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"ABSTRACTThe mortality rate and the distribution of dengue fever case in Indonesia tend to increase. Jambi Province is the province with the highest mortality rate in Indonesia in 2013, and Jambi City is the highest contributor for the last 3 years. Eradication efforts have been made, but they have not been able to break the chain of transmission. This research uses descriptive design with a qualitative approach to identify the causes of inaccuracy of eradication efforts and to determine the strategy of eradicating dengue fever in Jambi City. Site selection was done by purposive sampling, with the highest incidence rate criterion in 2015. The informants were chosen based on the criteria of conformity and adequacy, covering the Health Department, the Puskesmas, the sub-district and the community i.e. the larva monitoring cadre (jumantik). The assessment scheme is based on government policy implementation scheme in eradicating DHF by the identification of factors based on ultrasound analysis (Urgency, Serious, Growth). The strategy of eradication efforts is based on SWOT analysis (Strength, Weaknesses, Opportunities, Threats). The determination of alternative strategies was chosen based on Mc. Namara's screening theory, with 5 criteria of effectiveness, ease, benefits, time, and cost. The result of the research shows that the inaccuracy of dengue eradication efforts in Jambi City lies in the ineffectiveness of the implementation of the Mosquito Nest Eradication (PSN) movement through cross-sector integration in community empowerment routinely and independently. The main strategy that can be done by the government is to increase the role of larva monitoring cadres and larva monitoring students (sismantik) through budget support from across sectors in campaigning PSN movement regularly, either at house or institution environment."

"Demam Berdarah Dengue (DBD) masih menjadi masalah utama kesehatan masyarakat di Indonesia, khususnya di Kota Tasikmalaya yang telah menjadi daerah endemis DBD. Penelitian ini bertujuan mengetahui gambaran kejadian DBD di Kota Tasikmalaya tahun 2014. Penelitian ini merupakan analisis lanjutan dari data surveilans BBTKL-PP Jakarta tahun 2014 yang menggunakan desain studi crosssectional. Sampel penelitian ini adalah penderita DBD dan masyarakat di sekitar rumah penderita dengan radius 200 meter. Hasil penelitian ini menunjukkan bahwa prevalensi DBD di Kota Tasikmalaya adalah 0,13%. Prevalensi DBD tertinggi ditemukan pada penduduk berumur di bawah 41 tahun (76,19%), berjenis kelamin perempuan (71,4%), berpendidikan rendah (57%), tidak bekerja (57,94%), berpengetahuan rendah (85,71%), berperilaku berisiko (61,9%), memiliki rumah dengan suhu sekitar 28-32oC (66,7%) dan kelembaban udara di luar kelembaban berisiko (95,2%).

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Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia, especially in Tasikmalaya City which has become endemic area. This study aims to determine the picture incidence of dengue in Tasikmalaya City in 2014. This study is a follow-up analysis of BBTKL-PP Jakarta’s surveillance data in 2014 that uses a cross sectional study design. Samples were DHF patients and communities around the homes of people with a radius about 200 meters. The results of this study showed that the prevalence of dengue in the Tasikmalaya City is 0.13%. The highest prevalence of dengue was found in the population with age under 41 years (76.19%), female (71.4%), with low education (57%), did not have work (57.94%), knowledgeable low (85.71 %), risk behavior (61.9%), have a house with a temperature of about 28-32oC (66.7%) and the humidity outside humidity at risk (95.2%)."

"Di kota Depok, lebih dari 30% penderita demam berdarah adalah anak-anak usia sekolah. Penularannya tidak selalu terjadi di sekolah di mana seorang anak menghabiskan sekitar 25% waktunya. Sekolah berperan strategis dalam pengendalian DBD sehingga anak sekolah harus memperoleh informasi yang memadai untuk mendapatkan perilaku yang positif. Studi kuantitatif ini bertujuan menilai tingkat keterpajanan informasi dan pengetahuan dalam pengendalian vektor. Analisis yang digunakan adalah beda mean dan uji korelasi. Hasil studi menunjukkan bahwa keterpajanan informasi dan tingkat pengetahuan anak sekolah tentang DBD masih rendah.

