Hasil Pencarian  ::  Simpan CSV :: Kembali

"Pengelolaan obat di puskesmas akan berjalan balk jika petugas pengelola obat dapat melaksanakan tugasnya sesuai dengan ketentuan atau pedoman pengelolaan obat publik dan perbekalan kesehatan. Petugas pengelola obat harus mempunyai kemampuan dalam perencanaan, permintaan, penetima.an, penyimpanan, pendistribusian, pengendalian penggunaan, pelayanan serta pencatatan dan pelaporan. Berdasarkan studi pendahuluan diketahui masih kurangnya tenaga kefarmasian yang bekerja sebagai pengelola obat puskesmas di Kabupaten Aceh Singkil. Disamping belum optimalnya kinerja petugas petugas pengelola obat puskesmas. Penetitian ini dilakukan untuk memperoleh informasi bagaimana gambaran kinerja petugas pengelola obat puskesmas di Kabupaten Aceh Singkil. Disamping itu dilihat faktor-faktor yang melatarbelakangi kinerja petugas berdasarkan variabel masa kerja, pendidikan, pengetahuan, motivasi, sarana, beban kerja, pelatihan, supervisi, dan imbalan di Kabupaten Aceh Singkil. Penelitian ini menggunakan pendekatan kualitatif yang dilakukan dengan wawancara mendalam, observasi dan telaah dokumen yang mengacu pada Daftar Tilik Jaminan Mutu Pelayanan Kefarmasian terhadap petugas pengelola obat puskesmas di Kabupaten Aceh Singkil. Pengolahan data dibuat dalam bentuk matriks yang diperoleh dari transkrip wawancam mendalam, sedangkan analisis data dilakukan terhadap isi dengan metakukan eksplorasi sesuai dengan teori. Hasil penelitian menunjukkan bahwa gambaran kinerja petugas pengelola obat puskesmas di kabupaten Aceh Singkil masih rendah. Secara umum petugas pengelola obat puskesmas kurang memahami tentang kegiatan pengelolaan obat di puskesmas yang terdiri dari permintaan, penerimaan, penyimpanan, pendistribusian, pencatatan dan pelaporan obat. Petugas bekerja belum didasarkan kepada standar pengelolaan obat. Saran yang diajukan adalah agar Dinas Kesehatan Kabupaten Aceh Singkil membuat Standard Operation Procedure (SOP) tentang pengelolaan obat di puskesmas dan mensosialisasikannya kepada petugas pengelola obat di puskesmas. Melaksanakan pelatihan tentang pengelolaan obat dan pelatihan tentang obat lainnya. Pelatih.an yang dilaksanakan harus dirancang dengan baik sehingga dapat memberikan manfaat bagi petugas. Selain itu melakukan supervisi secara terencana dengan menggunakan panduan pedoman supervisi pengelolaan obat, minimal tip bulan sekali untuk memantau lkinerja petugas pengelola obat di puskesmas.

---

Medicine ,management at Community Health Center will be running good if medicine management officer can implement their duties based on provision or management guidance of public medicine and health support. Medicine management officer must have an ability on planning, request, acceptance, depository, distribution, usage operation, service and also recording and reporting.

From the first study was known that there was still lack of pharmacy officer which worked on medicine management at Community Health Center in Aceh Singkil district. Besides, officer performance did not optimal yet.

This study has been done to get information how describe of officer performance of medicine management at Community Health Center in Aceh district. Besides, knowing factors related to officer performance based on work period, education, knowledge, motivation, facilities, work load, training, supervision, and reward in Aceh Singkil district.

This study used a qualitative method which has been done with in-depth interview, observation and document study which referred to a guarantee point list of pharmacy service quality to officer performance of medicine management at Community Health Center in Aceh Singkil district. Data were processed by using in the form of matrix which was obtained from in-depth interview transcript, while data analysis was done to content by doing exploration based on theory.

