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Dalam Kaum Sambas Public Health Center is one of the public health centers that carry out the main activities of health improvement efforts in the form of promotive and preventive efforts, namely health screening for elementary school children, which are carried out manually, causing problems such as the length of recording, drawing conclusions based on examination results and recapitulation that are at risk of errors. This study aimed to develop an Information System for Primary School Children's Health Screening (SIPEKASDA) at Dalam Kaum Sambas Public Health Center. This research method is Research and Development (R&D) with system design using the Waterfall model and system evaluation with the EUCS End User Computing Satisfaction (EUCS) model. The design of the Information System in this study includes a Data Flow Diagram, Flowchart, Entity Relationship Diagram and User Interface, which produces an Information System with several menus, namely processing student data, parents, student class mapping, health checks and recapitulation of school-based health check results. The results obtained from SIPEKASDA include; the presentation of examination results data and recapitulation of examination results per school, village and sub-district. SIPEKASDA is a website-based information system that can be accessed anywhere and anytime. The quality of the Primary School Children's Health Screening Information System assessed from the evaluation of information systems using the End User Computing Satisfaction (EUCS) model is very good, which reaches 83.58%, so the information system can be relied on if you need data at any time. One of the principles of using information systems is timelines or the speed of information systems in responding to what is done by its users, presenting data promptly and up to date so that the use of information systems can increase. Problems in recording inspection results, data processing, data recapitulation, report making, and ease of accessing the system can be adequately resolved after the system is made.

The Healthy Living Community Movement (GERMAS) was an idea by the Ministry of Health in 2016 with promotive and preventive steps to help improve the implementation of healthy living behaviors in Indonesian society. This policy is implemented and implemented by all components, from the Central Government to the Regional Government. With this, the task of the policymakers in involving ensuring coordinated GERMAS management, the existence of consensus among inter-sectoral institutions and stakeholder participation in policy and decision making, transparency, and responsiveness in the Health sector are the main challenges. This article aims to analyze the implementation of good governance in the health sector regarding the values of efficiency, equity, and responsiveness/accountability of the community, to achieve prosperity which is compiled through the literature study method. Articles were selected based on inclusion criteria and keywords through the Google Scholar and Sinta database with topics similar to Good governance in the Healthy Living Community Movement and 23 main articles were found to be reviewed. The findings of the study indicate that in general the Healthy Living Community Movement Program has been implemented, but there are limitations in the application of good governance, lack of participation from between sectors, transparency of information, accountability of actors involved in the program has not run optimally. Keywords: Implementation, Good governance Health, Germas ABSTRAK Gerakan Masyarakat Hidup Sehat (GERMAS) suatu gagasan oleh Kementerian Kesehatan pada tahun 2016 dengan langkah promotif dan preventif untuk membantu meningkatkan penerapan perilaku hidup sehat pada masyarakat Indonesia. Kebijakan ini dilaksanakan dan diterapkan oleh seluruh komponen baik dari Pemerintah Pusat hingga Pemerintah di Daerah. Dengan ini tugas para Pemangku kebijakan dalam melibatkan memastikan tata penhgelolaan GERMAS terkoordinasi, adanya konsensus antar lembaga lintas sektoral serta partisipasi pemangku dalam pengambilan kebijakan dan keputusan, transparansi dan daya tanggap dalam sector Kesehatan menjadi tantangan utama. Artikel ini bertujuan Tujuan Menganalisis penyelenggaraan Tata Kelola yang baik/Good governance dalam bidang kesehatan menyangkut nilai-nilai yaitu efisiensi, pemerataan dan daya tanggap / akuntabilitas masyarakat, untuk mencapai kesejahteraan yang disusun melalui metode studi pustaka. Artikel diseleksi berdasarkan kriteria I nklusi dan kata kunci melalui database Google Scholar dan Sinta dengan topik serupa Tata pengelolaan yang baik didalam Gerakan Masyarakat Hidup Sehat dan didapat sebanyak 23 artikel utama yang akan ditelaah. Temuan dalam penelitian menunjukkan bahwa secara umum Program Gerakan Masyarakat Hidup Sehat telah dijalankan namun terlihat adanya keterbatasan dalam penerapan Tata pengelolaan yang baik, kurangnya partisipasi dari antar sector, transparansi informasi, akuntabilitas para actor yang terlibat didalam program belum berjalan maksimal. Kata Kunci: Implementasi, Tata Kelola Kesehatan, Germas