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More than 30% dengue patients in Depok City were school age children. Infection does not always happened in school in which a child spend their time 25% of his time a day. School has strategic role in dengue control. It means that schoolchildren must have to adequate information so that its positive behavior. This quantitative study aims to assess information exposed and their knowledge in dengue vector control. Mean difference and correlation analyze were used in this study. Result of this study indicated that information exposed among schoolchildren and dengue knowledge were still lower."

"Continued geographic expansion of dengue viruses and their mosquito vectors has seen the magnitude and frequency of epidemic dengue/​dengue hemorrhagic fever (DF/​DHF) increase dramatically. Recent exciting research on dengue has resulted in major advances in our understanding of all aspects of the biology of these viruses, and this updated second edition brings together leading research and clinical scientists to review dengue virus biology, epidemiology, entomology, therapeutics, vaccinology and clinical management."

"Puskesmas sebagai fasilitas pelayanan kesehatan yang menyelenggarakan Upaya Kesehatan Masyarakat (UKM) dan melaksanakan kegiatan berdasarkan pada hasil analisis masalah kesehatan masyarakat dan kebutuhan pelayanan yang diperlukan. Perencanaan yang disusun melalui pengenalan permasalahan secara tepat berdasarkan data akurat dapat mengarahkan upaya yang dilakukan puskesmas untuk mencapai sasaran dan tujuannya. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan kinerja puskesmas dalam perencanaan kegiatan UKM di Kabupaten Muaro Jambi, Provinsi Jambi dengan menggunakan kerangka kerja Malcolm Baldrige.Penelitian ini menggunakan pendekatan mix method dengan sequential eksplanatory design (urutan pembuktian) yang didahului oleh penelitian kuantitatif pada 237 orang dengan pengisian kuesioner dan dilanjutkan penelitian kualitatif dengan melakukan wawancara mendalam, dan observasi proses minilokarya puskesmas. Variabel independen terdiri dari kepemimpinan; perencanaan strategis; fokus pelanggan; pengukuran, analisis dan manajemen pengetahuan; fokus tenaga kerja; dan fokus proses. Variabel dependen adalah hasil kinerja perencanaan kegiatan UKM puskesmas. Hasil analisis bivariat diketahui bahwa seluruh variabel berhubungan signifikan, yaitu kepemimpinan (r = 0.516; R2 = 0.266; p = 0.001), perencanaan strategis (r = 0.540; R2 = 0.2916; p = 0.001), fokus pelanggan (r = 0.395; R2 = 0.1560; p = 0.001), pengukuran-analisis-manajemen pengetahuan (r = 0.518; R2 = 0.2683; p = 0.001), fokus tenaga kerja (r = 0.526; R2 = 0.2767; p = 0.001) dan fokus pada proses (r = 0.595; R2 = 0.3540; p = 0.001). Hasil pemodelan terakhir multivariat menunjukkan hanya variabel kepemimpinan (Coef B = 0.16; p = 0.029) dan fokus pada proses (Coef B = 0.14; p = 0.005) yang signifikan dapat memprediksi hasil kinerja perencanaan kegiatan UKM puskesmas. Disarankan kepada Dinas Kesehatan dan Puskesmas agar mengembangkan upaya kaderisasi untuk kepemimpinan masa datang serta memperhatikan sistem antisipasi dan manajemen bencana dalam menyusun perencanaan kegiatan UKM Puskesmas.

