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"TBC masih merupakan masalah kesehatan dunia, bahkan Indonesia. Pemerintah telah menerapkan program DOTS untuk menurunkan angka kesakitan dan kematian akibat TBC, namun angka tersebut masih belum mencapai target. Selama pandemi Covid-19, program DOTS tetap diselenggarakan dengan adanya penyesuaian pengelolaan input dan process. Tujuan dari penelitian ini yakni mengetahui gambaran pelaksanaan program DOTS selama pandemi Covid-19 di wilayah kerja Puskesmas Depok Jaya. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Teknik pengumpulan data wawancara mendalam kepada informan utama, yakni Penanggung Jawab Program DOTS, Dokter Penanggung Jawab Program DOTS, Ketua Kader dan PMO, sedangkan informan pendukung, yakni Pasien TBC. Peneliti mengambil data secara daring melalui Zoom Meeting. Hasil penelitian bahwa pelaksanaan program DOTS di tengah pandemi Covid-19 dilaksanakan dengan menerapkan protokol kesehatan, diantaranya wajib memakai masker dua rangkap dan mencuci tangan pakai sabun. Sumber daya PMO dan petugas puskesmas yang berdedikasi memiliki peran penting dalam upaya penyembuhan pasien TBC. Selain itu, ketersediaan anggaran, sarana, dan prasarana yang cukup dapat menunjang keberlangsungan program agar efektif. Kegiatan utama yang masih rutin diadakan yakni pengobatan TBC melalui pemberian Obat Anti Tuberkulosis yang tidak pernah kurang. Terdapat beberapa kendala dalam program DOTS, antara lain jumlah sumber daya kader kesehatan yang sedikit, kurang tersedianya Tes Cepat Molekuler, dan kurang mendukungnya ruangan pasien TBC. Beberapa kegiatan utama di Puskesmas selama pandemi mengalami penurunan jumlah kegiatan, diantaranya investigasi kontak, skrining, penyuluhan, serta pelatihan. Selain itu terdapat beberapa masalah di pelaksanaan program DOTS yang terjadi selama pandemi Covid-19, yaitu masyarakat yang cenderung individualis, kurang terbuka, dan memiliki mobilitas yang tinggi, sehingga petugas puskesmas dan kader kesehatan seringkali kesulitan dalam melakukan pemantauan terkait dengan investigasi kontak dan pengobatan pasien TBC. Dampaknya, cakupan pengobatan TBC tidak mencapai target, yakni sebesar 71,87% berdasarkan Renstra Puskesmas Depok Jaya Tahun 2021—2026. Hasil penelitian menyarankan untuk Puskesmas dapat memberikan pelatihan kepada kader kesehatan terkait dengan penyikapan investigasi kontak dan edukasi penyakit TBC yang baik kepada masyarakat disesuaikan dengan kondisi pandemi Covid-19, memberikan pelatihan kepada PMO terkait memotivasi pasien TBC dalam minum obat secara teratur dan pemeriksaan cek dahak secara rutin, serta perlu melengkapi sarana dan prasarana yang mendukung terkait kebutuhan program DOTS.

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TB is still a global health problem, even in Indonesia. The government has implemented the DOTS program to reduce morbidity and mortality due to tuberculosis, but this figure has not yet reached the target. During the Covid-19 pandemic, the DOTS program will continue to be held with adjustments to input and process management. The purpose of this study is to describe the implementation of the DOTS program during the Covid-19 pandemic in the Depok Jaya Health Center work area. This research uses a qualitative approach with a case study design. Data collection technique is in-depth interview with the main informants are the person in charge of the DOTS Program, the doctor in charge of the DOTS Program, the head of the cadre, and the medical supervisors, while the supporting informants are the TB patients. Researchers took data online through Zoom Meeting. The results showed that the DOTS program in the mindst of the Covid-19 pandemic was carried out by implementing health protocols, including the obligation to wear two masks and wash hands with soap. Medication supervisor and health center officer resources have an important role in efforts to cure TB patients. In addition, the availability of sufficient budget, facilities, and infrastructure can support the sustainability of the program to be effective. The main activity that is still routinely held is TB treatment through the provision of Anti Tuberculosis Drugs which is never lacking. There are several obstacles in the DOTS program, including the small number of health cadre resources, the lack of availability of Molecular Rapid Tests, and the lack of support for TBC patient rooms. Several main activities at the Health Center during the pandemic experienced a decrease in the number of activities, including contact investigation, screening, counselling, and training. In addition, there are several problems in the implementation of the DOTS program that occurred during the Covid-19 pandemic. People who tend to be individualistic, less open, and have high mobility, so that health center officers and health cadres often find it difficult to carry out monitoring related to contact investigations and patient treatment. As a result, TB treatment coverage did not reach the target, which is 71,87% based on the Depok Jaya Health Center Strategic Plan 2021—2026. The results of the study suggest that the Puskesmas can provide training to health cadres related to the attitude of contact investigations and TB education to the communities adapted to the Covid-19 pandemic conditions, provide training to medication supervisors related to motivating TB patients to take medication regularly and check sputum regularly, and complete supporting facilities and infrastructure related to the needs of the DOTS program."

