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"Latar Belakang: Imunisasi merupakan upaya pencegahan yang efektif terhadap penyakit infeksi. Namun, belum ada data yang jelas mengenai angka kelengkapan imunisasi dasar. Tentu saja ada banyak faktor yang mempengaruhi kelengkapan imunisasi dasar pada anak balita, dan salah satu yang terpenting ialah orangtua.Tujuan: Untuk mengetahui kelengkapan imunisasi dasar, alasan ketidaklengkapan imunisasi dasar, karakteristik orangtua (pendidikan orangtua, pekerjaan orangtua, pendapatan per kapita keluarga per bulan), pengetahuan serta sikap orangtua terhadap imunisasi, dan hubungan antara karakteristik, pengetahuan dan sikap orangtua dengan kelengkapan imunisasi dasar pada anak balita di Rumah Sakit Mary Cileungsi Hijau Bogor, Maret 2008.Metode: Penelitian cross-sectional dengan sampel minimal 73 orang. Pengambilan data dilakukan pada tanggal 07?16 Maret 2008 di ruang tunggu Poliklinik Anak Rumah Sakit Mary Cileungsi Hijau Bogor dengan menggunakan kuesioner yang telah diuji coba sebelumnya.Hasil: Dari 87 sampel, 88,5% balita memiliki status imunisasi dasar yang lengkap dan 11,5% lainnya tidak lengkap. Alasan ketidaklengkapan imunisasi antara lain anak sakit (70%) dan orangtua takut akan efek samping imunisasi (30%). Tidak didapatkan hubungan antara hubungan pendidikan orangtua, pekerjaan orangtua, pendapatan per kapita keluarga per bulan, pengetahuan serta sikap orangtua terhadap imunisasi dengan kelengkapan imunisasi dasar anak balita.Kesimpulan: Kelengkapan imunisasi dasar anak balita di RS Mary Ciileungsi Hijau Bogor adalah 88,5%. Ketidaklengkapan imunisasi paling banyak disebabkan karena anak sakit (70%). Tidak didapatkan hubungan antara faktorfaktor yang diteliti dengan kelengkapan imunisasi dasar anak balita di RS Mary Cileungsi Hijau Bogor.

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Introduction: Immunization is an effective effort to prevent infection. But there's still no data that can show the coverage number of basic immunization. Talking about the complete of basic immunization, surely there are some factors that affect it, including parent's characteristic.Objective: To explore the complete of basic immunization in children under five at Mary Cileungsi Hijau Hospital, Bogor, underlying reasons of incomplete basic immunization, parent's characteristics (educational background, occupation, monthly per capita income, knowledge and attitude toward immunization) and relationship between parent's characteristic and the complete of basic immunization.Method: Cross-sectional study which questionnaire guided interview to parents wgo brought underfive children to pediatric clinic in Mary Cileungsi Hijau Hospital, Bogor, on March 7th?16th, 2008. Minimun samples amount is 73.Result: From 87 samples, 88,5% children got basic immunization completely and 11,5% others incomplete. The reasons for these children incompleteness were due to illness concurrently with the immunization schedule (70%) and parents' fear of the immunization side effect (30%). Statistic showed no relationship between the researched factors and the complete of basic immunization in children under five at Mary Cileungsi Hijau Hospital.Conclusion: Complete of basic immunization in children under five at Mary Cileungsi Hijau Hospital reached 88,5%. The reason for children have incomplete basic immunisation was mostly due to sickness concurrently with the immunization schedule (70%). There was no relationship between parent's characteristisc and the complete of basic immunization in children under five at Mary Cileungsi Hijau Hospital."

