity information of BLUD, making BLUD technical regulations on municipal level and improve the communication and coordination between community health center and Semarang health department.

Contagion, Jun 15, 2023

The hospital pharmacy is one of revenue center, besides 50% of all income derived from hospital m... more The hospital pharmacy is one of revenue center, besides 50% of all income derived from hospital management pharmaceutical supplies..The implementation of the inventory control the disposable material in hospitals is still done manually without any method of special calculations. The purpose of this study is to analyze the inventory control of disposable medical materials in the inpatient installation of X private Hospital, in Central Java. This research is the qualitative study with those great case study aimed to locate and understand what is behind the phenomenon. This research was conducted at X Hospital in Central Java from August to December 2022. The sample of this research is 8 informants. Collecting data in this study with in-depth interviews. Analysis of the research data is data reduction, data presentation and drawing conclusions. The results of the study did not find any special calculation method and still found accumulation of disposable materials in several inpatient wards. The obstacle that most contributed to hindering the planning process was the absence of average usage data in one month because there was no reporting from the user. Therefore, it can be concluded that the availability control at X Private Hospital in Central Java is not in accordance with the guidelines issued by the Ministry of Health. it is suggested to the hospital to create a recording and reporting system regarding the use of consumable medical materials and it is necessary to have standard operating procedures and policies for the use of consumable medical materials in inpatient wards so that effective and efficient availability control can be carried out.

Medical sains : jurnal ilmiah kefarmasian, Dec 22, 2022

Medical consumable supply management is done in a continuous cycle, or a logistics cycle, in acco... more Medical consumable supply management is done in a continuous cycle, or a logistics cycle, in accordance with the goals of logistics management. The planning, budgeting, purchasing, storing, distributing, withdrawing, destroying, and controlling of the requirements come first. Logistics management strongly emphasize inventory and material movement from the point of origin to consumption to satisfy the demands of consumers and users. In other words, the logistics system aims to provide the most excellent service while minimizing costs. Inventory is a vital component of every organization such as hospital. This study aims to understand the management procedure in the hospital installation's logistics unit. The study used a narrative review methodology. The publications compiled for this study were found using the keywords

An Nadaa : Jurnal Kesehatan Masyarakat, Dec 3, 2022

Hospital is a health service institution that provides complete individual health services and pr... more Hospital is a health service institution that provides complete individual health services and provides inpatient, outpatient, and emergency services. Hospital patient safety is a priority for a system where hospitals make patient care safer by preventing injuries caused by incorrectly implementing an action or not taking the appropriate action. This study uses a systematic review approach. Based on the results of the analysis, organizational culture has a large correlation with patient reporting incidents. Overall, the culture developed to increase the incidence of patient reporting in hospitals is a clan culture that focuses on internal organization and can respond quickly when there are various reporting responses. The weakness of implementing a patient safety culture is due to the lack of information or mechanisms related to the reporting system, the person in charge, and feedback to the complainant. Organizational management should provide full support to the complainant and provide rewards so that the complainant is motivated to report patient safety incidents. Internally, teamwork, learning organization, communication, and non-blaming behavior are things that need to be improved in the organization so that everyone, both nurses and patients, can provide reports on patient safety in hospitals.

Jurnal Ilmu Kesehatan Masyarakat, 2021

Anemia and iron deficiency anemia (IDA) are indirectly caused by environmental factors. However, ... more Anemia and iron deficiency anemia (IDA) are indirectly caused by environmental factors. However, there are currently no studies on the differences in hematological parameters of anemia and nutritional intake in adequate and inadequate environmental conditions. This study aims to determine the differences in hematological parameters and nutritional intake of female students based on the environmental conditions of the Islamic boarding schools. It was a descriptive study with a cross-sectional design. A total of 167 girls from seven Islamic boarding schools in Tasikmalaya, West Java were recruited. Anemia was assessed by determining hemoglobin (Hb) levels, hematocrit (Ht) levels, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH,) and mean corpuscular hemoglobin (MCHC). Environmental conditions of the boarding schools observed were the kitchen, bedrooms, toilet/bathrooms, and the outside environment (trash bins and handwashing stations). The study found that there is no...

In 2015 Semarang ranked second with cases of maternal deaths in Central Java with 35 cases in 201... more In 2015 Semarang ranked second with cases of maternal deaths in Central Java with 35 cases in 2015. One of the efforts undertaken by the Health Department of Semarang in efforts to reduce maternal deaths in the city of Semarang was to recruit Tenaga Surveilans Kesehatan (Gasurkes) KIA. Gasurkes duty to perform data collection and assistance to pregnant women routinely until parturition. This study aims to analyze the performance of Gasurkes KIA seen on several variables such as knowledge and skills, resources, leadership, supervision, compensation, job design and structure, perception, and motivation. This research is a qualitative with in-depth interviews conducted in Gasurkes KIA, midwife coordinator, Semarang City Health Department, and for postpartum mothers. The results showed that the Gasurkes KIA overall performance is still not optimal seen from assisting pregnant women and postpartum mothers are not in accordance with the provisions Gasurkes. KIA still lack of skills in com...