Cancer is a non-communicable disease whose prevalence is increasing every year. Comprehensive therapy must be carried out to handle it, one of the things that patients often forget is adherence to taking medication. Even the adherence rate of cancer patients to take medication, in an oncology center at a hospital in Semarang is quite low. If the patient is not regular in taking medication, it will make the disease more progressive and result in an even greater burden on the health budget. This must find a solution to solve it. One of them is by making a medication reminder application using technology that can be installed on the patient's smartphone. Objective to find out the relationship between giving a reminder application to adherence to taking medication in cancer patients. The study uses quantitative research with a Quasi Experiment Control Group Design, and a pre-test and post-test group design with a control group without randomization. The application of cancer telenutrition in the form of diet reminders has a positive relationship in increasing the weight of cancer patients (p0.67). The use of reminder applications is associated with increasing adherence to taking medication in cancer patients. It is hoped that this research can be used as a basis for implementing information technology innovations in improving cancer service management practices in hospitals. Keywords: Cancer, Reminder Application, Medication Adherence ABSTRAK Kanker adalah penyakit tidak menular yang saat ini prevalensinya meningkat setiap tahunnya. Terapi komperhensif harus dilakukan untuk menanganinya, salah satu hal yang sering dilupakan pasien adalah kepatuhan minum obat. Bahkan angka kepatuhan pasien kanker untuk meminum obat, di salah satu pusat onkologi di Rumah Sakit di Semarang cukup rendah. Dengan tidak teraturnya pasien dalam minum obat, akan membuat panyakit bertambah progresif dan mengakibatkan beban anggaran kesehatan yang semakin besar. Hal ini harus dicarikan suatu solusi untuk memecahkannya. Salah satunya dengan membuat aplikasi pengingat minum obat dengan memanfaatkan teknologi yang dapat diinstal ke ponsel pintar pasien. Tujuan untuk mengetahui hubungan pemberian aplikasi pengingat terhadap kepatuhan minum obat pasien kanker. Studi menggunakan penelitian kuantitatif dengan Quasi Eksperiment Control Group Design, dan rancangan pre test and post test group design dengan kelompok kontrol tanpa randomisasi. Aplikasi telenutrisi kanker dalam bentuk pengingat diit mempunyai hubungan positif dalam meningkatkan berat badan pasien kanker (p0.67). Penggunaan aplikasi pengingat berhubungan dengan peningkatan kepatuhan minum obat pasien kanker. Diharapkan penelitian ini dapat digunakan sebagai dasar penerapan inovasi teknologi informasi dalam meningkatkan praktek menajemen pelayanan kanker di Rumah Sakit. Kata Kunci: Kanker, Aplikasi Pengingat, Kepatuhan Minum Obat

Waiting is an activity which frequently causes uncomfortable feelings, particularly in health services. Patients who attend to health care facilities such as hospitals, are eager to receive good and quality health care system without having to wait for a long time. The quality of pharmaceutical services in hospitals influences the level of patient satisfaction with the services provided by pharmacy staff in drug services to patients. There are still numerous waiting times for outpatient prescription drug services in Indonesian hospitals which do not fulfill minimum service standards. Thus, the objective of this review articles is to determine the factors affecting the waiting time for outpatient prescription services at the hospital. This review was conducted by employing the literature review method with a sample size of 12 articles. The results acquired are several factors influencing the waiting time for outpatient drugs in hospitals encompassing: receiving prescriptions, providing etiquette, working on prescription drug concoctions, submitting drugs, facilities and infrastructure, human resources, hospital management information systems and standard operating procedures. Based on the complexity of the issue which was found in this review, the most dominant and influencing factors on the waiting time of outpatient drugs at the hospital are prescription reception, providing etiquette, preparation of prescription drugs, and submitting drugs.

Program pembangunan keluarga bertujuan untuk mencapai keluarga yang berkualitas dan sejahtera. Salah satu upaya yang dapat dilakukan untuk mencapai tujuan program ini adalah dengan menggunakan dan menjaga kelangsungan penggunaan kontrasepsi. Tujuan dari penelitian ini adalah menganalisis hubungan antara program pembangunan keluarga dengan kelangsungan penggunaan kontrasepsi di Provinsi Jambi. Penelitian ini mengunakan metode penelitian kuantitatif deskriptif dengan desain cross-sectional study dan menggunakan pendekatan Analisis Data Sekunder (ADS) SKAP 2018. Analisis statistik digunakan untuk menguji variabel penelitian. Berdasarkan hasil penelitian diketahui bahwa terdapat hubungan antara usia ibu, tingkat pendidikan, persepsi tentang jumlah anak ideal, jumlah anak yang terlahir hidup dan tempat pemberian pelayanan kontrasepsi terakhir dengan keberlangsungan penggunaan alat kontrasepsi pada WUS di Provinsi Jambi dengan nilai p

Data prevalensi Infeksi Luka Operasi (ILO) di RSUD Semarang selama Februari-April 2019 menunjukkan peningkatan yang signifikan dari 0,07% menjadi 0,14%. Salah satu upaya pencegahan infeksi pada area operasi dapat dilakukan dengan penerapan IDO bundles. Menganalisis kualitas data bundel Operation Area Infection (IDO) di Rumah Sakit. Desain penelitian yang digunakan dalam penelitian ini adalah metode campuran. Populasi dalam penelitian ini adalah dokumen bundel IDO (data sekunder) sebanyak 149 data (data Desember 2019) dan petugas yang terkait dengan proses operasi (data primer). Dari 100 dokumen dihitung menggunakan Slovin cara pengambilan datanya menggunakan teknik random. Sampel untuk data kualitatif dalam penelitian ini adalah tenaga kesehatan yang terkait dengan proses operasi. Sumber triangulasi adalah kepala bangsal dan petugas pengendalian infeksi di rumah sakit. Metode pengambilan sampel dalam penelitian ini menggunakan non-probability purposive sampling. Bundel IDO data kategori berkualitas tinggi yang ditampilkan dengan akurasi dan presisi, sah dan valid serta terperinci dan mudah ditemukan. Hal ini didukung dengan jumlah SDM yang tersedia yaitu untuk satu unit pelayanan, satu IPCLN dan sesuai penempatan. Dukungan lainnya adalah kompeten dan bersertifikat. Kualitas data bundel IDO di Rumah Sakit Semarang tergolong rendah. Disarankan agar pihak rumah sakit dapat menyusun kebijakan yang lebih komprehensif untuk meningkatkan penerapan efektifitas penggunaan data bundle IDO.

