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"Jalan Raya Daan Mogot-Pesing Kota Jakarta Barat merupakan jalan raya yang memiliki fungsi vital karena dikelilingi perumahan, industri, pasar, menghubungkan dua kota besar (Jakarta Barat dan Tanggerang), serta merupakan jalan raya yang memiliki titik konsentrasi PM2.5 tertinggi dengan 298 µg/m3 berdasarkan data IQair. Oleh karena itu, diperlukan sebuah penelitian yang dapat menganalisis risiko kesehatan terhadap masyarakat yang tinggal disekitarnya akibat pajanan PM2.5. Penelitian ini menggunakan metode ARKL dengan sampel udara pada 4 titik pengukuran dan sampel subjek sebanyak 96 responden. Pengambilan sampel udara menggunakan alat Dusttrak sedangkan pengambilan data sampel subjek dilakukan dengan wawancara. Berdasarkan hasil pengukuran PM2.5 pada 4 titik pengukuran, terdapat 3 titik yang konsentrasinya telah berada diatas baku mutu PP No.22 tahun 2021 pada titik 2 dengan 73,8 µg/m3, titik 3 dengan 57,2 µg/m3, dan titik 4 dengan 155,4 µg/m3. Berdasarkan hasil wawancara, didapatkan data rerata berat badan responden 59,5 kg, umur 44,5 tahun, waktu pajanan 24 jam/hari, frekuensi pajanan 350 hari/tahun, dan durasi pajanan 20 tahun. Intake realtime dan lifetime tertinggi berada pada titik 4 pengukuran dengan konsentrasi maksimum 0,03 mg/kg/hari dan 0,05 mg/kg/hari. RQ realtime dan lifetime tertinggi berada pada titik 4 dengan nilai maksimum 1,74 dan 2,61. Dibutuhkan manajemen risiko yang dapat menanggulangi titik dengan kategori berisiko diantaranya edukasi penggunaan masker, menanam tanaman penyaring debu dalam rumah, peningkatan gizi, serta penghijauan jalan raya.

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Daan Mogot-Pesing road of West Jakarta is a highway that has a vital function because it is surrounded by housing, industry, markets, connects two big cities (West Jakarta and Tangerang), and is a highway that has the highest PM2.5 concentration point with 298 µg/m3 based on IQair data. Therefore, a study is needed that can analyze the health risks to the people who live around them due to PM2.5 exposure. This study used the EHRA method with air samples at 4 measurement points and a sample of 96 respondents. Air samples were taken using the Dusttrak tool while the subject sample data was collected by interview. Based on the results of PM2.5 measurements at 4 measurement points, there are 3 points whose concentrations are above the PP No. 22 of 2021 quality standards at point 2 with 73.8 µg/m3, point 3 with 57.2 µg/m3, and point 4 with 155.4 µg/m3. Based on the interview results, the average respondent's body weight was 59.5 kg, age 44.5 years, exposure time 24 hours/day, exposure frequency 350 days/year, and exposure duration 20 years. The highest realtime and lifetime intakes were at point 4 of measurement with a maximum concentration of 0.03 mg/kg/day and 0.05 mg/kg/day. The highest realtime and lifetime RQ is at point 4 with a maximum value of 1.74 and 2.61. Risk management is needed that can address points with risk categories including education on using masks, planting dust filter plants in the house, improving nutrition, and planting plants around the road."