"Penelitian ini merupakan studi kasus di salah satu rumah sakit swasta tipe C di Kabupaten Bogor yang bertujuan untuk melakukan evaluasi efektivitas alur pelayanan sectio caesarea (SC) emergency pada tahun 2021 (masa pandemi COVID-19) dari sisi input, proses, dan outcome. Alur pelayanan sectio caesarea (SC) emergency yang ada disesuaikan dengan referensi Pemerintah dan Profesi (POGI), yakni adanya skrining COVID-19 dengan melakukan pemeriksaan swab-RDT Antigen dan rontgen thorax, serta konsultasi kepada Spesialis Paru atau Penyakit Dalam. Penelitian ini dilakukan dengan mix-method, secara kuantitatif dengan metode potong lintang dari berkas rekam medis dan dilanjutkan dengan kualitatif dari para informan kunci dan informan tambahan. Penelitian dilakukan pada 379 sampel pasien yang melakukan persalinan secara sectio caesarea (SC) emergency periode Januari-Desember 2021. Karakteristik pasien didapatkan 75,5% adalah usia 20-35 tahun dengan rata-rata 29,32 tahun; 58,8% adalah multipara dengan rata-rata paritas 1,96; dan 92,3% usia kehamilan 37-42 minggu dengan rata-rata 38,50 minggu. Diagnosis pasien didapatkan 77% kategori 2 dan 95,5% status non COVID-19. Diagnosis kategori 1 sebanyak 11,8% adalah fetal distress dan diagnosis kategori 2 sebanyak 27,7% adalah ketuban pecah dini (KPD), dengan response time kategori 1 <30 menit hanya 1,1% dan response time kategori 2 dalam 30-75 menit sebanyak 33,2%. Kemudian rata-rata waktu informed consent didapatkan 3,71 menit; waktu konsul Spesialis Paru/Penyakit Dalam didapatkan 4,06 menit; waktu konsul Spesialis Anestesi didapatkan 3,77 menit; proses transfer pasien didapatkan 6,01 menit; waktu spinal anestesi didapatkan 5,08 menit; waktu mulai operasi sampai bayi lahir didapatkan 20, 37 menit, dengan rata-rata pasien per-bulan adalah 31,58 dan waktu tanggap sectio caesarea (SC) emergency selama 111,87 menit. Pada analisis bivariat didapatkan adanya korelasi yang bermakna antara rerata jumlah pasien terhadap waktu tanggap sectio caesarea (SC) emergency (p-value=0,019), dan tidak ada hubungan bermakna antara diagnosis kategori 1 dan kategori 2 (p-value=0,767) serta status COVID-19 dan Non COVID-19 (p-value=0,071) terhadap waktu tanggap sectio caesarea (SC) emergency; namun status COVID-19 terhadap waktu tanggap SC emergency memiliki hubungan bermakna dari sisi substansi. Pada kualitatif, didapatkan bahwa seluruh informan sudah mengetahui dan memahami alur pelayanan SC emergency selama pandemi ini, faktor pendukung yang ada adalah kekompakan dan kerjasama tim, dukungan manajemen rumah sakit untuk mengutamakan safety tenaga kesehatan ditunjang oleh sarana prasarana dan sumber daya manusia (SDM) yang sesuai, serta faktor penghambat yang ada adalah proses skrining/penapisan COVID-19 (hasil pemeriksaan penunjang), letak kamar operasi di lantai 2 dan tidak ada lift khusus transfer pasien, serta kekosongan alat pelindung diri (APD) dan linen operasi. Kesimpulannya, penilaian efektivitas alur pelayanan SC emergency tahun 2021 dengan pendekatan goal approach belum efektif, dilihat dari outcome yaitu rata-rata waktu tanggap SC emergency yang belum mencapai target indikator mutu (≤30 menit).

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This research is a case study in a type C private hospital in Bogor Regency which aims to evaluate the effectiveness of the emergency sectio caesarea (SC) service flow in 2021 (the COVID-19 pandemic) in terms of input, process, and outcome. The existing emergency sectio caesarea (SC) service flow is adjusted to the Government and Profession (POGI) reference, namely the presence of COVID-19 screening by carrying out an antigenic swab-RDT examination and chest X-ray, as well as consultation with Lung Specialists or Internal Medicine. This research was conducted using a mix-method, quantitatively with a cross-sectional method from medical record files and followed by qualitative research from key informants and additional informants. The study was conducted on 379 samples of patients who delivered emergency caesarean section (SC) for the period January-December 2021. Characteristics of patients obtained were 75.5%, aged 20-35 years with an average of 29.32 years; 58.8% were multiparous with a mean parity of 1.96; and 92.3% gestational age 37-42 weeks with a mean of 38.50 weeks. The patient's diagnosis obtained 77% category 2 and 95.5% non-COVID-19 status. Category 1 diagnosis of 11.8% was fetal distress and diagnosis of category 2 of 27.7% was premature rupture of membranes (PROM), with category 1 response time <30 minutes only 1.1% and category 2 response time within 30-75 minutes as much as 33.2%. Then the average time for informed consent was 3.71 minutes; the time for the Lung Specialist/Internal Medicine consul was 4.06 minutes; Anesthesia specialist consul time was 3.77 minutes; patient transfer process obtained 6.01 minutes; spinal anesthesia time was found to be 5.08 minutes; the time from the operation to the birth of the baby was 20.37 minutes, with the average patient per month was 31.58 and the emergency sectio caesarea (SC) response time was 111.87 minutes. In bivariate analysis, it was found that there was a significant correlation between the mean number of patients and the response time for emergency sectio caesarea (SC) (p-value=0.019), and there was no significant relationship between category 1 and category 2 diagnoses (p-value=0.767) and status COVID-19 and Non COVID-19 (p-value=0.071) for emergency sectio caesarea (SC) response time; however, the status of COVID-19 on the emergency SC response time has a significant relationship in terms of substance. In qualitative terms, it was found that all informants already knew and understood the flow of emergency SC services during this pandemic, the supporting factors were cohesiveness and teamwork, hospital management support to prioritize the safety of health workers supported by adequate infrastructure and human resources (HR). appropriate, and the existing inhibiting factors are the COVID-19 screening process (results of supporting examinations), the location of the operating room on the 2nd floor and no special elevator for patient transfers, as well as the vacancy of personal protective equipment (PPE) and operating linen. In conclusion, the assessment of the effectiveness of the SC emergency service flow in 2021 with the goal approach approach has not been effective, seen from the outcome, namely the average emergency SC response time that has not reached the target quality indicator (≤30 minutes)."