Implementation of CP (clinical pathway) as the main requirement for quality control and hospital costs is important in providing services. CP implementation is influenced by many factors. As many as 90% of filling in CP was not policies and SOPs based. This study aims to determine organizational behavior towards the implementation of CP in patients with STEMI at dr. Kariadi Semarang. This research was a qualitative descriptive study. Collecting data through in-depth interviews and observations. Interviews were conducted to 6 informants who were selected using purposive sampling technique. Data were analyzed descriptively and presented in narrative form. The results showed that the implementation of CP in dr. Kariadi Semarang has been carried out since 2012 and has undergone adjustments to the KARS standard in the Guidelines for the Preparation of Clinical Practice Guidelines and Clinical Pathways in Integrated Care according to the 2012 Hospital Accreditation Standard Edition I. The hospital director assigned the Director's Decree No. HK.00.01/I.IV/600/2016, No. KP.08.02/I.IV/434/2016, No. HK.00.01/I.IV/432/2016 and SOPs to support CP implementation. The adequacy of the workforce needs to be reconsidered. Compliance with CP implementation has not been maximized. Barriers to the implementation of CP was limited human resources, CP has not been integrated with RME in real time, recapitulation of CP was retrospective, evaluation of compliance by yanmed has not been audited by the Medical Committee on a regular basis, PPA compliance, consistency of medical record writing, and patient condition. Monitoring, evaluation and communication need to be developed to optimize the implementation of CP.

Background: The release of medical information to third parties is the responsibility of the health facility to protect the health information contained in it from being damaged, lost, falsified data, and illegal access. Therefore, health facilities must have policies that regulate the system for releasing patient medical information to third parties. This study aims to analyze the policy of the patient's medical information release system in RSUD X. Method: This research is a descriptive study with a qualitative approach, through in-depth interviews and observation techniques. The informants in this study amounted to 12 people, namely the leadership of the hospital, the manager of medical services, the head of the medical record section, and the DPJP. Results: The results of this study indicate that RSUD X already has a policy regarding the system of releasing medical information to third parties but the release activities in the field it is not following the policy. This is because communication such as socialization from the leadership is still lacking so policy actors still do not know about the policy. The leadership has also never carried out monitoring and evaluation related to the release activity so the leadership does not know that other factors cause the policy not to work. Conclusion: The release of medical information to third parties already has a policy set out in the sop, but in its implementation, it is not following the existing sop due to the lack of socialization related to the sop to the discharge officers, the absence of monitoring and evaluation of the discharge activities that have been running at RSUD X. Also, the social attitudes of the community that are considered to have the most influence on the activities of releasing patient medical information in RSUD X.

The mortality rate due to non-communicable diseases (PTM) in Indonesia is higher than the global death rate. The non-communicable disease information system (SI-PTM) was created to assist programmers in facilitating their work. This study aims to evaluate the acceptance of the information system needed to determine the user's desire to use the SI-PTM. This research is an observational study. Respondents in this study were Semarang City Health Center officers who were appointed as operators of the non-communicable disease information system (SI-PTM). Data were collected using a questionnaire containing the technology acceptance model (TAM) indicators. This analysis aims to describe user acceptance of SI-PTM as well as maturity level using TAM indicators, namely perceptions of usefulness, perceived convenience, attitudes, and intentions to use information systems. In conclusion, the majority of respondents stated that non-communicable disease information systems provide benefits in facilitating reporting and monitoring of non-communicable disease cases in the city of Semarang.

National development has an impact on Life Expectancy (UHH) to increase which causes the elderly group (elderly) to also increase, giving positive and negative effects. The negative effect of this increase is the increasing number of cases of PTM (Non-Communicable Diseases) in the community, especially in the elderly. The indirect cause of PTM in the elderly is due to the lack of ability to access, obtain, process, and digest information and know the most basic sources of health information or commonly referred to as health literacy. The factors related to the health literacy of elderly PTM include age, gender, education, occupation, income, access to health services. Lack of health literacy has an impact on decreasing the ability of individuals to access available health information, thus potentially causing errors in digesting information on health services that are being undertaken, thus causing an increase in the severity of the disease and even complications. This study aims to analyze factors related to health literacy of non-communicable diseases. The research method used was observational explanatory research using a sample of 90 people aged 60 years with PTM and had visited the Pegandan Health Center. The results of the study the majority of respondents were elderly (55.6%), female (73.3%), basic education (58.9%), not working (68.9%), low income (70%), accessing level 1 health facilities (92.2%), and using BPJS (56.7%). The conclusion of this research is that education variable (p-value=0.0001) and payment method (p-value=0.002) are related to health literacy about PTM.

Background: The family planning program (Keluarga Berencana or KB) is one of the Indonesian government’s efforts to suppress population growth. The program focuses on contraceptive usage. However, in practice, the level of continuity of contraceptive use are still low. The purpose of this study is to analyze the effect of sources of information and access to health facilities on the continuity of contraceptive use.Method: This quantitative study with a cross-sectional design had 1,195 respondents with an age range of 35 years. Data were collected through structured interviews and questionnaires. Univariate data analysis was conducted with frequency distribution; bivariate data analysis utilized crosstabs, and the multivariate analysis used logistic regression.Results: The continuity of contraceptive use was 91.9% among respondents who received information about the family planning program, either orally, on mass media, or electronically, and it was 82.8% among respondents who accessed family planning services. This study found that factors that influence the continuity of contraceptive use were sources of electronic media information (OR = 0.6633; 95% CI = 0.4852 – 0.9067; p = 0.010) and access to family planning services (OR = 2.677; 95% CI = 1.652 – 4.337; p = 0.001). These findings suggest that the sources of information and access to health facilities affect the continuity of contraceptive use.