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Puskesmas as the healthcare facility organizes Public Health Efforts (PHE) and carries out activities based on the analysis of public health issues and healthcare services necessity. Planning which is prepared through proper problem recognition based on accurate data is able to direct the efforts made by the puskesmas to achieve its goals and objectives. This research was conducted to determine the factors related to the puskesmas performance in planning PHE activities in Muaro Jambi District, Jambi Province using Malcolm Baldrige framework.This study uses a mix method approach with sequential explanatory design which was preceded by quantitative research on 237 people by filling out questionnaires and followed by qualitative research by conducting in-depth interviews, and observing the Puskesmas Minilokarya process. Independent variable consists of leadership; strategic planning; customer focus; measurement- analysis and knowledge management; focus of workforce; and focus on the process. The dependent variable is the result of the performance of planning activities of the Puskesmas PHE. The results of bivariate analysis revealed that all variables were significantly related, namely leadership (r = 0.516; R2 = 0.266; p = 0.001), strategic planning (r = 0.540; R2 = 0.2916; p = 0.001), customer focus (r = 0.395; R2 = 0.1560; p = 0.001), measurement of knowledge-management analysis (r = 0.518; R2 = 0.2683; p = 0.001), workforce focus (r = 0.526; R2 = 0.2767; p = 0.001) and focus on the process (r = 0.595; R2 = 0.3540; p = 0.001).The final multivariate modeling results shows that leadership (Coef B = 0.16; p = 0.029) and focus on the process (Coef B = 0.14; p = 0.005) are able to significantly predict the results of the Puskesmas PHE activity planning performance. It is recommended that the Head of Departement of Health and Puskesmas to develop regeneration efforts for future leadership and to pay attention to disaster management and anticipation system in planning the activities of Puskesmas PHE."

"Kementerian Kesehatan melaksanakan program peningkatan kinerja sumber dayakesehatan melalui pendidikan dan pelatihan; khususnya pelatihan tenaga pelayanankesehatan tradisional; melalui pelatihan pelayanan akupresur bagi Puskesmas; namunpelayanan akupresur belum berjalan di Puskesmas. Di Kota Jakarta Selatan Puskesmasyang sudah menyelenggarakan pelayanan akupresur hanya dua 2 . Penelitian ini adalahpenelitian kualitatif; dan bertujuan untuk menganalisis kebijakan dan implementasipelaksanaan pelayanan akupresur di Puskesmas serta hambatannya. Informan dalampenelitian berjumlah 11 orang; yaitu Kementerian Kesehatan; Sudinkes Jakarta Selatan;Kepala Puskesmas; Dokter poli; pelaksana program. Metode pengumpulan data melaluiWM dan telaah dokumen. Hasil penelitian dari komponen input sudah berjalan; adanyadukungan Kepala Puskesmas; SOP pelayanan; dan SK penugasan namun belum optimalrotasi staf menjadi salah satu kendala; komponen output dan outcome belum optimal.Aspek komunikasi kejelasan dan konsistensi belum efektif tentang informasi regulasikebijakan yang ada dari penentu kebijakan kepada pelaksana; aspek pembiayaan belumdidukung peraturan daerah; aspek birokrasi masih kurang koordinasi dan sosialisasikebijakan dari Dinas Kesehatan ke Sudinkes dan Puskesmas.

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The Ministry of Health is implementing programs to improve the performance of healthresources through education and training; especially training of traditional health careworkers; through the training of acupressure services for Primary Health Care; butacupressure service has not been run in Primary Health Care. In South Jakarta; PrimaryHealth Care that have been providing acupressure service are only two 2. Thisresearch is a qualitative research; and aims to analyze the policy and implementation ofacupressure service in Primary Health Care and its obstacles. Informants in the studyamounted to 11 people; namely the Ministry of Health; Sudinkes South Jakarta; Head ofPrimary Health Care; Doctor; program implementer. Methods of data collection throughWM and document review.

The result of research of input component have beenrunning; existence of support of Head of Puskesmas; service SOP; and SK ofassignment but not optimal rotation of staff become one of obstacle; component ofoutput and outcome not yet optimally. The communication aspect clarity andconsistency has not been effective about the existing policy regulation informationfrom the policy makers to the implementers; the financing aspect has not been supportedby local regulations; the bureaucratic aspects are still lacking coordination and thepolicy socialization from the Health Service to tribe of health service and PrimaryHealth Care. "