Study result indicate describing officer performance of medicine management at Community Health Center Community Health Center in Aceh Singldl district was still low. In general, officer of medicine management at Community Health Center is less comprehend about medicine management activity at Community Health Center including of request, acceptance, depository, distribution, reporting and recording of medicine. Officer works has not been based medicine management standard yet.

Health District Office in Aceh Singkil district should make a Standard Operating Procedure (SOP) concerning medicine management at Community Health Center and socializing it to medicine management officer at Community Health Center. Training of medicine management and training of other medicine. Training which is done must be planned well so it can give benefit for officer. Besides doing supervision by planning using a supervision guidance on medicine management, minimally once of three months for looking officer performance of medicine management at Community Health Center."

"Penelitian ini dilakukan untutk mempelajari tentang faktor-faktor yang berhubungan dengan kinerja petugas pengelola obat puskesmas di kabupaten Aceh Besar. Rancangan penelitian yang digunakan adalah cross sectional dengan jumlah responden 66 orang. Variabel yang diteliti adalah faktor internal petugas pengelola obat yang meliputi jenis kelamin, umur, status perkawinan, pengetahuan, motivasi dan pengalaman/masa kerja. Sementara faktor eksternal petugas pengelola obat mencakup supervisi, kepemimpinan, imbalan, sarana, lingkungan kerja dan beban kerja. Didalam menentukan variabel yang paling dominan berhubungan dengan kinerja dilakukan dengan uji regresi logistik ganda. Pengumpulan data dilakukan dengan pengisian check list serta kuesioner, dan selanjutnya dianalisis secara bertabap dengan menggunakan software komputer yaitu analisis univariat, bivariat dan multivariat.Hasil penelitian menunjukkan bahwa 51,5 % pengelola obat puskesmas mempunyai kinerja dengan kategori kurang. Hasil analisis bivariat menunjukkan bahwa faktor internal yang berhubungan secara statistik dengan kinerja adalah variabel status perkawinan (p=0,027), pengalaman/masa kerja (p=0,001), pengetahuan (p=0.001). Faktor eksternal yang berhubungan secara statistik dengan kinerja adalah variabel imbalan (p=0,003) dan variabel lingkungan kerja (p=0,027).Hasil analisis regresi logistik ganda diketahui bahwa variabel yang berhubungan secara statistik dengan kinerja pengelola obat adalah pengalaman/masa kerja, pengetahuan dan imbalan, dan setelah dilakukan uji multivariat tahap akhir didapatkan bahwa variabel yang paling dominan dan merupakan faktor utama yang berhubungan dengan kinerja adalah variabel pengalamanlmasa kerja.Sesuai dengan kesimpulan dari hasil penelitian ini disarankan agar pimpinan Dinas Kesehatan Kabupaten Aceh Besar memperhatikan dan meminimalkan faktor-faktor yang mempengaruhi kinerja kurang dari petugas pengelola obat di puskesmas, meningkatkan kualitas sumber Daya manusia, mengupayakan penghasilan tambahan dan reward, melakukan realokasi tenaga teknis pengelola obat disetiap puskesmas secara proporsional. Perlu adanya penelitian lanjutan oleh peneliti lain dengan rancangan yang berbeda dan variabel yang lebih lengkap serta mengunakan alat ukur kinerja yang lebih sesuai dan tepat, sehingga didapatkan hasil yang lebih akurat.

---

This research was conducted to know determinant factors of drug personnel's performance in Great Aceh District. The method of the research was cross sectional design, with 66 samples. Variable observed was internal personnel factor which included sex, age, marriage status, knowledge, motivation and experience/work period. On the other hand, there was an external personnel factor that included supervision, leadership, reward. facilities, work environment and work burden. Multiple logistic regression test was conducted to determine the most dominant variable related to the personnel's performance. Data were collected by using check list and questionnaire. The data were analyzed systematically by using computer software, univariat, bivariat, and multivariate analysis.

The result of the research showed that 51.5 % of the drug personnel's performance at public health centers were in unsatisfactory category. The result of bivariat analysis showed that the internal factors that were statistically related to the personnel's performance were marriage status variable (p=0.027), experience/work period (p=0.001), knowledge (p=0.001). External factors that were statistically related to the personnel's performance were reward variable (p=0.003) and work environment variable (p=0.027).