Background: Street Children are children who spend or spend most of their time on the streets, markets, shops and other crowded centers. One of the problems often faced by street children is reproductive health problems. Reproductive health problems that occur in street youth are free sex, sexually transmitted infections, and HIV/AIDS. Street children need competent assistances in providing education about reproductive health. The purpose of this study was to analyze the needs and potential of assistances in providing reproductive health education for street youth. Methods: This qualitative research involved 17 subjects who accompany street children. Data collection techniques with interviews and documentation. The research was conducted in 5 institutions that assist street children, namely 1) Mandiri RSPA, 2) Indonesian Gold Foundation NGO, 3) Anantaka NGO, 4) Setara NGO and 5) Rumpin Bangio NGO. The research was conducted from January-May 2021. Results: The results showed that the assistances had good knowledge, attitudes, and practices about reproductive health. Mentoring activities can provide positive motivation to street youth and minimize social deviant behavior. Mentoring activities received support from various parties such as UNICEF and the Semarang City Social Service. Conclusion: Knowledge, attitude and behavior about reproductive health is an important capital in the implementation of reproductive health education for street children. KEYWORDS: reproductive health, street children, description of assistance behavior

Posyandu diselenggarakan dari, oleh, untuk, dan bersama masyarakat, serta dimaksudkan memberikan kemudahan dalam akses pelayanan kesehatan dasar. Aktivitas posyandu meliputi pendataan peserta Posyandu, penimbangan dan pengukuran, pencatatan hasil pemeriksaan, serta penyuluhan kesehatan. Pencatatan secara manual dinilai memperlambat proses pengelolaan data menjadi informasi. Oleh karena itu, dibutuhkan sistem pencatatan yang berbasis komputer. Pengabdian dilakukan menggunakan metode PRA (Participatory Rural Apprasial) pada bidan desa di Kecamatan Mranggen. Pemberdayaan masyarakat yang dilakukan dalam pengabdian ini adalah menggali peran serta kader dalam optimalisasi formulir pencatatan bayi berbasis microsoft excel dan melatih kader tim penyusun untuk mendampingi dalam pengisian formulir tersebut kepada kader lainnya. Formulir pencatatan bayi tersebut akan disebarluaskan kepada kader lain di luar kader tim penyusun. Pengabdian ini menghasilkan layout final optimalisasi formulir pencatatan bayi berbasis microsoft excel yang terdiri atas 33 kolom dengan komponen isian terdiri atas nomor urut, identitas bayi, identitas orang tua bayi, nama kelompok dasa wisma, hasil penimbangan tiap bulan dalam 1 tahun, pelayanan posyandu yang diberikan meliputi vitamin A, HB0, BCG, Pentabio, Polio, Campak, Oralit, tanggal meninggal dan keterangan. Formulir telah disetujui oleh bidan desa setempat

Angka kematian ibu (AKI), angka kematian bayi (AKB) dan angka kematian balita (AKABA) masih menjadi prioritas program kesehatan di Jawa Tengah. Capaian angka tersebut telah mengalami penurunan dibandingkan capaian tahun 2019. Agar penurunan terjadi terus menerus untuk waktu yang akan datang, permasalahan utama dan penyebab masalah berdasarkan data pelayanan sangat diperlukan. Data kohort ibu hamil dan bersalin telah dicatat oleh bidan pada saat memberikan pelayanan, namun demikian belum dimanfaatkan dengan baik, untuk itu pendampingan dengan menggunakan buku saku telah dilakukan dalam rangka memberikan pengetahuan dan ketrampilan dalam penentuan masalah dan penyebab masalah berdasarkan data kohort. Metode pendampingan dilakukan dengan wawancara dan diskusi kelompok. Sebagai peserta pendampingan adalah 10 bidan desa, 1 bidan koordinator puskesmas dan petugas kesehatan lainnya yang bertanggungjawab dalam pelaksanaan pelayanan KIA, imunisasi dan gizi. Pendampingan dengan menggunakan buku saku memberikan hasil yaitu para peserta telah mampu melakukan penentuan masalah dan penyebab masalah kesehatan ibu dengan memanfaatkan data kohort ibu. Sebagai kesimpulan adalah buku saku yang dikembangkan dapat digunakan sebagai acuan bidan untuk melakukan analisis data dalam rangka menentukan masalah dan penyebabnya. ABSTRACTThe maternal mortality rate (MMR), infant mortality rate (IMR) and under-five mortality rate are still a priority for health programs in Central Java. The achievement of this figure has decreased compared to the achievement in 2019. In order for the decline to occur continuously for the future, the main problems and causes of problems based on service data are urgently needed. Cohort data for pregnant and maternity women have been recorded by midwives at the time of providing services, however, it has not been utilized properly, for that assistance using pocket books has been carried out in order to provide knowledge and skills in determining problems and causes of problems based on cohort data. Mentoring method is done by interview and group discussion. The mentoring participants are 10 village midwives, 1 health center coordinator midwife and other health workers who are responsible for the implementation of MCH, immunization and nutrition services. Mentoring by using a pocket book gave the results that the participants were able to determine the problems and causes of maternal health problems by utilizing maternal cohort data. In conclusion, the developed pocket book can be used as a reference for midwives to conduct data analysis in order to determine the problem and its causes.