"ABSTRAKPenelitian ini memfokuskan kajian dalam pada bidang pendidikan dan pelatihan In House Training yang dilaksanakan di RSUD Tarakan Jakarta dan baru berjalan sekitar 2 tahun. Dalam proses penelitian ini, pelaksanaan diklat dilihat dari awal perencanaan diklat hingga pelaksanaan diklat tersebut.Selain itu penelitian ini juga ingin melihat bagaimana pelaksanaan diklat selama 2 tahun belakangan ini peneliti juga ingin mnegetahui kendala-kendala apa saja yang tejadi di dalam proses pelaksanaannya dan kendala yang dihadapi oleh penyelenggara diklat dalam pelaksanaan diklat In House Training. Untuk mengetahui obyektifitas pelaksanaan diklat In House Training tersebut, dilakukan wawancara, studi dokumen serta mempelajari dokumentasi yang telah tersedia sebagai data penelitian. Penelitian ini menggunakan metode post-postivis. Teknik pengumpulan data yang digunakan adalah wawancara mendalam dan studi dokumen. Hasilnya adalah Bidang Pendidikan dan Penelitian Rumah Sakit Umum Daerah Tarakan menerapkan pendidikan dan pelatihan diklat In House Training untuk mengefisiensikan anggaran yang ada walaupun belum dapat berjalan secara efektif dan masih banyak terdapat hambatan. Ada beberapa hal yang harus dipersiapkan oleh KSP Pendidikan dan Penelitian agar diklat In House Training dapat berjalan lebih baik. Seperti instruktur tetap widyaiswara, sarana dan prasarana yang lebih baik dan lain sebagainya. Ada dua hambatan di dalam penyelenggaraan diklat In House Training di RSUD Tarakan yang ditemukan yaitu hambatan sumber daya manusia trainer atau instruktur dan anggaran. Pada masa yang akan datang diharapkan RSUD Tarakan mampu menyiapkan sumber daya manusia yang berkualitas yang telah mengikuti pendidikan dan pelatihan atau diklat agar dapat melayani pasien lebih baik.

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ABSTRACTThis study focuses on the study of human resources development, especially in the field of education and training of In House Training conducted in Tarakan Hospital Jakarta and has been running for about 2 years. In the process of this research, the implementation of the training is seen from the beginning of the training plan until the implementation of the training. In addition, this research also wants to see how the implementation of training for the last 2 years researchers also want to know what constraints occur in the implementation process and the constraints faced by training providers in the implementation of In House Ttraining training. To find out the objectivity of In House Training training implementation, conducted interviews, document studies and studying the documentation that has been available as research data.This research uses pure post postivist method. Data collection techniques used are in depth interviews and document studies. The result is field Education and Research of RSUD Tarakan implements education and training training In House Training to efficient existing budget although not yet can run effectively and there are still many obstacles. There are several things that must be prepared by KSP Education and Research for In House Training can run better. Such as fixed instructors widyaiswara , better facilities and infrastructure and so forth. For the next stage of innovation Pusdiklat Kemnaker not ready. There are two obstacles in the implementation of In House Training in Tarakan Hospital which is found that is the obstacles of human resources trainer or instructor and budget. In the future Tarakan Hospital is expected to be able to prepare qualified human resources who have followed the education and training or training in order to serve patients better. "