From the result of multiple logistic regression analysis, it was known that variables that had statistically significant relation to the personnel's' performance were experience/work period, knowledge and reward. After doing final multivariate test, it was found that the most significant variable to the personnel's performance was experience/work period variable.

It is suggested to the head of District Health Office of Great Aceh to pay attention and minimilize factors that may cause the unsatisfactory performance of drug personnel's at public health centers, to improve human resources quality, to strive additional income and reward, to reallocate proportionally technical staffs of drug personnel's in every public health center.

A further study with different methods and more complete variables by other researchers with more specific and accurate measurement of the performance in drug managing at public health center is necessary to conduct to get more accurate result."

"Puskesmas pada hakekatnya mempunyai tugas pokok menyelenggarakan pelayanan kesehatan dasar yang bermutu, terjangkau oleh masyarakat dan sebagai motor pembangunan kesehatan di daerah kerjanya, sedangkan pelayanan yang dilakukan secara garis besar terdiri dari pelayanan medik dan pelayanan kefarmasian. Pelayanan kefarmasian merupakan pelayanan penunjang untuk membantu mencapai penyediaan obat yang bermutu, tersedia dalam jumlah yang cukup, mudah didapat dengan harga yang terjangkau. Obat merupakan komponen esensial dari suatu pelayanan kesehatan, sehingga persepsi masyarakat tentang hasil dari pelayanan kesehatan adalah diterimanya obat setelah berkunjung ke sarana pelayanan kesehatan.Ada tiga faktor utama yang mempengaruhi perilaku yaitu faktor individu, psikologis dan organisasi antara lain meliputi pengetahuan, sikap, nilai dan persepsi , umur, jenis kelamin, ketrampilan, ketersediaan sumber daya. pedoman sarana dan prasarana, serta pengalaman kerja.. Oleh karena itu dalam penelitian ini ingin melihat gambaran kinerja petugas pengelola obat puskesmas di Kota Bekasi Tahun 2004 dan hubungan antara variabel bebas (independent) meliputi jenis kelamin, umur, masa kerja, pendidikan, pengetahuan, pelatihan, motivasi, supervisi, imbalan, fasilitas dan beban kerja dengan variabel terikat (dependen) yaitu kinerja petugas pengelola obat puskesmas.Penelitian ini menggunakan pendekatan kuantitatif dan didukung pendekatan kualitatif dengan rancangan cross sectional. Populasi dalam penelitian ini adalah semua petugas pengelola obat puskesmas di Kota Bekasi. Sampel dalam penelitian ini adalah seluruh petugas pengelola obat puskesmas di Kota Bekasi yang merupakan total sample sebesar 31 orang. Pengumpulan data kuantitatif dilakukan dengan cara memperoleh data primer yaitu pengamatan menggunakan kuesioner. Data kualitatif dilakukan menggunakan wawancara. Pengolahan data dengan menggunakan perangkat lunak pengolah data dan rekapitulasi hasil wawancara.Semua responden mempunyai kinerja yang berada pada kelompok sedang dan baik. Lebih dari dua pertiga responden mempunyai skor yang berada pada kelompok sedang, dengan nilai mean 28,52 dan median 29,00 dari skala 0 sampai dengan 38, maka dapat disimpulkan bahwa pengelola obat puskesmas di Kota Bekasi mempunyai kinerja yang cuk-up baik. Terdapat hubungan yang bermakna antara faktor internal (pendidikan) dengan kinerja pengelola obat puskesmas di Kota Bekasi. Tidak terdapat hubungan yang bermakna antara faktor eksternal (supervisi, imbalan, fasilitas dan beban kerja) dengan kinerja pengelola obat puskesmas di Kota Bekasi.Untuk meningkatkan kinerja petugas pengelola obat puskesmas disarankan agar pemerintah kota Bekasi mengalokasikan tenaga farmasis sebagai tenaga pengelola obat nimal 1(satu) orang asisten apoteker untuk satu puskesmas.