Introduction: Diarrhea is still a challenging health problem for children under five years of age in Indonesia. This study aimed to analyze the effect, either direct or indirect, of child characteristics, family characteristics, drinking water sources and housing conditions on diarrhea in Indonesia. Methods: Children under five years old were selected from the total samples used in the Indonesia Demography and Health Survey (IDHS)in 2017. The research samples accounted for 17,263 children chosen for further investigation. Multiple regression logistics and PLS-SEM tests were employed to analyze the relationship between the independent and dependent variables. Results: The logistic analysis yielded results that family wealth, toilet, walls, floor of the house, and location of the houses significantly influenced the access to clean water sources. Moreover, child’s gender, age, family wealth, floor of the house, and location were significantly associated with the prevalence of diarrhea. Obtained from Partial Least Square-Structural Equation Modeling (PLS-SEM) analysis, results found that wealth had the highest path coefficient of 0.324, indicating a high effect on diarrhea rates. The contribution of the residence to housing (β = 0.035) and water (β = 0.204) to diarrhea incidence was of positive significance, while water and diarrhea were statistically negative in contributing to diarrhea incidence (β =-0.019). In addition, residence and wealth on water and diarrhea had a partial mediator effect (β = -0.004 and -0.004, respectively). Conclusion: Our findings suggest that the accessibility to clean water source was an intervening variable that plays an important role in diarrhea cases in Indonesia. Besides, wealth and residence influenced the prevalence of diarrhea.

Data evaluasi penggunaan Rekam Medis Elektronik (RME) rawat jalan oleh perawat bulan Juni 2020 di RSUP Dr. Kariadi masih rendah yaitu 63,31%. Penelitian ini bertujuan menganalisis pengaruh persepsi kemanfaatan, persepsi kemudahan, pengaruh sosial dan kondisi yang memfasilitasi terhadap sikap perawat menggunakan RME dengan dimoderasi oleh umur, jenis kelamin dan pengalaman kerja perawat serta menganalisis pengaruh sikap menggunakan RME terhadap penggunaan RME. Jenis penelitian ini adalah survei analitik dengan pendekatan waktu potong silang. Populasi penelitian adalah perawat yang bertugas di poliklinik RSUP Dr. Kariadi sejumlah 174 perawat. Sampel sejumlah 120 responden diambil secara acak sederhana dengan mengundi anggota populasi. Pengambilan data dilakukan dengan angket melalui link google form. Analisa data menggunakan SEM-PLS. Hasil penelitian menunjukkan terdapat tiga faktor yang mempengaruhi sikap menggunakan RME yaitu persepsi kemanfaatan (Pv=0,010), persepsi kemudahan (Pv=0,011) dan pengaruh sosial (Pv=0,000). Kondisi yang memfasilitasi tidak berpengaruh terhadap sikap menggunakan RME (Pv=0,072). Umur, jenis kelamin dan pengalaman kerja perawat tidak memoderasi hubungan persepsi kemanfaatan, persepsi kemudahan, pengaruh sosial dan kondisi yang memfasilitasi terhadap sikap menggunakan RME. Sikap menggunakan RME berpengaruh terhadap penggunaan RME (Pv=0,000). Diharapkan manajemen rumah sakit meningkatkan kondisi yang memfasilitasi melalui kegiatan peningkatan pengetahuan dan keterampilan perawat dalam menggunakan RME, dukungan tim implementator ketika ada kendala dan dukungan peralatan yang memadai.

Background: Hospitals utilize technology with the application of software used to process data, namely the Hospital Management Information System (SIMRS). The implementation of SIMRS by some hospitals in Indonesia is aimed at Service and access, Performance improvement, Efficiency, effectiveness, and professionalism. Objective: To evaluate the implementation of SIMRS in the medical records section of Panti Rini Hospital with PIECES analysis. Methods: This research is a descriptive analytic study. The data collection technique used a questionnaire instrument and interviews with respondents using the PIECES (Performance, Information, Economic, Control, Efficiency, and Service) evaluation method. The research sample consisted of 10 people including 9 medical recorders including unit coordinator and head of medical records and 1 head of IT. Result: The Performance aspect is said to be poor, in the Information aspect, system Control, economy, and Service are said to be good, which is 100% for each assessment item.Conclusion: Overall from the system assessment, it can be categorized as good, the resulting Information can be considered by the management for decision making. With the system as well, work becomes more efficient and effective in the use of resources and in Service to patients and management.

Backgrounds: Electronic Medical Records have complete and integrated patient health data, and are up to date because RME combines clinical and genomic data, this poses a great risk to data disclosure The priority of privacy is data security (security) so that data will not leak to other parties. That way cyber attacks can be suppressed by increasing cybersecurity, namely conducting regular evaluation and testing of security levels.Objectives: To determine the security technique that maintains privacy of electronic medical records.Methods: This type of research uses a literature review methodResults: Data security techniques are determined from each type of health service. Data security techniques that can be applied are cryptographic methods, firewalls, access control, and other security techniques. This method has proven to be a very promising and successful technique for safeguarding the privacy and security of RMEConclusion: Patient medical records or medical records are very private and sensitive because they store all data about complaints, diagnoses, disease histories, actions, and treatments about patients, so the information contained therein must be kept confidential. As well as the hospital as a medical record manager is required to apply for patient privacy data security techniques.