"Penelitian ini bertujuan untuk menganalisis implementasi kebijakan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) di Kota Mataram Provinsi NTB tahun 2021. Implementasi kebijakan dianalisis dengan melihat aspek struktur birokrasi, sumber daya, komunikasi, kondisi ekonomi, sosial, dan politik, dan partisipasi masyarakat. Desain penelitian ini adalah penelitian kualitatif dengan wawancara mendalam dan telaah data. Triangulasi data dilakukan dengan triangulasi sumber dan metode. Penelitian ini dilaksanakan di Dinas Kesehatan Provinsi NTB, Dinas Kesehatan Kota Mataram, Puskesmas Dasan Agung, dan Puskesmas Karang Pule di Kota Mataram. Hasil penelitian ini menunjukan bahwa implementasi kebijakan PIS-PK masih perlu dioptimalkan kembali. Struktur birokrasi berdasarkan SOP dan fragmentasi masih perlu diperbaiki agar lebih teratur dan menyentuh segala lini. Disposisi atau penerimaan dan motivasi pelaksana sebenarnya di awal sudah baik, tetapi karena banyak kendala yang terjadi menyebabkan semangat pelaksana menurun. Sumber daya dari aspek staf, biaya, dan fasilitas masih belum sepenuhnya menunjang pelaksanaan PIS-PK khususnya permasalahan aplikasi yang menyebabkan data PIS-PK di salah satu puskesmas yang tidak dapat diinput ke dalam aplikasi. Komunikasi belum berjalan efektif, kejelasan informasi yang diberikan oleh dinas kesehatan kepada puskesmas masih perlu diperbaiki. Untuk dukungan lintas sektor dan organisasi profesi masih perlu ditingkatkan kembali. Partisipasi masyarakat sudah terlibat dalam PIS-PK, tetapi belum mengetahui secara jelas terkait PIS-PK.

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This study aims to analyze the implementation of the Healthy Indonesia Program with a Family Approach (PIS-PK) policy in Mataram City, NTB Province in 2021. Policy implementation is analyzed by looking at aspects of bureaucratic structure, resources, communication, economic, social, and political conditions, and public participation. This research design is qualitative research with in-depth interviews and data analysis. Triangulation of data is done by triangulation of sources and metode. This research was conducted at the NTB Provincial Health Office, Mataram City Health Office, Puskesmas Dasan Agung, and Puskesmas Karang Pule in Mataram City. The results of this study indicate that the implementation of the PIS-PK policy still needs to be re-optimized. The bureaucratic structure based on SOPs and fragmentation still needs to be improved so that it is more organized and touches all lines. The disposition or acceptance and motivation of the implementers were actually good at the beginning, but because of many obstacles that occurred, the enthusiasm of the implementers decreased. Resources from the aspect of staff, costs, and facilities still do not fully support the implementation of PIS-PK, especially application problems that cause PIS-PK data in one of the puskesmas that cannot be input into the application. Communication has not been effective, the clarity of information provided by the health office to the puskesmas still needs to be improved. Cross-sectoral support and professional organizations still need to be improved again. Community participation has been involved in PIS-PK, but is not yet clear about PIS-PK.

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"Puskesmas Perawatan adalah Puskesmas yang diberi tambahan ruang dan fasilitas untuk menolong pasien - pasien gawat darurat, baik berupa tindakan operatif terbatas maupun asuhan keperawatan sementara dengan kapasitas kurang lebih 10 tempat tidur. Puskesmas Perawatan Plus adalah Puskesmas perawatan yang diberi tambahan ruang dan fasilitas untuk menolong pasien-pasien gawat darurat, baik berupa tindakan operatif, rontgen, kebidanan yang kegiatannya masih di bawah rumah sakit tipe D. Tingginya tuntutan masyarakat terhadap pelayanan kesehatan di daerah Kabupaten Tebo sementara pembiayaan untuk mendirikan rumah sakit belum tersedia. Untuk itu pemerintah Kabupaten Tebo mendukung pengembangan Puskesmas Perawatan Muara Tebo menjadi Puskesmas Perawatan Plus. Agar dapat mengembangkan puskesmas perawatan plus diperlukan suatu penyusunan rencana strategi yang disebut rencana strategik pengembangan puskemas perawatan menjadi puskesmas perawatan plus. Penyusunan Recana Strategik ini melalui tahap I (Input Stage) yang terdiri dari analisa lingkungan eksternal dan internal, yang dilakukan oleh CDMG, Internal - Eksternal (IE), dan matriks SWOT, selanjutnya tahap III (Decision Stage) menggunakan matriks Q.S.P.M untuk mentukan strategi yang terpilih. Dari hasil penelitian, evaluasi lingkungan eksternal menghasilkan nilai total EFE sebesar 3,81 yang berarti puskesmas perawatan merespon baik peluang - peluang yang ada dan menghindari ancaman - ancaman yang muncul. Nilai evaluasi internal menghasilkan nilai total EFE sebesar 2,01 yang berarti secara internal kekuatan yang dimiliki berada pada titik rata - rata. Setalah mengetahui posisi eksternal dan internal, CDMG membuat rumusan visi, misi, dan tujuan jangka panjang. Kemudian tahap II (Matching Stage) CDMG melakukan analisis dengan matriks Internal - Eksternal (IE) dan matriks SWOT, serta matriks TOS maka dari sini kita mendapatkan strategi intesif dan integeratif. Dengan menggunakan matriks QSPM kita dapatkan strategi intensif. Peneliti menyimpulkan bahwa strategi utama yang sesuai bagi pengembangan Puskesmas Perawatan Muara Tebo adalah strategi pengembangan produk dan strategi penetrasi pasar.