---

Truthfully, the health center has main task to provide a quality primary health care and to be a health development motor in its working area. The main service of health center consists of medical and pharmacy services. Pharmacy service is a supporting service to attempt a quality and adequate quantity of drugs supply, as well as affordable.

Drugs are the essential component in health care. So, the perception of community about the output of health care is drugs received soon after visiting the health care facilities.

There are three major factors affected the behavior: individual, psychological, and organizational factors that consist of knowledge, attitude, value, perception, age, sex, skill, resources availability, guidelines, facilities, and working experience. For that reason, the study was conducted to assess the working performance of pharmacy officers at health centers in the City of Bekasi in 2004. It was also conducted to assess the relation between independent variables consisted of age, sex, period of working span, education, skill, training, motivation, supervision, compensation, facilities, and working load, and dependent variable that consisted of the working performance of pharmacy officers.

This study used quantitative and qualitative approach with cross sectional design. The population of this study was all pharmacy officers at health centers in the City of Bekasi. The sample of this study was total sampling that comprised of all pharmacy officers at health centers in the City of Bekasi as many as 31 respondents. Quantitative collecting was conducted by obtaining primary data that is interviewing respondents using questionnaire. While qualitative data was obtained by conducting in-depth interview. In this study, data processing used a software and recapitulation of interview result.

All respondents had the working performance that lain between a fair group and a good group. More than two third of respondents had score in a fair group with mean 28.52 and median 29 out of scale between 0 and 38. The result above showed that pharmacy officers at health centers in the City of Bekasi had good working performance. Statistically, the result of this study showed that there was significant relation between internal factor (education) and working performance of pharmacy officers at health centers in the City of Bekasi. Meanwhile, there was no relation between external factors (supervision, compensation, facilities, and working load) and the working performance of pharmacy officers at health centers in the City of Bekasi.

In order to increase the working performance of pharmacy officers at health centers, it was recommended that the local government should allocate the pharmacist as pharmacy officer at least one pharmacy assistant in each health center."

"Sistem pencatatan dan pelaporan terpadu puskesmas merupakan salah satu profil puskesmas yang berisi informasi tentang keadaan umum dan gambaran upaya pelayanan kesehatan yang dilaksanakan puskesmas. Informasi ini sangat besar perannya sebagai dasar pengambilan keputusan dan kebijakan di tingkat puskesmas maupun di tingkat kota/kabupaten. Salah satu komponen input yang sangat vital dalam sistem pencatatan adalah petugas. Dari hasil penelitian terdahulu diketahui bahwa kinerja petugas pengelola LBI puskesmas di Kota Jambi masih rendah.Tujuan penelitian ini adalah untuk mengetahui gambaran kinerja dan faktor-faktor yang berhubungan dengan kinerja petugas pengelola LBI puskesmas di Kota Jambi. Penelitian ini menggunakan rancangan penelitian kuantitatif dengan pendekatan potong lintang (cross sectional). Populasi dalam penelitian ini adalah petugas pengelola LBI semua puskesmas yang ada di Kota Jambi. Pengumpulan data menggunakan metode wawancara dengan kuesioner. Cheklist digunakan untuk mendata kinerja petugas.Penelitian ini memperlihatkan hubungan yang bermakna antara variabel kepemimpinan dengan kinerja petugas pengelola LBI, sedangkan variabel independen lainnya tidak bermakna.Penelitian ini merekomendasikan agar kompetensi kepemimpinan kepala puskesmas selalu ditingkatkan. Berbagai cara dapat dilakukan untuk itu, termasuk memperbaiki sistem reward & punishment yang berkaitan dengan kepemimpinan mereka, mengembangkan sistem umpan balik kepemimpinan baik dari atas maupun bawahan mereka. Dinas Kesehatan Kota diharapkan membuat rencana pelatihan periodik bekerja sama dengan Bapelkes. Petugas pengelola LBI diharapkan bekerja dengan cara kerja tim. Pendekatan kerja tim ini selanjutnya perlahan-lahan menjadi budaya kerja yang kokoh yang menuju kepemimpinan bersama untuk setiap kegiatan di puskesmas.Terhadap penelitian selanjutnya, direkomendasikan bahwa validitas dan reliabilitas instrumen pengetahuan, motivasi dan yang lainnya harus lebih tajam.Daftar bacaan : 54 ( 1955 - 2001 ).