COVID-19 telah dinyatakan WHO sebagai pandemi global yang mengganggu segala bidang kehidupan manusia. Hampir setiap negara merasa pelayanan kesehatan sebelum dan selama pandemi COVID-19 mengalami perubahan yang signifikan. Penelitian ini bertujuan untuk mengetahui gambaran pelayanan KB dan Unmet Need (kebutuhan KB yang tak terpenuhi) selama pandemi COVID-19 dengan menggunakan metode Tinjauan Pustaka untuk mengidentifikasi semua literatur yang diterbitkan dengan kata kunci yang relevan. Berdasarkan hasil Kajian Pustaka yang dilakukan, faktor penyebab Unmet Need selama pandemi COVID-19 antara lain adanya lockdown dan pembatasan sosial, kurangnya kunjungan petugas PLKB ke rumah penduduk dan ketakutan tertular COVID-19 saat berkunjung ke fasilitas kesehatan. Pandemi COVID-19 berdampak pada pelayanan kontrasepsi yaitu penurunan peserta KB, perubahan penggunaan metode KB, terbatasnya akses pelayanan dan peningkatan penggunaan Telehealth (telekomunikasi kesehatan). Metode kontrasepsi yang meningkat selama pandemi COVID-19 adalah IUD, implan dan kondom. Di negara maju seperti Perancis, terjadi penurunan penggunaan kontrasepsi oral (22%), kontrasepsi intrauterin LNG-IUS (9,5%), C-IUD (8,6%) dan penurunan tajam pada kontrasepsi implan. Di negara berkembang seperti Afrika Selatan, selama lockdown terjadi penurunan penggunaan kontrasepsi suntik (45%), kontrasepsi implan (48%) dan kontrasepsi intrauterin IUCD (10%). Jadi, COVID-19 berdampak pada pelayanan KB, penurunan penggunaan alat kontrasepsi dan peningkatan Unmet Need baik di negara maju maupun negara berkembang.

Prevention of Sexually Transmitted Infections is one of the priorities of the World Health Organization 2016-2021. Women are a group that is still unfamiliar with STI prevention behavior, especially in terms of seeking information and treatment of STIs in health services. Some of the factors related to STI prevention behavior are age, latest education, marital status, residence, level of knowledge, and attitudes. This study aims to analyze the relationship between age, latest education, marital status, residence, level of knowledge, and attitudes with STI prevention behavior. The study was conducted using data from the 2017 IDHS (Indonesian Health and Demographic Survey). The sample consisted of 3,414 women in Central Java Province. Data analysis used chi-square test and logistic regression. Latest education (p-value = 0.009), marital status (p-value = 0.033) and level of knowledge (p-value = 0.008) are associated with STI prevention behavior, while age, residence, and attitude have no significant relationship with STI prevention behavior. The logistic regression test results showed that there was an influence between latest education (OR = 1.134), marital status (OR = 1.124), and level of knowledge (OR = 1.139). This study concludes that there is a significant relationship between latest education, marital status, and level of knowledge with STI prevention behavior.

BACKGROUND: Efforts to control the incidence of dengue hemorrhagic fever (DHF) have been carried out intensively, however, there is no significant reduction in the number of DHF sufferers. Meanwhile, the predictive model is expected to be an early warning to anticipate the incidence of DHF. AIM: Therefore, this study aims to determine the dynamic model for predicting dengue fever incidence in Maros Regency from 2020 to 2040. METHODS: This study used the research and development (R and D) method with a dynamic systems approach. The study was conducted in Maros Regency and the data on dengue cases in Maros Regency from 2014 to 2018 were used as samples. Meanwhile, interpretive structural modeling (ISM) was used to determine policy scenarios in reducing dengue cases while the analysis of the dynamic model of dengue fever was conducted using the Powersim program. RESULTS: The critical elements of DHF prevention in the Maros Regency include the Jumantik program, 3M Plus, early warning systems, and outreach. Furthermore, the prediction of the average incidence of dengue fever from 2020 to 2040 has decreased based on dynamic model simulations by applying the Jumantik scenario (46.8%), 3M Plus (61.17%), early warning systems (74.4%), counseling (52.12%), and the combined scenario (97.87%). CONCLUSIONS: The incidence of dengue fever in the Maros Regency is prevented and controlled by the combination of the Jumantik program, 3M Plus, early warning systems, and counseling.

Latar belakang: Permasalahan kesehatan reproduksi pada remaja semakin meningkat dari tahun ke tahun. Remaja yang tinggal di panti asuhan merupakan remaja yang rawan mengalami gangguan dan masalah kesehatan reproduksi karena mereka tidak tinggal dengan orang tuanya. Tujuan: Menganalisis hubungan pola komunikasi orang tua dengan perilaku seksual berisiko (pengetahuan dan sikap) pada remaja yang tinggal di panti asuhan di Kabupaten Klaten tahun 2020. Metode: Jenis penelitian yang digunakan adalah explanatory research dengan pendekatan survei. Adapun penelitian ini menggunakan desain penelitian cross sectional study dengan hipotesis adanya hubungan pola komunikasi orang tua dengan pengetahuan dan sikap remaja tentang kesehatan reproduksi. Responden berjumlah sebanyak 40 orang remaja panti asuhan berusia 12–16 tahun. Variabel yang diuji adalah pola komunikasi, media informasi, kebiasaan bersosialisasi, dukungan orang terdekat, pengetahuan, dan sikap. Instrumen penelitian menggunakan angket dengan jenis uji univariat dan bivariat. Hasil: Analisis statistik menunjukkan hasil bahwa tidak terdapat hubungan dukungan orang terdekat (p=0,859) dan pola komunikasi (p=0,140) dengan perilaku seksual berisiko (pengetahuan dan sikap) responden. Terdapat hubungan media informasi (p=0,007) dan kebiasaan bersosialisasi (p=0,032) dengan perilaku seksual berisiko (pengetahuan dan sikap) responden. Kesimpulan: Faktor yang berhubungan dengan pengetahuan dan sikap responden remaja mengenai kesehatan reproduksi adalah media untuk mendapatkan informasi dan kebiasaan bersosialisasi. Kata kunci: komunikasi orangtua, remaja, panti asuhan, kesehatan reproduksi, Klaten

