Hasil Pencarian  ::  Simpan CSV :: Kembali

"Background: West Manggarai district in period January until 2012. infant mortality rate were 34 cases, stillbirths were 33 cases and maternal mortality rate was 9 cases. Methods: This research is qualitative study using Focus Group Discussion (FGD desain, cooperation with head of publick helth center, midwife, nutrition program manager and publick health at health department. Results: Maternal and infant mortality in Labuan Bajo publict healh center caused by maternal nutrional deficiency, infectious diseases such as malaria and typhoid fever, mother less attentin to the baby when the baby's ill and difficult access to health services. the problem solution is pregnant womanshould be regulary having antenathal care, using of mosquito nets. need to be provided cheaper sea transport.Causes of malnutrition and undernourishment is knowledge, parenting skill and infectious diseases such as diarrhea and malaria. To overcome this problem midwife should be proactive giving counseling to families with manutrition children under five. Maternal and infact mortality in `winekang publick health center caused by not availability of hospital at district, pregnant woment still seeking treatment to traditional healers, the implementtation of goverment regulation are less strict and families often late in taking decision to be referred. the solution is health officers must a;ways giving couseling to pregnant woman and cross-sector approach to monitoring. Whereas the main cause nutrional problems is parenting behavior, infectious diseases, and not enaought health food. Conclusion: maternal and infact mortality caused by difficult access to health service, there are pregnant womens who go to traditional healers, not available of hospitals in thr district, also infectious diseases like malaria and diarrhea. the solution is the midwife must active involving the village and subdistrict heads in minitoring pregnant womant, need to provide a boat and build district hospital."

"Menurut data Kementrian Kesehatan (2018), Puskesmas yang melakukan pengelolaan limbah medis sesuai dengan standar sangat minoritas yaitu sekitar 6,89%. Tujuan penelitian ini adalah untuk mengangalisis kondisi pengelolaan limbah B3 medis di Puskesmas Kota Bogor saat ini, mencari kendala yang dihadapi serta membangun perbaikan. Penelitian ini menggunakan pendekatan kualitatif dengan metode campuran. Hasil penelitian menunjukkan bahwa beberapa potensi perbaikan meliputi prosedur/SOP, sarana prasarana, dan SDM. Terdapat 3 kelompok kendala yaitu keterbatasan lahan, kelemahan prosedural dan internalisasai biaya lain. Dengan menggunakan AHP didapatkan bahwa pencarian dan penunjukkan vendor LB3 paling disukai bagi puskesmas yang belum memiliki lemari pendingin limbah infeksius. Dengan SWOT analisis didapatkan bahwa strategi yang paling direkomendasikan berada pada kuadran III (WO), beberapa strategi yang dapat dipakai untuk melakukan perbaikan berkelanjutan terutama peningkatan kapasitas SDM, perbaikan prosedur maupun sarana prasarana. Kesimpulan dari penelitian ini yaitu pembinaan dan pembiayaan berkelanjutan diperlukan untuk mencapai kinerja operasional puskesmas secara baik dan optimal.

---

According to data from the Ministry of Health (2018), only 6.89% Puskesmas have proper management of their medical waste. The aim of this research is to analyze current condition of medical waste management in Puskesmas of Bogor City, analyze the root cause problems, and develop corrective actions. This research uses qualitative approach and mix methode analysis. There are findings on several potential improvements including procedures/SOPs, facilities and human resources. There are 3 groups of root cause problems: limited land, procedural weaknesses and internalization of other costs. By using AHP, appointing lisenced vendors was most preferred especially for puskesmas with lack of temporary cold storage for infectious waste. Within SWOT analysis, the most recommended strategy lays on third kuadran (WO), however several strategies can be adopted for continual improvement especially on increasing human resource capacity, improving procedures and facilities. The conclusion of this research is that sustainable development and financing are still needed to achieve good and optimal puskesmas’s medical waste management performancy."