---

Related Factors to the Achievement of the Community Heath Center's Employees in the City of Jambi, year 2002.Health Center Integrated Reporting & Recording System (SP2TP) is one important source for profile, which describe health programs and activities have been done. This information are use in decision making and policy formation at health center's it self and district as well. One crucial input factor in the reporting system is human resource. The reporting staff performances on LBI reported before were still below expectation.

This study had objectives to described the LBI performance and factors related to it, at all puskesmas of the City of Jambi. The study used quantitative approach using crossectional design. The sample are all LBI staff of puskesmas at the City of Jambi. Data were collected using interview method guided by sructured questionnaire. To check list was used to record staff performance.

This study shows that leadership variable is significantly related to staff Performance, while other variables show non significant relationship.

This study reccommends that leadership competency of the puskesmas head should always be improved. Many approaches can be done, including improving reward & punishment system in relation to leadership, feed-back mechanism of their leadership from their supervisor as well as from subordinates. The District of Health Office should plan continuous training on leadership in collaboration with local Bapelkes institution. For the LBI staff, they should always maintain team work approaches in reporting-recording the LBI. This team work approach in the LBI reporting system can then be expanded on to other health center activities, as time will show, a collective leadership develops into a strong culture within puskesmas.

Regarded to continuing study for researchers, it is recommended that validity & reliability of insruments of knowledge, motivation and others should be focused.

Literature: 54 (1965 - 2001)."

"This research is intended to identify the description of the performance and factors that effect the performance of the drugs personnel in managing report of drug request utilization (LPLPO). The research method use cross-sectional design. The research location are all community health centers that available in distrcit of Padang Pariaman and district of Agam with respondents of 46 drug personnel of community health centers. Data collection is done by filling-up questionaire, and continued with monthly checking of documents of report of drug request utilization (LPLO).Results of the research indicate that performance of the drug personnel of the community health is 67,4%. The results of research regarding the description of performance level of drug personnel of the community health centers is viewed in terms of internal and external factors. Regarding significant variables after chi-square test, the internal factor related with the performance of drug personnel is the work tenure and level of education, while knowledge does not show significant relationship. Within the external factors, only training is significantly related to the performance. While othe factors, i.e., remuneration, support of coworkers, supervision, and work load do not have significant relationship. From the multivariate analysis the most dominant variable is education. The suggestion from the result of this reseacrh is that it is ecxpected that the province needs to recommend personnel recruitment to manage the drug at the community health centers with formal education of assitant pharmacist. the suggestion for districts is that refreshing training for drug personnel needs to be done periodic meetings need to be done."