"Tuberkulosis merupakan penyakit yang masih menjadi tantangan global. Dalam rangka menanggulangi penyakit Tuberkulosis, terbentuklah kerangka kerja oleh WHO untuk mengendalikan tuberkulosis, yang kemudian menjadi strategi global yaitu DOTS atau Directly Observed Treatment Short-Course. Salah satu yang menghambat kemajuan dari penanggulangan tuberkulosis adalah adanya kasus Multidrug Resistant Tuberculosis atau MDR-TB. Kasus MDR TB terjadi salah satunya disebabkan oleh belum maksimalnya implementasi dari strategi DOTS. Di Kota Depok, Puskesmas Pancoran Mas dan Puskesmas Rangkapan Jaya Baru adalah puskesmas dengan angka MDR-TB tertinggi. Dari dua puskesmas tersebut, gambaran akan manajemen atau pengelolaan dari pelaksanaan strategi DOTS pada program Penanggulangan TB khususnya dalam merespon MDR-TB  sangatlah menarik untuk dianalisis lebih jauh. Dengan metode kualitatif dan dengan pendekatan Logic Model, peneliti menelaah bagaimana keberlangsungan program di kedua puskesmas dari sudut pandang input, activity, dan output nya. Peneliti mengumpulkan data baik primer maupun sekunder, dengan melakukan telaah dokumen dan juga wawancara mendalam ke tiga belas informas. Dari penelitian ini ditemukan hasil bahwa kedua Puskesmas sebenarnya telah mengimplementasikan strategi DOTS dengan baik yaitu salah satunya dengan melakukan pengobatan sesuai dengan standar, namun terdapat beberapa  kendala dalam pelaksananaan program tersebut yang dapat menjadi faktor pengahambat dari berjalannya program, baik masalah dari segi sumber daya seperti tidak adanya laboratorium disalah satu puskesmas, hingga dari segi pelaksanaan kegiatan, yang menyebabkan kedua puskesmas pada akhirnya tidak dapat mencapai target Penilaian Kinerja Puskesmas. Adanya berbagai macam kendala yang  berasal dari berbagai aspek menjadi faktor masih belum sempurnanya pelaksanaan program penanggulangan Tuberkulosis di Puskesmas Pancoran Mas dan Rangkapan Jaya Baru. 

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Tuberculosis is a disease that is still become a global challenge. In order to overcome tuberculosis, a framework was established by WHO to control tuberculosis, which later became a global strategy, called DOTS or Directly Observed Treatment Short-Course. One that inhibits the progress of tuberculosis control is the case of Multidrug Resistant Tuberculosis or MDR-TB. MDR-TB cases occur due to the lack of proper implementation of the DOTS strategy. In Depok City, Pancoran Mas Health Center and Rangkapan Jaya Baru Health Center are the health centers with highest MDR-TB cases. Of the two Public Health Centers, an overview of management or management of the implementation of the DOTS strategy in the TB control program, especially in response to MDR-TB, is very interesting to analyze further. With qualitative methods and with the Logic Model approach, the researcher examines how the program's sustainability in the two health centers is from the point of view of input, activity, and output. The researcher collected both primary and secondary data, by reviewing documents and also in-depth interviews with thirteen informants.

From this study, it was found that the two public health centers had actually implemented the DOTS strategy properly, one of which was to carry out treatment in accordance with the standards, but there were several obstacles in implementing the program which could be a limiting factor from the running of the program, both in terms of resources and in terms of the implementation of program activities, which resulted in the two public health centers being unable to reach the target of the Performance Assessment. The various kinds of obstacles that come from various aspects become a factor of the incomplete implementation of the tuberculosis program at the Pancoran Mas Health Center and Rangkapan Jaya Baru. "

"Seiring meningkatnya populasi lansia baik di dunia maupun di Indonesia maka kebutuhan akses ke pelayanan kesehatan dasar seperti posyandu lansia perlu diupayakan. Kota Depok termasuk salah satu wilayah di Provinsi Jawa Barat yang mengalami kenaikan jumlah lansia, serta wilayah kerja Puskesmas Pancoran Mas merupakan salah satu wilayah di Kota Depok yang memiliki jumlah posyandu lansia aktif terbanyak. Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk menggali informasi lebih dalam mengenai kegiatan posyandu lansia saat pandemi Covid-19 dilihat dari segi input, process, hingga output-nya. Informan pada penelitian ini adalah kepala puskesmas, penanggung jawab posyandu lansia, petugas posyandu lansia serta lansia di wilayah kerja Puskesmas Pancoran Mas Depok. Pemilihan informan penelitian secara purposive. Hasil penelitian menunjukkan adanya perubahan pada komponen input, yaitu rusaknya alat kesehatan, serta perubahan kebijakan pada komponen proses, yaitu kegiatan posyandu lansia dihentikan sementara selama pandemi dan beralih menjadi kunjungan lansia terbatas oleh kader. Sehingga output posyandu lansia tidak tercapainya cakupan lansia yang mendapat skrining kesehatan dan akibatnya lansia tidak mendapatkan pelayanan dasar yang sudah menjadi haknya. Oleh sebab itu, disarankan kepada pemegang program untuk memperbaiki sistem dan kebijkan kegiatan posyandu lansia untuk mencapai target sasaran dan terwujudnya lansia sejahtera.