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Public Health Center Care is a Public Health Center (Puskesmas) that had more extra rooms and facilities to help and serves emergency patients, such as surgery acts or temporary ward care with extra 10 beds capacity. Public Health Center Plus is a Public Health Center that had extra rooms and facilities to help and serves emergency patients, such as, surgery, X-ray, and maternity that still below the ?D? grade hospital activities. The society's demand to public health services in Kabupaten Tebo is very high, while the government's budget to build the hospital is not available yet. In these reason, the Kabupaten Tebo's government supports the development program for Public Health Center of Muara Tebo to become a Public Health Center Plus. To running the public health center care's development program, we must and need to arrange a strategic plan, which called the strategic development plan for a public health center care to become a public health center plus. The strategic plan's arranging is through some phases, Phases I (input stage) that form by external and internal environments analyzes, which done by Consensus Decision Making Group (CDMG). Phase H (Matching Stage), the Consensus Decision Malang Group (CDMG) had made the analyzes by internal - external (IE) matrix, and SWOT matrix. And Phase III (Decision Stage), using QSPM matrix to determined the chosen strategic. According to research's results, the external environment's evaluation produces 3,81 EFE total grade, which means the public health center had well responses to opportunities and treats that could be face of. And the internal environment's evaluation produce 2,01 EFE total grade, which means the public health center care had the average internal potential power. After the grades of internal - external had known, the CDMG made the formulas of vision, mission, and a long-term objective, as Phase I. Then at the Phase II (Matching Stage), the CDMG do some analyses to Internal - External (IE) matrix and SWOT matrix, and also TOS matrix at the end of this phase, we'll have the intensive and integrative strategies. Then, we using QSPM matrix to have the intense strategy. The writer had made the conclusion that the main suitable strategies to developing the Public Health Center Care of Muara Tebo are the product's development strategy and the market's penetration. In this research, the writer also put some conclusions and suggestions to implant the chosen strategy that the vision, mission, and long-term objectives can be achieves."

"Keberhasilan suatu program berhubungan dengan kinerja petugasnya. Penelitian ini bertujuan untuk mengetahui kinerja petugas Manajemen Terpadu Balita Sakit (MTBS) dan hubungan antara variabel indepeden yang terdiri dari faktor individu (umur, masa kerja, pengetahuan dan motivasi), dan faktor organisasi (pelatihan, fasilitas, kepemimpinan) dengan variabel dependen yaitu kinerja petugas MTBS. Jenis penelitian yang digunakan adalah kuantitatif dengan rancangan penelitian cross sectional. Jumlah sampel 50 responden petugas MTBS.Pengumpulan data dilakukan dengan pengisisan kuesioner dan wawancara serta observasi.Pengolahan data dengan menggunakan perangkat lunak computer, analisis data dengan univariat, bivariat dengan uji statistik chi-square dan multivariat dengan uji statistik multipel regresi logistik. Hasil penelitian menunjukkan bahwa 62% petugas MTBS mempunyai kinerja baik. Terdapat hubungan antara umur, masa kerja, pengetahuan, motivasi, fasilitas dan kepemimpinan dengan kinerja petugas MTBS. Faktor dominan yang mempengaruhi kinerja petugas MTBS adalah masa kerja dan kepemimpinan.