Leprosy is a contagious disease which is a neglected disease or a case that is neglected because it cannot be completely controlled. Based on PMK No.11 of 2019 concerning Leprosy Eradication, recording and reporting is one of the most important elements to obtain an overview and information on activities at all levels of program implementers.The purpose of this study was to describe the completeness of filling out the leprosy patient cards at the Pekalongan City Health Center. The method of this type of qualitative descriptive research by determining the sources using purposive sampling technique totaling 5 leprosy officers and 33 leprosy patient cards. Data collection using in-depth interviews and observations. Data analysis used qualitative analysis with the stages of data collection, data reduction, data presentation, drawing conclusions and verification. Result : overall of the 33 cards, the average completeness of the leprosy card filling out was 75%. The incompleteness of filling out leprosy patient cards is due to the lack of attitude of leprosy officers, the lack of completeness checks by superiors and limited human resources. Based on the results of the research, it is suggested that the Pekalongan City Health Office be able to coordinate the cooperation between leprosy officers in all puskesmas in Pekalongan City to make joint visits in turn so that the household contact and environmental contacts can be filled completely and increase supervision of the completeness of filling out leprosy patients cards.

Background: Increased population mobility has continued to occur over time, especially worker mobility consisting of commuter mobility and circular mobility. A person's mobility is very influential on the condition of health status, especially related to the spread of infectious diseases. Direct infectious disease is a disease with the transfer of germs through physical contact from a sick person or a carrier to a healthy person. Objectives: To analyze the impact of the population mobility revolution on the spread of infectious diseases in Indonesia. Research Metodes: The study was conducted by studying literature through collecting supporting articles and analyzing secondary data. The data used are direct infectious disease data consisting of Tuberculosis, HIV, Hepatitis and Leprosy from the Indonesian Health Profile, Main Results of Basic Health Research, and Statistics Data from the Central Statistics Agency, as well as previous research articles. Results: The trend of the mobility of movers experienced an increase in line with trends in communicable diseases such as Tuberculosis, HIV, and Hepatitis. High mobility affects the spread of infectious diseases Tuberculosis, Hepatitis and Leprosy seen from the factor of interaction with others, as well as the influence on HIV. The influence can be seen from Commercial Sex Workers (CSWs) who transmit to their customers and the families of CSW customers who can transmit it to their wives. Conclusion: The increased mobility pattern of movers is accompanied by an increased pattern of direct infectious diseases including tuberculosis, HIV, and hepatitis. Keywords: Mobility, Population, Spread, Infectious Diseases

The pre-hospital treatment mechanism is carried out through stopping transmission by educating the public, keeping physical distance when communicating, staying at home, wearing masks, isolating oneself, and implementing Large-Scale Social Restrictions (SPBS). The main goal is of course to break the chain of transmission of Covid-19. The research method used is library research, namely research data based on indexed previous research journals, both national and international. This first mechanism is strengthened by conducting contact tracing of positive confirmation cases. Its success really depends on public participation in addressing the Covid-19 problem, especially by following government regulations. The treatment mechanism in the hospital is carried out by maximizing the services provided to patients, especially Covid-19 patients. Ensure patients get the best service and nurses who are safe from the possibility of contracting Covid-19 from patients. Suggestions to cut the chain of covid-19 transmission from the hospital, namely people with Covid-19 infection will be quarantined in a special room as long as there is no vaccine. This need for quarantine is carried out to make it easier for medical personnel to monitor the condition of patients, as well as to prevent transmission of Covid-19 to other people, including medical personnel who are in charge of caring for them. If a Covid-19 sufferer with mild symptoms, such as a fever below 38 degrees Celsius, does not experience acute respiratory problems, and can still carry out normal activities, can self-quarantine or self-quarantine at home.

Based on the data in SM Banyumas Hospital in 2018, it was identified that in 2016, 2017 and 2018 there were employee turnover as much as 25,9%, 22% and 13%. Eventhough it showed the decreasing rate in each year, but the turnover rate still considered high and could impact negatively for the hospital. This research aimed to analyze factors which cause turnover intention among health workers in SM Banyumas Hospital in Central Java. This was descriptive qualitative research with cross sectional approach. Researh subjects were health workers who already resigned from the hospital and health workers who still actively working in the hospital. Result of the research showed that leadership style, compensation, working partner, and career development are the organizational factors which affect turnover intention among health workers in SM Banyumas Hospital. While there were also external factors which also affect turnover intention. Most respondents stated that there were more interseting and beneficial job offer which caused them to turnover from the SM Banyumas Hospital.