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The increase in the elder population in the world and Indonesia made access to elderly posyandu needed to be pursued. Depok is one area in West Java Province that has an increasing number of elderly people, meanwhile, the working area of ​​the Pancoran Mas Health Center is one of the areas in Depok that has the highest number of active elderly posyandu. This research is qualitative aiming to dig information about elderly posyandu activity during the Covid-19 pandemic in terms of input, process, and output. Informants in this study were the head of the public health center, the person in charge of elderly posyandu, her staff, and the elderly there. Informants were selected purposively. The results showed the change in input components, like medical device damage, also policy changes like suspending the elderly posyandu activities temporarily during the pandemic and switching to limited elderly visits by cadres in the process. Thus the elderly posyandu output does not reach its goal for receiver health screening and resulting the elderly do not get their rights for basic services. Therefore, parties involved are suggested to improve the system and policies for elderly posyandu activities to achieve the targets and realization of prosperous elderly."

"Secara Nasional Penyakit TB paru sampai saat ini masih menjadi beban kerja yang berat, karena hampir 70% penderita TB paru adalah penduduk yang berusia produktif terutama mereka yang yang berasal dari ekonomi lemah, RS RK Charitas Kota Palembang merupakan salah satu jalan keluar (outlet) untuk peningkatan cakupan Program Penanggulangan Penyakit TB paru dengan strategi DOTS, sehingga dapat direplikasikan kepada RS swasta lainnya, haI ini terlihat tingginya angka sembuh dari hasil pelaksanaan pengobatan Penyakit TB paru dengan strategi DOTS. Penelitian ini bertujuan untuk memperoleh informasi mendalam tentang proses efektifitas Penanggulangan Penyakit TB paru dengan strategi DOTS di RS RK Charitas Kota Palembang, dengan melihat dari pendekatan sistem, yang terdiri dari komponen masukan (input) terdiri dari tenaga pelaksana yang dilihat dari pengetahun, lama kerja, beban kerja dan sikap, serta dana, obat, sarana dan metoda. Komponen proses dilihat dari perencanaan, pelaksanaan dan monitoring. Penelitian ini dilakukan dengan metoda Kualitatif, di mana pengumpulan data dilakukan dengan melaksanakan wawancara mendalam (WM) dengan Direktur RS, Ketua tim Penanggulangan Penyakit TB paru serta Perawat kesehatan dan tenaga Farmasi yang bertugas di Poliklinik DOTS. Dari hasil penelitian menunjukkan bahwa proses Penanggulangan Penyakit TB paru dengan strategi DOTS di RS RK Charitas Palembang secara keseluruhan telah herhasil dengan baik, sesuai dengan Pedoman Nasional Penanggulangan Penyakit TB paru Departemen Kesehatan RI yaitu angka kesembuhan >85%, Drop out <10% dan angka kambuh 4,5%, Namun walau demikian masih terdapat kendala baik di komponen masukan (Input) maupun di pelaksanaan kegiatan. Untuk mereplikasikan keberhasilan Penanggulangan Penyakit TB paru dengan strategi DOTS ke RS swasta lainnya, maka perlu Political Komitmen dari Pimpinan RS, dan pemberian makanan tambahan, bebas biaya retribusi setiap kunjungan serta PMO dari kalangan keluarga sendiri. Dan pihak penanggung jawab Program Penanggulangan Penyakit TB paru yaitu Dinas Kesehatan Kota Palembang diharapkan untuk memberikan umpan balik dan saran dari hasil kerja RS RK Charitas serta benclunarking RS swasta Iainnya ke RS RK Charitas kota Palembang.