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The success of a program related to the performance of its officers This study aims to determine the performance of Integrated Management of Childhood Illness (IMCI) officers and determine the relationship between the independent variables consisting of individual factors (age,length of work, knowledge and motivation) and organizational factors (training, facilities, leadership) with the dependent variable which is the performance of IMCI officer.

This type of research is quantitative with cross sectional study design. The sample of 50 respondents IMCI officer.Collecting data by filling the questionnaire and interviewing and observation.Processing data using computer software, data analysis with univariate, bivariate statistical test chi-square and multivariate multiple logistic regression statistical test.

The results of this study showed that 62% good performance of IMCI officer. There was correlation between age, length of work,knowledge, motivation, training and leadership with performance of IMCI officer. The dominant factor affecting performance is the IMCI officers working life and leadership."

"Penelitian ini bertujuan untuk menentukan produktivitas PNS tenaga kesehatan dengan faktor-faktor yang berhubungan berdasarkan Riset ketenagaan di bidang kesehatan 2017 (Risnakes) secara multilevel. Selain itu dinilai juga hubungan produktivitas PNS tenaga kesehatan dengan ketanggapan dan kepuasan pasien, serta dengan efisiensi tenaga kesehatan. Penelitian ini adalah analisis lanjut menggunakan data time study Risnakes 2017, untuk menilai produktivitas waktu produktif per waktu tersedia (waktu produktif) dan produktivitas waktu pelayanan per satu pasien (waktu pelayanan per pasien). Waktu produktif diambil dari aktifitas UKM, UKP, produktif lainnya dan non produktif. Rerata produktivitas waktu produktif adalah 83,4%, dan variasinya ditentukan oleh beda antar Puskesmas dan beda antar dinas kesehatan kabupaten/kota. Hasil mendapatkan aktivitas UKM paling rendah di Puskesmas. Sementara produktivitas waktu perlayanan per pasien adalah 9,84 menit per pasien dan variasinya ditentukan oleh beda antar Puskesmas. Beberapa variabel dan komposit dari ketanggapan dan kepuasan pasien rawat jalan berhubungan dengan produktivitas waktu produktif. Efisiensi eknis PNS tenaga kesehatan waktu produktif hanya sebesar 68% akibat adanya inefisiensi teknis. Sementara efisiensi PNS waktu pelayanan per pasien mencapai 98% dimana random error lebih dominan. Kesimpulan didapatkan bahwa Puskesmas dan dinas kesehatan berperan menentukan variasi produktivitas PNS tenaga kesehatan, dimana produktivitas UKM adalah yang terendah. Inefisiesi teknis ditemukan pada produktivitas PNS tenaga kesehatan waktu produktif namun random error berperan pada produktivitas waktu pelayanan per pasien.

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This study aims to determine the productivity of employees government (PNS) health workers with related factors based Labour Research in health sector (Risnakes) 2017 with multilevel analysis. Besides that, it was assessed too the relationship between the productivity with the responsiveness and satisfaction of patients, and with the efficiency of health workers. This study was an advance analysis based on time study data of Risnakes 2017, to assess the productivity of productive time per available time (productive time) and service time productivity per patient (service time per patient). Productive time was identified from activities of UKM, UKP, other productive and non-productive activities. The average productivity of productive time" was 83.4%, and the variation was determined by the difference between Puskesmas and difference between district / city health offices. The results got the lowest UKM activity in the health center. While the productivity of service time per patient was 9.84 minutes per patient and the variation was determined by the difference between Puskesmas. Several variables and composites of outpatient responsiveness and satisfaction are associated with productive time productivity. The technical efficiency of PNS health worker "productive time" is only 68% due to technical inefficiencies. While the efficiency of civil servants service time per patient reaches 98% where random error was more dominant. The conclusion was that the Puskesmas and health offices played a role in determining the variation in the productivity of PNS health workers, where the productivity of UKM was the lowest. Technical definitions were found in the productivity of health service civil servants in productive time but random error plays a role in productivity service time per patient."