"Pelayanan Obstetri dan Neonatal Emergensi Dasar (PONED) merupakan salah satu pelayanan Puskesmas yang diharapkan dapat memberikan kontribusi untuk penurunan AKI dan AKB. Angka Kematian Ibu (AKI), Angka Kematian Bayi (AKB) dan Angka Kematian Balita (AKABA) di Indonesia tertinggi dibandingkan negara-negara ASEAN lainnya. Kabupaten Administrasi Kepulauan Seribu memiliki 2 Puskesmas Kecamatan yang memiliki rawat inap yang berfungsi PONED dan 4 Puskesmas Kelurahan yang mempunyai perawatan 24 jam. Namun demikian indikator pelayanan Program PONED masih belum mencapai target, salah satunya angka Kematian Bayi dan Rujukan Ibu Melahirkan yang masih sangat tinggi. Penelitian ini merupakan penelitian analitik kualitatif. Informan ditentukan dengan menggunakan purposive sampling. Informan penelitian antara lain masyarakat, Pemerintah Daerah, Tim PONED Puskesmas, Para Kepala Puskesmas PONED, penanggung jawab program PONED Sudinkes Pulau Seribu, dan Penanggung Jawab SDM Kesehatan Sudinkes Kepulauan Seribu. Data yang dikumpulkan berupa data primer dan data sekunder berupa hasil wawancara mendalam dan telaah dokumen. Hasil penelitian diperoleh data bahwa pada standar dan ukuran kebijakan telah dipahami oleh pelaksana kebijakan. Pemahaman ini didukung komunikasi yang jelas dan berkelanjutan antara Dinas Kesehatan, puskesmas dan stakeholder, kejelasan informasi dan konsistensi informasi. Ketersediaan anggaran, sarana dan prasarana sudah mencukupi tetapi terkendala masalah pemeliharaan alat karena faktor air asin yang menyebabkan peralatan mudah berkarat dan rusak. Struktur birokrasi sudah terdapat Keputusan Bupati mengenai tim PONED, namun belum ada struktur khusus PONED di Suku Dinas Kesehatan Kepulauan Seribu Disposisi ditunjukan dengan sikap positif berupa komitmen bersama Pemerintah Daerah dan Puskesmas dalam penanganan ibu hamil, penanganan kasus rujukan ibu melahirkan dengan penyulit. Peran serta masyarakat dalam pelaksanaan PONED sudah ditunjukan dengan pemanfaatan Puskesmas PONED dalam pemeriksaan kehamilan dan proses melahirkan, Output pelaksanaan program PONED sudah dilakukan pencatatan dan pelaporan capaian program kepada penanggung jawab di Sudinkes, belum ada format pelaporan khusus PONED dan belum dilakukan analisa pelaporan PONED serta feedbacak pelaporan belum dilaksanakan. Implementasi pelayanan PONED di Puskesmas Kepulauan Seribu Selatan dan Puskesmas Pulau Seribu Utara sudah berjalan tapi belum optimal dengan adanya hambatan dan kendala di komponen input, proses maupun output yang harus diatasi sehingga pelayana PONED di Kepulauan Seribu bisa berjalan dengan baik.

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Basic Emergency Obstetric and Neonatal Care (PONED) is one of the Primary Health Care services that is expected to contribute to the reduction of MMR and IMR. Maternal Mortality Rate (MMR), Infant Mortality Rate (IMR) and Toddler Mortality Rate in Indonesia are the highest compared to other ASEAN countries. The Seribu Islands Administrative Regency has 2 sub-district health centers that have PONED inpatient care and 4 sub-district health centers that have 24-hour care. However, the service indicators of the PONED program have not yet reached the target, one of which is the very high infant mortality rate and maternal referral. This study was a qualitative analytic study. Informants were determined using purposive sampling. The research informants included the community, local government, Primary Health Care PONED team, Heads of Primary Health Care PONED, the person in charge of the Thousand Island sub-district PONED program, and the person in charge of the Thousand Islands sub-district health human resources. The research results show that the policy standards and measures have been understood by implementers. This understanding is supported by clear and continuous communication between the Health Service, community health centers and stakeholders, clarity of information and consistency of information. The availability of budget, facilities and infrastructure is sufficient but is hampered by equipment maintenance problems due to the salt water factor which causes the equipment to rust easily and cause damage. The bureaucratic structure already has a Regent's Decree regarding the poned team, but there is no special PONED structure in the Seribu Islands Health Sub-Department. The disposition is shown by a positive attitude in the form of a joint commitment between the Regional Government and the Community Health Center in handling pregnant women, handling referral cases of mothers giving birth with complications. Community participation in the implementation of PONED has been demonstrated by the use of PONED Community Health Centers in pregnancy checks and the birthing process. The output of the implementation of the PONED program has been recorded and reported on program achievements to the person in charge at the Health Sub-Department. reporting has not been implemented. The implementation of PONED services at the South Seribu Islands Community Health Center and North Thousand Islands Health Center is already underway but is not yet optimal due to the existence of barriers and obstacles in the input, process and output components that must be overcome so that PONED services in the Thousand Islands can run well."