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Tuberculosis disease currently is still a major problem, because almost 70% of lung tuberculosis sufferers are people in productive age, especially those from lower income. RK Charitas Hospital of Palembang City as one of outlets for improving the coverage of lung tuberculosis disease overcoming program by DOTS. It seems that this strategy can be applied to the other private hospitals, as it can be seen from the high of recovery rate of result implementation treatment of lung tuberculosis disease by DOTS strategy. The objective of this study is to obtain further information on the process of the effectiveness overcoming of lung tuberculosis disease by DOTS strategy at RK Charitas Hospital of Palembang City. We used system approach that covers of input components that consist of knowledge, working duration, attitude and workload of staff, fund, medicine, means and method. The process component included was planning, implementation and monitoring. This study conducted using qualitative method, where data collected by in-depth interview to the director of the hospital, the chief of the team on lung tuberculosis disease overcoming, nurses, chemistry officer who work at DOTS polyclinic. Based on the result of this study showed that the process of lung tuberculosis disease overcoming by DOTS strategy at RK Charitas hospital of Palembang. It wholly has been success with good result. And it met with the Lung Tuberculosis Disease Overcoming National Guidelines, MOH RI, i.e. recovery rate > 85%, drop-out < 10% and recurrence rate 4,5%, even though is still having obstacle in input component and the implementation activity.

To reapply the success of lung tuberculosis disease overcoming by DOTS strategy to other private hospitals, so it needs Political Commitment of the Hospital?s leader, and giving additional food, free from retribution each visiting also the PMO from nuclear family. For one who?s responsible to the program on lung tuberculosis overcoming, the Local Health Service of Palembang City, it is hoped to give a feedback and suggestion to the work achievement of RK Charitas Hospital also the benchmark from other private hospitals to RK Charitas Hospital of Palembang City."

"ABSTRAKTesis ini membahas kemampuan mahasiswa Fakultas Psikologi UAngka penemuan kasus menurut Global tuberculosis Report 2016 sebesar 77 dan dikawasan Asia Tenggara sebesar 46,5 . Sedangkan di Indonesia mengalami titik stagnan dalam 5tahun terakhir di kisaran 32 - 33 kasus. Angka penemuan kasus TBC di Kota Depok tahun2016 baru tercapai 58 dari target cakupan. Sedangkan di Kota Bekasi, cakupannya sebesar62 . Sejak tahun 2014 dengan menggunakan strategi PPM Public Private Mix di Kota Depokmelibatkan fasyankes Fasilitas Pelayanan Kesehatan swasta dalam penanganan TBCmenggunakan metode DOTS Directly Observed Treatment Shortcourse. Saat ini, dari 4 RSswasta yang sudah bekerja sama menjangkau 18,7 kasus TBC di seluruh Kota Depok.Penelitian ini bertujuan untuk mengetahui efektivitas biaya penerapan strategi DOTS di RumahSakit swasta Kota Depok. Penelitian ini merupakan penelitian evaluasi ekonomi dengan denganmetode kohort retrospektif. Penelitian ini akan dilakukan pada bulan Oktober ndash; April 2018dengan melakukan study comparative antara 3 alternatif Cost Effectiveness Analysis , yaituPuskesmas yang menggunakan DOTS, RS DOTS dan RS Tanpa DOTS. Peneliti melakukanpenghitungan microcosting dari perspektif societal/masyarakat dengan menghitung biaya yangdikeluarkan oleh pasien dan provider pelayanan kesehatan. Output yang dipakai untuk mengukurpenanganan TBC adalah angka pengobatan lengkap Success Rate . Estimasi biaya berdasarkantarif Rumah Sakit, harga pasar, serta wawancara dari petugas RS.Hasil penelitian dari 36 sampel per kelompok menunjukkan bahwa Success Rate dipuskesmas 86,1 , RS dengan DOTS sebesar 77.78 sedangkan yang non DOTS sebesar 63.89 . Penambahan biaya provider di puskesmas dan RS DOTS meningkatkan success rate. Biayasocietal penatalaksanaan TBC di puskesmas 42 dari biaya di RS swasta. Dari perhitunganACER Average Cost Effectiveness Ratio didapatkan bahwa RS yang melaksanakan strategiDOTS lebih cost effective, dengan nilai ACER di Puskesmas adalah Rp 1.948.284, RS DOTS Rp3.989.576 dan RS tanpa DOTS sebesar Rp 5.390.323. Untuk menaikkan 1 angka kesuksesanpengobatan membutuhkan biaya Rp 10.084.572 dengan melakukan intervensi program DOTS keRS Swasta. Analisis bivariat menyatakan bahwa terdapat perbedaan bermakna efektivitas biayaperspektif societal pada pengobatan TBC di puskesmas, RS dengan DOTS, dan RS tanpa DOTS .Keywords : Cost effectiveness analysis, DOTS, Fasyankes swasta, Success Rate, ACER, ICER