Background and purpose: An excellent process of hospital quality management system produces useful data for the management in the future decision-making. The problem obtained from the quality management system of X hospital was that the data collectors do not understand the procedure of data collection, thus the data became less complete and less accurate. Routine Data Quality Assessment (RDQA) instrument is recommended to measure the data quality. This study aims to analyze the data quality in the quality management system of X Hospital work unit in Semarang.Methods: Quantitative method was applied in this study using cross-sectional approach. RDQA instrument was used as a model of quality assessment of routine data that can be implemented to evaluate the quality of the collected data. Purposive sampling was used in the selection of informants. This study involved 22 quality managers at level I (the wards) as the informants who conducted the data selection, three quality managers at level II as data collectors, and one quality manager at level III as a data center. The data were analyzed both quantitatively and qualitatively. The work units assessed in this study include the outpatient, inpatient and critical units.Result: RDQA instrument was adapted by adjusting the substance of RDQA with the standards of hospital accreditation in Indonesia. The development of indicator 2 focused on the understanding of data collection, while indicator 3 focused on the supervision of data collection, and indicator 5 focused on the staff understanding on the recommendation of quality achievement results. The application of RDQA articulated that the quality control systems did not optimally run, including the lack of understanding of the data collection procedure, non optimal supervision of quality management, not all quality manager conduct data verification properly, not all staff understand the recommendations of the quality achievement results. The highest percentage of the data quality was 93% and the lowest was 72%. In general, the system assessment was 1.5-2.5 which indicated that the data were partially complete/available/ operated.Conclusion: RDQA resulted that the data quality control on the hospital quality management system has not yet to be conducted optimally.

Background: Iron deficiency anemia is one of the nutritional problems that still occur in Indonesia which is common in young women. Early nutrition education is needed to prevent these problems. The purpose of this study was to analyze the effect of the android-based educational media "Aneminfo" on the knowledge and attitudes of young women regarding iron deficiency anemia. Method: This research was conducted with a quasi-experimental design with a pre-post control group design with a sample of 37 people for each group taken from 2 vocational schools in the city of Semarang. The intervention was carried out using educational media in the form of the “Aneminfo” android application. Changes in knowledge and attitudes between before and after the intervention were measured using a validated questionnaire and tested using the Wilcoxon and Mann-Whitney tests. Results: The results showed a significant increase in knowledge in the intervention group (p = 0.001), and there was a significant increase in attitude in the intervention group (p = 0.011) compared to the control group. The conclusion of this study is the Aneminfo android application can be an alternative media for the government and health workers in providing education about iron deficiency anemia to increase adolescent knowledge and prevent anemia from an early age.

Rumah Sakit Brebes belum menggunakan sistem informasi dalam layanan pemeriksaan medis sementara itu hanya digunakan di bagian pendaftaran. Selain itu, hasil pemeriksaan medis masih diproses secara manual, sehingga dapat diselesaikan dalam waktu 3 hari hingga 1 minggu. Penelitian ini bertujuan untuk merancang sistem informasi pemeriksaan medis untuk mempercepat layanan pemeriksaan medis di Rumah Sakit Brebes. Penelitian ini adalah penelitian tindakan dengan menggunakan pendekatan kualitatif. Ini membantu untuk melanjutkan analisis masalah dan kebutuhan pengguna. Desain sistem informasi diselesaikan dengan metode air terjun melalui 4 langkah, seperti analisis dan definisi kebutuhan, desain sistem, implementasi dan pengujian unit, serta integrasi dan pengujian sistem. Pengujian sistem menggunakan pengujian Black Box. Bahasa pemrograman yang digunakan dalam penelitian ini adalah versi php yang>> = 5.6 dan kerangka depan Codeigniter. Sementara, antarmuka menggunakan HTML, CSS dengan Framework Bootstrap, Javascript dengan database MySQL. Penelitian ini melibatkan 20 orang yang mengelola sistem informasi pemeriksaan medis di Rumah Sakit Brebes. Hasilnya dijelaskan dalam bentuk sistem informasi pemeriksaan medis, yang mengintegrasikan proses dan hasil pemeriksaan medis, serta laporan pemeriksaan medis keseluruhan pasien. Kualitas informasi tentang pengembangan sistem meningkat dalam semua aspek, yaitu ketersediaan, kenyamanan, kesesuaian, kelengkapan dan ketepatan waktu, dengan skor rata-rata tertimbang sebelum pengembangan 1,91 dan setelah pengembangan 3,16, sehingga terjadi peningkatan 1,25. Pengujian Black Box di entri akhir dan administrasi bagian pemeriksaan kesehatan menunjukkan tindakan pengguna dan respons sistem dilakukan dengan baik dan sesuai dengan tujuan pengguna sistem. Sistem informasi pemeriksaan medis ini dapat mempercepat layanan pemeriksaan medis. Disarankan bahwa Rumah Sakit Brebes harus menerapkan sistem informasi pemeriksaan medis untuk layanan pemeriksaan medis.

Socio-cultural aspects can be a potential and obstacle to maternal health. The Madura ethnic group in Jember Regency still adheres to the tradition of hereditary in maintaining maternal health. The research objective is to identify and analyze the perceptions and behaviors of Madurese ethnic culture in Jember Regency on maternal health. This research is a qualitative research with ethnographic research type. Data collection techniques using passive participatory observation and in-depth interviews. Informants were selected using purposive sampling techniques for pregnant women, husbands of pregnant mothers, parents or in-laws of pregnant women, fertile age couples, community leaders, cultural leaders, religious leaders, traditional birth attendants with a total of 8 informants. The study was conducted in Panduman Village and Sucopangepok Village in Jelbuk District, Jember Regency, East Java Province in December 2019 until February 2020, where Madurese ethnic groups reside. Informant data is validated through triangulation, analysis is carried out to determine the potential and constraints. The results showed that the practice of Madurese Ethnic culture had supported the health sector by carrying out antenatal care examinations for health workers, but there were still cultural practices which were constraints, namely: underage marriages, not conducting pregnancy examinations in the first trimester, shamans still helped in childbirth. It is recommended to improve the approach of health workers and local government to the community through health promotion activities in order to foster a sense of trust in a modern health culture without leaving cultural traditions that do not conflict with the world of health.