"Sebagai rumah sakit yang yang berbentuk BLUD (Badan Layanan Umum Daerah), RSUD Kepulauan Seribu perlu menyusun rencana strategi bisnis yang harus diperbaharui setiap lima tahun. Rencana strategis dan bisnis periode sebelumnya 2018-2022 sudah habis , namun RSB periode selanjutnya 2023-2026 belum selesai disusun, sedangkan sudah terdapat beberapa isu penting terkait operasional, pengembangan layanan unggulan yang perlu diakomodir pada RSB periode selanjutnya. Penelitian ini berfokus pada penyusunan RSB RSUD Kepulauan Seribu yang diharapakan dapat dijadikan referensi dalam menyusun rencana strategis dan bisnis RSUD Kepuauan Seribu tahun 2023-2026 dengan fokus pengembangan layanan unggulan. Penelitian ini menggunakan metode operasional (operastional research) dengan pendekatan kualitatif. Data primer diperoleh dengan wawancara mendalam, data sekunder didapatkan dari laporan-laporan rumah sakit dan stakeholder tekait. Pada tahapan input stage, matching stage, decision stage, dan implementasi ditentukan dengan Teknik pengambilan keputusan CDMG (consensus Decision Making Group) dengan pendekatan Balance Scored Card. Berdasarkan matriks internal eksternal positioning RSUD Kepulauan Seribu berada pada pertumbuhan/ekspansi. Dengan prioritas alternative startegi berdasarkan pengolahan QSPM (quantitave strategic planning matriks) adalah pengembangan layanan unggulan PONEK 24 jam dan wisata medis, pengembangan kompetensi pegawai, Budaya tata kelola dan peningkatan inovasi, revialisasi Gedung sarana dan prasarana, pengembangan target pasar yang menyasar wisatawan, dan penetrasi pasar dengan meningkatkan kerja sama dengan stakeholder. Dalam tahapan implementasi perspektif pembelajaran dan pertumbuhan adalah terwujudnya saran dan prasaran yang sesuai dengan standar serta terwujudnya budaya kinaerja yang berinovasi dan team work yang kuat dan efektif. Untuk perspective bisnis internal adalah terwujudnya RSUD Kepulauan Seribu mampu tatalaksana PONEK 24 jam dan rumah sakit yang mampu menunjang kegiatan wisata, serta terwujudnya pelayanan primer untuk seluruh jenis pelayanan. Berdasarkan perspective pelanggan targetnya adalah terwujudnya RSUD Kepulauan Seribu sebagai rumah sakit tujuan utama masyarakat kepulauan seribu serta terwujudnya peningkatan kepuasan pasien. Untuk perspective finansial target Peningkatan pendapatan operasional rumah sakit dan Peningkatan CRR (Cost Revenue Rate).

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As a distric Hospital which organize in BLUD regulation. RSUD Kepulauan Seribu must to compile strategic and bussines planing document which must to be updated every five years and should in line with strategic planning of province health service as well as with development planning of province government. Strategic and bussines planning document period before 2018-2022 has finished, however the next period 2023-2026 hasn’t finished compiled yet. Whereas there so many problem related with operational, develompment of priority health service, dan refferal halth service networking which should solved in next period of strategic and bussines planning of RSUD Kepulauan Seribu. This Study foccus in discuss of compiling the strategic and bussines planning RSUD Kepulauan Seribu which expected could be made the reference ini compile RSUD Kepulauan Seribu strategic and bussines document 2023-2026 period which foccus in discuss the development of prority health services and refferal health service. This study used the operational research method with qualitative approach. Primary data were obtained by comprehensive interview, the secondary data were obtained by the hospital annual reported or the goverment service annual report. In input stage, matching stage, decision stage, and implementaion data was determined by decision making technic CDMG (Consensus Decision Making Group) with Balanced Scored Card Approaching. Based on result of analysis internal eksternal matrix RSUD Kepulauan was at development/expansion posisition With priority alternative strategy based on QSPM (qualitative strategic planning matriks) analysis are development priority health service 24 hours maternal and perinatal emergency services and medical tourism, development of employe competence, governace worked culture dan enhancement innovation, revitalisation of hospital infrastructure, market development which tourist target, and market penetration which improve stakeholder cooperation. In learning dan growing perspective of implementation stage the target are the realization of good standard hospital infrastructure, the formation worked culture which innovative, dan strong effective team work. In intenternal bussines perspective the target are the realization of 24 hour maternal and perinatal emergency services(PONEK 24 jam), medical tourism services, and fullfill the primary standar of refferal health services. In costumer perspective the target are the realization RSUD Kepulauan Seribu as the main refferal hospital for kepulauan seribu district citizen dan increasing of costumer/patient satisfaction. In financial perspective the target are the increasing of hospital income, and increasing of hospital cost revenue rate (CRR)."