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ABSTRACTAccording to Global Tuberculosis Report 2016, the number of TB cases 77 andSoutheast Asia cases 46.5. While Indonesia was at a stagnant point in the last 5 years in therange 32 33 of cases. Case Detection Rate 2016 at Depok City only reached 58 of targetcoverage. While at Bekasi, coverage of 62. Since the year 2014 by using strategies of PPM Public Private Mix in the Depok City involves private health service facility to handling TBusing DOTS Directly Observed Treatment Shortcourse . Currently, partnership between DepokHealth District Office with 4 private hospitals can increase 18.7 of TB cases. The aims of thisstudy is to determine cost effectiveness of DOTS strategy implementation in Private Hospital. This research is a study of the economic evaluation with method a retrospective cohortstudy. This research will be conducted in October ndash April 2018 by doing a comparative studybetween 3 alternatives Cost Effectiveness Analysis , i.e. Public Health Care PHC Puskesmas,DOTS and Non DOTS Private Hospitals. Researchers did a microcosting from the perspective ofsocietal by calculating the costs incurred by the patient and health care provider. Outputmeasured by the number of complete treatment Success Rate . Cost estimation based onHospital rates, market prices, and interviews of the officers of hospital.From 36 samples per group shows that the Success Rate at PHCis 86.1 DOTS hospitalof 77.78 and non DOTS hospital of 63.89 . The addition cost providers PHC and DOTShospital increase success rate. The cost of TB treatment in PHC 42 of costs in a privatehospital. ACER Average Cost Effectiveness Ratio is obtained that the hospital which carry outthe strategy of DOTS is more cost effective. ACER in PHC is Rp 1,948,284, DOTS Hospital Rp3,989,576 and Non DOTS Hospital is Rp 5,390,323. To increase 1 success rate of TBtreatment costs Rp 10,084,572 with intervention DOTS programs into a private hospital. Bivariatanalysis stated that cost effectiveness societal perspectives on TB treatment between PHC, DOTS hospital and Non DOTS hospital has a significant difference.Keywords Cost effectiveness analysis, DOTS, Fasyankes swasta, Success Rate, ACER, ICER"

"Latar Belakang: Tingginya angka prevalensi kanker serviks di Indonesia membuat pemerintah Indonesia berupaya untuk menurunkan angka kasus kanker serviks melalui program Deteksi Dini Kanker Serviks. Inspeksi Visual Asam Asetat (IVA) merupakan suatu metode pemeriksaan visual seluruh permukaan leher rahim menggunakan asam asetat yang diencerkan dengan tujuan untuk mengetahui dini adanya kanker serviks.Tujuan: Melihat gambaran implementasi dari program deteksi dini kanker serviks menggunakan metode Inspeksi Visual Asam Asetat (IVA) yang ada di Puskesmas Kecamatan Pancoran Mas.Metode: Penelitian ini menggunakan metode kualitatif dengan wawancara mendalam melalui pendekatan rapid assessment procedures. Teori yang digunakan adalah teori logic model. Informan dalam penelitian berjumlah 19 orang yang terdiri dari 4 informan kunci dan 15 informan utama. Peneliti mengambil data secara langsung dengan menerapkan protocol Covid-19.Hasil: Sebagian besar pelaksanaan program IVA telah berjalan sesuai alur yang ditetapkan oleh Kementerian Kesehatan. Namun terdapat beberapa hambatan dalam pelaksanaannya yaitu terdapat tenaga pelaksana yang belum terlatih tetapi dapat memberikan IVA, kurangnya kesadaran masyarakat untuk melakukan IVA serta pemberian penyuluhan terkait IVA di Puskesmas Kecamatan Pancoran Mas masih sedikit. Kesimpulan: Pemberian penyuluhan terkait IVA di Puskesmas Kecamatan Pancoran Mas perlu ditingkatkan lagi untuk meningkatkan kesadaran masyarakat melakukan IVA agar tercapainya cakupan IVA sesuai target.

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Background: High prevalence of cervical cancer in Indonesia makes Indonesian Government strive to reduce the number of cervical cancer cases through the cervical cancer early detection program. Visual inspection with acetic acid (IVA) is a method of visual inspection of the entire surface of the cervix using diluted acetic acid with the aim to detecting cervical cancer early.

Aim: Describing the implementation of Cervical Cancer Early Detection Program using Visual Inspection with Acetic Acid Method (VIA) at Public Health Center in Pancoran Mas District.

Methods: This study used a qualitative method with indepth interviews through a rapid assessment procedure approach with. There were 19 informants consisting of 4 key informants, 3 main informants, and 12 supporting informants. Researchers took data directly by applying the Covid-19 health protocol.

Result: Most of the implementation of IVA program had run according to the law set by the Ministry of Health. However, there are several obstacles in its implementation as there were untrained health workers who already gave an IVA test, lack of public awareness to do IVA test, and the provision of socialization related to IVA at Public Health Center in Pancoran Mas District was still small.

Conclusion: The provision of socialization related to IVA at Public Health Center in Pancoran Mas District needs to be increased again to increase awareness in public also the scope of IVA so the target can be achieved."