"Tenaga sanitasi Puskesmas merupakan tenaga yang sangat menentukan keberhasilan program kesehatan lingkungan di wilayah kerja Puskesmas. Oleh karena itu tenaga sanitasi tersebut harus terampil dan memiliki kinerja yang baik. Tolak ukur kinerja adalah cakupan penggunaan air bersih dan cakupan inspeksi sanitasi sarana air bersih_ Masalah dalam penelitian belum adanya gambaran tentang kinerja Petugas Sanitasi Puskesmas di Kabupaten Pidie dan falctor-faktor yang berhubungan dengan kinerja, sehingga perlu dilalcukan suatu penelitian. Penelitian ini bertujuan untuk mengetahui kinerja Petugas Sanitasi Puskesmas dilihat dari cakupan penggunaan air bersih dan cakupan inspeksi sanitasi sarna air bersih, dimana kinerja baik bila cakupan 2 60 % dan kinerja kurang bila cakupan < 60 %. Penelitian ini dilakukan di Kabupaten Pidie Propinsi Daerah Istimewa Aceh. Rancangan penelitian yang digunakan adalah crass sectional, sedangkan sampel penelitian semua Petugas Sanitasi Puskesmas khususnya yang menangani program air bersih di Kabupaten Pidie, yaitu sebanyak 23 orang (total populasi). Hasil penelitian menunjukan bahwa cakupan penggunaan air bersih baru mencapai 44,96 % dan cakupan inspeksi sanitasi sarana air bersih 10,83 %, masih dibawah target yang ditentukan. Penelitian ini menyimpulkan bahwa kinerja Petugas Sanitasi Puskesmas di Kabupaten Pidie masih kurang. Variabel-variabel yang diteliti meliputi faktor predisposisi (jenis kelamin, pengalaman kerja dan pendidikan), faktor pemungkin (pelatihan, tugas rangkap, buku pedoman kerja dan peralatan), faktor penguat (dukungan pimpinan, supervisi/bimbingan teknis dan insentif). Dari semua variabel yang diteliti hanya variabel insentif yang mempunyai hubungan yang bermakna terhadap kinelja Petugas Sanitasi Puskesmas dilihat dari cakupan inspeksi sanitasi sarana air bersih. Penelitian ini menyarankan perlu peningkatan dana operasional. pemenuhan peralatan dan sarana, pedoman kerja (petunjuk pelaksanaan dan petunjuk teknis), reward (penghargaan), peningkatan kualitas supervisi dan pelatihan umuk memperbaiki kinerja Petugas Sanitasi Puskesmas dimaksud.

---

The sanitation oiiicer of Public Health Center is otlicer who to determine. The successfull sanitation?s program, especially water suppy program. Therefore, the sanitation officer have to be skilled and good-exellent of his job performance. The indicators of job performance are covering of water supply and sanitation inspection of water supply fasilities. The problem in this study, that had not description of sanitation officer job performance in district of Pidie and the factors related to job performance. The study had objectives to know the sanitation otiicer job performance that observed from covering of water-supply using and emering of sanitation inspection of water-supply facilities, if coverage at least 60%, the performance is said good-exellent, and lower than 60% of covering is considered unsatisfactory performance. The Study in district of Pidie, Province of Daerah Istimewa Aceh. The study used cross sectional design and all of the sanitation oliicer in district of Pidies as sample especially who handled of water-supply program. Total sample amount 23 sanitation officer.

The results of study showed that the covering of water-supply using only 44,96% and the covering of sanitation inspection of water supply facilities l0_83%. Means, under the target that determined. The study conclude that the job performance of sanitation officer in district of Pidie is unsatisfactory. The variables that are studied; predisposing factors (sex, esperience of working and education), enabling factors (training, double job, guider's book of working and tools), reinforcing factors (the chief supporting, supervision, incentive) and incentive is variable significant related to performance."