"Stunting merupakan permasalahan serius yang dapat memberikan dampak jangka panjang kepada balita. Stunting pada anak adalah salah satu hambatan paling signifikan bagi perkembangan manusia, secara global mempengaruhi sekitar 162 juta anak di bawah usia 5 tahun. Saat ini provinsi Jawa Barat berada dalam kategori tinggi dalam permasalahan stunting. Berdasarkan Riskesdas tahun 2018, prevalensi bayi stunting di Kota Depok sebesar 23.8%. Di wilayah Puskesmas Depok Jaya masih terdapat bayi stunting dan gizi buruk. Berdasarkan data Bulan Penimbangan Balita (BPB) pada Februari 2022, ada sebanyak 34 balita stunting di Kelurahan Depok Jaya. Data ini menunjukkan angka yang lumayan tinggi untuk kasus stunting tingkat kelurahan. Penelitian ini bertujuan untuk mendapatkan evaluasi mengenai pelaksanaan strategi promosi kesehatan dalam penanganan stunting pada masa pandemi berdasarkan sudut pandang penerima program yakni ibu balita stunting. Penelitian ini menggunakan metode kualitatif deskriptif dengan wawancara mendalam kepada 3 ibu balita stunting sebagai informan utama, 3 kader sebagai informan pendukung, dan 1 ahli gizi selaku penanggung jawab program sebagai informan kunci. Kerangka konsep yang digunakan ialah Logic Model untuk melihat berbagai aspek, mulai dari sumber daya yang digunakan, proses keberlangsungannya, hasil, sampai dampak jangka panjang dari program. Hasil yang didapatkan dari sisi input, pengelola program sudah diterima dengan baik oleh ibu balita stunting, serta kebijakan pemerintah belum dipahami. Dari sisi aktivitas, program sudah tersampaikan dengan baik melalui kader dan WhatsApp, dukungan sosial juga sudah diberikan dengan baik, tetapi intervensi dan pemberdayaan belum berjalan maksimal. Dari sisi output, seluruh balita yang terdata stunting sudah mendapatkan penanganan serta ibu balita stunting sudah mendapatkan dukungan sosial yang baik, tetapi intervensi belum berjalan maksimal. Dari sisi outcome, terdapat peningkatan pengetahuan, sikap, dan perilaku positif ibu balita stunting terkait penanganan stunting pada anaknya, tetapi masih ada ibu balita stunting yang merasa tidak penting akan hal tersebut. Perlu adanya rencana rutin untuk pengadaan intervensi dan pemberdayaan, serta keberlanjutan dari program Ocan Bananas.

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Stunting is a serious problem that can have a long-term impact on under five years children. Child stunting is one of the most significant barriers to human development, affecting an estimated 162 million children under five years. Currently, West Java province is in the high category of stunting problems. Based on Riskesdas 2018, the prevalence of stunting in Depok City was 23.8%. In the Depok Jaya Health Center area, there are still stunted and malnourished babies. Based on data from the Under five years children Weighing Month (BPB) in February 2022, there were 34 stunting under-five years children in Depok Jaya Village. This data shows a high number of stunting cases at the sub-district level. This study aims to obtain an evaluation of the implementation of health promotion strategies in handling stunting during the pandemic based on the perspective of the program recipients, namely mothers of under five years of stunting children. This study used a descriptive qualitative method with in-depth interviews with three mothers of stunting in under five years of children as the primary informants, three cadres as supporting informants, and one nutritionist as the person in charge of the program as key informants. The conceptual framework used was the Logic Model to see various aspects, ranging from the resources used, the process of sustainability, and results, to the long-term impact of the program. The results obtained in terms of input, program managers had been well-received by mothers of under five years stunting children, and government policies had not been understood. In terms of activities, the program had been delivered well through cadres and WhatsApp, and social support had also been provided well, but intervention and empowerment had not run optimally. In terms of output, all under five years children who are recorded as stunting received treatment, and mothers of under five years stunting children had received good social support, but the intervention had not run optimally. In terms of outcomes, there was an increase in knowledge, attitudes, and positive behaviors about mothers of under five years stunting children related to handling stunting in their children. However, there were mothers of under five years stunting children who feel unimportant about this. There needs to be a regular plan for the implementation, both interventions and empowerment, as well as the sustainability of the Ocan Bananas program."

"Tuberkulosis (TB) adalah penyakit menular yang disebabkan oleh Mycobacterium tuberculosis; bakteri ini menyerang organ paru dan ekstra paru. Penelitian ini bertujuan untuk menganalisis keberhasilan pengobatan pasien TB selama pandemi COVID-19 berdasarkan fase pembatasan sosial yang berlaku di Indonesia pada tiga puskesmas di Kota Depok. Pengobatan dikatakan berhasil jika pasien menjalani pengobatan lengkap dan/atau sembuh. Pada penelitian ini, dilakukan analisis untuk dua fase, yaitu fase awal dan fase akhir pembatasan sosial. Penelitian ini menggunakan desain analitik observasional dengan studi cross-sectional. Pengambilan data dilakukan secara retrospektif terhadap data pasien dari Sistem Informasi Tuberkulosis (SITB). Rerata usia pasien adalah ≥ 41 tahun dengan mayoritas pasien laki-laki, memiliki pekerjaan, durasi pengobatan ≥ 6 bulan, dan sebagian besar pasien adalah pasien TB paru. Hasil penelitian menunjukkan penurunan keberhasilan pengobatan dari fase awal (90,5%) ke fase akhir (89%) pembatasan sosial, namun tidak signifikan secara statistik (p = 0,937). Hasil penelitian juga menunjukkan tidak adanya pengaruh yang signifikan secara statistik (p = 0,050) antara pembatasan sosial dengan hasil pengobatan pasien. Analisis statistik karakteristik pasien menunjukkan bahwa jenis kelamin, usia, pekerjaan, klasifikasi TB, dan komorbiditas pasien TB tidak secara signifikan memengaruhi keberhasilan pengobatan TB selama pembatasan sosial. Namun, durasi pengobatan menunjukkan adanya hubungan yang signifikan (p <0,001) terhadap keberhasilan pengobatan TB.

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Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis; the bacteria invade the lung and extra-lung organs. TB treatment, especially for drug-sensitive patients, consists of an intensive phase and a continuation phase lasting six months. Several studies have shown a decrease in the success of TB therapy during the COVID-19 pandemic, which is thought to be influenced by social distancing rules. This study aims to analyze the treatment success of TB patients during the COVID-19 pandemic based on the social restriction phase applicable in Indonesia at three health centers in Depok City. This study used an observational analytic design with a cross-sectional study. Data were collected retrospectively from the Tuberculosis Information System (SITB). The mean age of patients was ≥ 41 years with the majority of patients being male, employed, treatment duration ≥ 6 months, and most patients were pulmonary TB patients. The results showed a decrease in treatment success from the early phase (90.5%) to the late phase (89%) of social restriction in Depok City health centers, but it was not statistically significant (p = 0.937). The results also showed no statistically significant effect (p = 0.050) between social restriction and patient treatment outcomes. Statistical analysis of patient characteristics showed that gender, age, occupation, TB classification, and comorbidities of TB patients did not significantly influence TB treatment success during social distancing. However, treatment duration showed a significant association (p < 0.001) with TB treatment success."

"Upaya untuk meningkatkan kesejahteraan melalui penanggulangan kemiskinan dan pengurangan pengangguran merupakan prioritas utama pembangunan. Untuk meningkatkan efektivitas penanggulangan kemiskinan dan penciptaan lapangan kerja, pemerintah meluncurkan Program Nasional Pemberdayaan Masyarakat (PNPM) Mandiri mulai tahun 2007.Program PNPM Mandiri menyiapkan landasan kemandirian masyarakat berupa lembaga kepemimpinan masyarakat yang representatif, mengakar dan kondusif bagi perkembangan modal sosial (sosial capital) masyarakat di masa mendatang yang disebut dengan Lembaga Keswadayaan Masyarakat (LKM).Dalam prakteknya seringkali ditemukan adanya perbedaan keberhasilan antara satu LKM dengan LKM lain di wilayah yang berbeda. Persoalan perbedaan keberhasilan antara satu LKM dengan LKM lain merupakan suatu persoalan yang perlu ditelusuri untuk perbaikan Implementasi program ke depan sehingga pemerataan pembangunan yang dicita-citakan dapat diwujudkan.Pelaksanaan Program PNPM Mandiri perkotaan di LKM Bina Budi Mulya lebih mencerminkan community-based development dibanding LKM Ratujaya. Pada imlementasi program PNPM Mandiri di Kelurahan Pancoran Mas, pendekatan community-based development cukup berhasil dilaksanakan. Masyarakat sudah dilibatkan sejak proses perencanaan, dimana masyarakat sendiri yang memilih pengurus LKM dengan mekanisme voting. Berbeda halnya dengan Kelurahan Ratujaya dimana implementasi prinsip community based development menjadi sangat rumit dilakukan sebab sejak dana bergulir sudah tidak ada dan LKM sudah jarang rapat bahkan selama penulis mengadakan penelitian selama hampir 3 bulan dari Januari hingga Maret belum pernah diadakan rapat LKM satu kalipun.Pengelolaan Program Nasional Pemberdayaan Masyarakat (PNPM) Mandiri sangat menekankan prinsip-prinsip diantaranya: bertumpu pada pembangunan manusia, otonomi, desentralisasi, berorientasi pada masyarakat miskin, partisipasi, kesetaraan dan keadilan gender, demokrasi, transparansi dan akuntabel, prioritas, kolaborasi, keberlangsungan dan sederhana. Pada implementasi program dilapangan prinsipprinsip tersebut terlaksana lebih cenderung ke arah ekonomi dan perputaran ekonomi bergulir. Jika pelaksanaan dilapangan terus-menerus hanya berkutat seputar masalah ekonomi tanpa penguatan substansi prinsip-prinsip PNPM Mandiri maka LKM akan terperangkap dalam ekonomi bergulir. Lembaga LKM yang sejatinya dimaksudkan untuk menumbuhkan nilai-nilai universal kemanusiaan lama-lama jadi tidak dapat diwujudkan karena peran LKM yang menyempit menjadi semacam lembaga mikro kredit bagi masyarakat kelurahan.Upaya pemberantasan kemiskinan harus dilakukan secara bersama-sama baik oleh pemerintah maupun swasta. LKM memiliki peran mengembangkan jaringan LKM di tingkat Kecamatan, kota, sebagai mitra kerja pemerintah dan wahana untuk menyuarakan aspirasi masyarakat. Keberhasilan implementasi program PNPM Mandiri di suatu kelurahan sangat tergantung pada kinerja pimpinan kolektif LKM. Sedangkan institusi LKM akan berkembang mencapai kemandirian tergantung pada sejauhmana kemampuan pimpinan kolektif secara bersama-sama mengelola institusi LKM secara lebih profesional.