"Berdasarkan Survey Dasar Kependudukan Indonesia (SDKI) Pada tahun 2002- 2003 AKI sebesar 307 per 100.000 kelahiran hidup, Hal ini menunjukan AKI di Indonesia masih tinggi salah satu penyebabnya adalah komplikasi dan resiko tinggi kehamilan yang dapat dicegah melalui pemantauan antenatal dengan pemeriksaan kehamilan serta memberikan pelayanan rujukan bagi kasus resiko tinggi yang dapat menekan angka kematian sampai 80%. Penelitian ini bertujuan untuk mengetahui gambaran tentang kinerja petugas KIA puskesmas pembantu dalam pelayanan Antenatal dan faktor-faktor yang berhubungan dengan kinerja petugas KIA tersebut, serta faktor yang paling dominan berhubungan dengan kinerja petugas KIA puskesmas pembantu. Penelitian ini dilakukan di Kabupaten Agam dengan rancangan penelitian cross Sectional. Sampel penelitian adalah semua petugas KIA puskesmas pemhantu yang ada di wilayah kerja Dinas Kesehatan Kabupaten Agam yang berjumlah 115 orang. Pengolahan dan analisis data dilakukan secara bivariat dan multivariat Analisis bivariat menggunakan uji Chi-Square untuk melihat hubungan variabel independen dengan variabel dependen dan analisis multivariat menggunakan uji regresi logistik untuk melihat faktor yang paling dominan. Hasil penelitian menunjukan 55.7% kinerja petugas KIA puskesmas pembantu di Kabupaten Agana kurang dan 44.3% mempunyai kinerja baik, dan hasil analisis menunjukkan terdapat hubungan bermakna antara status perkawinan, motivasi dengan kinerja serta analisis multivariat menunjukan bahwa status perkawinan merupakan faktor yang paling dominan berhubungan dengan kinerja. Penelitian ini menyarankan agar dinas kesehatan Kabupaten Agam dan puskesmas dalam memberikan pembinaan kepada petugas KIA puskesmas pembantu dengan kinerja kurang khususnya tentang memeriksa glukosa urine atas indikasi, memeriksa urine untuk test protein atas indikasi, mengukur suhu, menganjurkan ibu buang air kecil sebelum memeriksa kehamilan, mencuci tangan sebelum memeriksa kehamilan.

---

Indonesian Health Demogaphy Base Survey (SDKI) in 2002-2003 showed that Maternal Mortality Rate (AKI) was 307 per 100.000 life birth. This indicated that AKI in Indonesia is still high compared to The National target, due to complication and high risk pregnancy that are preventable through proper antenatal monitoring and earlier pregnancy cheek up and delivering referal care for high risk case in order to repress mortality rate until 80%.

This research is aimed to describe KIA’s officer job performance at assistant community health center in performing antenatal care and to explore factors related to KlA'S officer job performance, and the most dominant motor related to KIA oiiicer job performance at servant community health center.

This research was conducted in Agam District region with cross sectional's design. The sample were all KIA’s oticer of servant community health center in Agam District Health office region with l 15 omcers. Data were analyzed in univariat, bivariat, and multivariate way. The bivariate analysis used chi square test to explore the correlation between independent and dependent variable and multivariate analysis used logistic regression test to explore the most dominant factor.

The result show that 55,7% KIA oiiicer job performance is improper and 44,3% is good, and the analysis showed that there are significant correlation between marital status and job performance and between motivation and job performance. The multivariate analysis showed that marital status was the most dominant factor related to job performance.

This research suggests Agam District health o&ice and community health center to develop a training for KIA otlicers of cervant community health center with improper job performance, particularly about testing urine glucose on indication, checking urine for protein test on indication, measuring tempemtme, washing hand before checks pregnancy."

"Salah satu upaya untuk meningkatkan derajat kesehatan masyarakat adalah dilaksanakannya Program Pemberantasan Penyakit Kusta dan kesepakatan global Eliminasi Kusta Tahun 2000. Kusta merupakan penyakit menular menahun dengan menimbulkan "sligina" dan dampak sosial negatif akibat cacat yang ditimbulkannya. Kabupaten Sumedang tidak terlepas dengan problematika kusta. Bila dibandingkan dengan kabupaten yang berbatasan dengan Kabupaten Sumedang yaitu Subang, Indramayu dan Majalengka cakupan penemuan kasus kusta masih rendah. Prevalensi kusta yang rendah di Kabupaten Sumedang mungkin belum menunjukkan angka yang sesungguhnya. Karena pada penemuan kasus baru, tipe multibasiler yang potensial sebagai sumber penularan juga disertai kecacatan tingkat 2, relatif lebih banyak daripada tipe pausibasiler. Penelitian deskriptif analitik, menggunakan desain penelitian dengan metode pendekatan potong lintang serta pengukuran kuantitatif dan kualitatif, dilaksanakan di Kabupaten Sumedang. Populasi penelitian adalah seluruh petugas pemberantasan penyakit kusta puskesmas di Kabupaten Sumedang. Penelitian menghasilkan sebagian besar petugas mempunyai kinerja yang buruk. Dari 13 variabel bebas yang diteliti terdapat 3 variabel yang mempunyai hubungan bermakna dengan kinerja petugas, yaitu motivasi petugas, insentif yang didapat petugas dan pembinaan serta dukungan yang didapat petugas. Hubungan antara kinerja dan ketiga variabel bebas diatas secara simultan tidak bermakna. Disarankan agar dalam meningkatkan kinerja petugas, memperhatikan faktor motivasi petugas, insentif bagi petugas dan pembinaan maupun dukungan terhadap petugas yang berkesinambungan.