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The effort to increase prosperity through the troubleshooting of poverty and decreasing unemployment is the main priority of development. To increase the effectiveness of poverty troubleshooting and vacancy creating, the government has launched The National Program of Society Empowerment (PNPM) Mandiri since 2007.PNPM Mandiri program prepares the basis of society autonomy as society leadership institution which is representative, embedded, and conducive for the progress of society?s social capital in the future which is mentioned as The Institution of Society Innate Power (LKM).In practice it is frequently found the difference of achievement between one LKM with another in different area. The problem of achievement difference among LKMs is a problem which has to be scrutinized to the refinement implementation of the next program so as the development which is evenly distributed could be implemented.The implementation of Urban PNPM Mandiri program in LKM Bina Budi Mulya reflected more community-based development compared to LKM Ratujaya. In the implementation of PNPM Mandiri program in Pancoran Mas, the approach of community-based development was successful enough in accomplishment. The society has been involved since the planning process, in which the society itself chose the LKM organizers with voting mechanism. Different thing occurred in Ratujaya area where the implementation of community based development principle becoming very complicated due to the absence of incoming fund and the LKM was rarely hold the meeting, even during this research along three months since January to March, there was no meeting held by the LKM.The management of National Program of Society Empowerment (PNPM) Mandiri exceedingly highlights to the principles of: rest upon human development, autonomy, decentralization, oriented to the poor, participation, the gender equality and equity, democracy, transparency and accountability, priority, collaboration, continuity and simplicity. The implementation of program in the field, the accomplishment of the principles tended to economic heading and economic rotation. If the realization in the field persistently settles only around economic problems without strengthening the PNPM principles substance, then LKM will be trapped around the fund distribution. The LKM institution which is truly intended to raise humanity values, in the long run would not be able to be realized because the role of LKM which is shrink become such a micro credit institution for the certain society. The endeavor of poverty eradication must be done jointly, both by government and private companies. LKM has role to develop LKM network in the sub-district and city, as the government partner and conveyor to express society aspiration. The success of the implementation of PNPM Mandiri program in an area depends on the work LKM collective leaders. While LKM institution will develop attaining autonomy depends on how high the ability of collective leaders jointly could manage LKM institution more professionally."

"Posyandu berguna untuk memberdayakan masyarakat dan memberikan kemudahan memperoleh pelayanan kesehatan dasar. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan perilaku kunjungan ke posyandu pada ibu balita di Wilayah Kerja Puskesmas Pancoran Mas Kota Depok tahun 2012. Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional. Dengan sampel 298 ibu balita yang dipilih secara acak di 20 posyandu.Hasil penelitian didapatkan ibu balita yang berperilaku baik berkunjung ke posyandu masih rendah sebanyak 39,9%. Ada 5 variabel yang secara statistik berhubungan dengan perilaku kunjungan ke posyandu yaitu lebih banyak pada ibu yang berpendidikan dibawah SMP, berpengetahuan baik, bersikap positif, memiliki Kartu Menuju Sehat (KMS) serta membutuhkan pelayanan posyandu.Disarankan untuk melakukan dan meningkatkan monitoring upaya promosi kesehatan dengan supervisi langsung ke posyandu dan memberikan penyuluhan kepada masyarakat tentang kegiatan yang ada di Posyandu.

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Posyandu is useful to empower communities and to provide the easiest of obtaining basic health services. The objectives of this study was conducted to determine the related factors with the behavior visits to posyandu on toddlers mothers in the working area of health center Depok Pancoran Mas in 2012. This study was a descriptive with cross sectional design. There were 298 samples of toddlers mothers randomly chosen in 20 posyandu.

The results obtained are wellbehaved toddler mothers as much as 39.9%. There are five variables that were statistically related with the behavior visits to posyandu namely: there were more on educated mothers under Junior School, good knowledge, positive thinking, the ownership of Health Child Card (KMS) and the needs to posyandu.

It is further recommended to perform and improve the monitoring of health promotion efforts with direct supervision to posyandu and provide counseling to the public about the existing activities in posyandu."