---

The Program of Leprosy Control and the Global Plan of Action for the Elimination of Leprosy by the Year 2000 are efforts towards the improvement of public health. Leprosy is a chronic infectious disease causing stigma and generating negative social impact due to the deformities resulted.

Sumedang shares problems attached to the leprosy, even though in comparison to the neighboring regencies : Subang, Indramayu and Majalengka, the number of leprosy cases is low. However, the low prevalence of leprosy in Sumedang cannot significantly be determined as an indication of the real number since new case findings suggest that more multibacillary types, which have the potential to become the source of contagion along with disability grade 2, have been found rather than the paucibacillary.

This analytic descriptive research was conducted at the Sumedang Regency. The research was designed with a crsoss-sectional approach, and was quantitatively and qualitatively measured. The population of the research was all of the public health center fieldworkers of Leprosy Control Program in Sumedang.

The hypothesis is that there is a correlation between the performance of the Public Health Center fieldworkers of Leprosy Control and the internal factors (individual) and the external factors (environment).

Evidence reveals low performance among a large number of the fieldworkers. Out of 13 independent variables, 3 variables indicate significant correlation with the performance of the fieldworkers. The variables are motivation of the fieldworkers (p:0.04422), incentive received by the fieldworkers (p:0,01210), and guidance as well as support for the fieldworkers ( p:0,029-18). Nevertheless, from a simultant perspective, the correlation between the performance and the three variables is not significant.

To improve performance of the fieldworkers, it is suggested that there should be more significant consideration towards factors of motivation, incentive, continuous guidance and support for the fieldworkers."

"Kinerja petugas sanitasi merupakan salah satu faktor yang mempengaruhi rendahnya mutu/kualitas lingkungan, khususnya sanitasi dasar yang berdampak terhadap timbulnya penyakit-penyakit yang berbasis lingkungan seperti diare, kulit, ISPA dan lain-lain. Selain itu peningkatan kinerja merupakan salah satu upaya dalam rangka meningkatkan sumber daya manusia di daerah yang mandiri dan berkualitas.Dalam penelitian ini, rendahnya cakupan ISPA dan tingginya jumlah penyakit yang berbasis lingkungan dijadikan latar belakang timbulnya rnasalah. Masalah dalam penelitian ini adalah rendahnya kinerja petugas sanitasi puskesmas di Kabupaten Lampung Tengah. Tujuan penelitian adalah untuk mengetahui kinerja petugas sanitasi di Kabupaten Lampung Tengah dan faktor-faktor apa saja yang berhubungan dengan kinerja tersebut. Populasi dan sampel penelitian adalah seluruh petugas sanitasi di Kabupaten Lampung Tengah yang berjumlah 30 petugas. Jenis penelitian ini adalah kuantitatif dengan rancangan penelitian cross sectional. Analisis data yang dilakukan adalah analisis univariat dan bivariat. Analisis univariat menggunakan distribusi frekuensi dengan ukuran persentase, sedangkan analisa bivariat menggunakan uji chi square. Nilai alpha yang digunakan adalah 5% (CI 95%).Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara kinerja dengan tingkat pendidikan, aktifitas sosial, sarana dan prasarana, imbalan, struktur, dukungan pimpinan, desain pekerjaan, kontrol dan motivasi.Disarankan kepada Puskesmas dan Dinas Kesehatan Kabupaten Lampung Tengah untuk meningkatkan kinerja petugas sanitasi dengan upaya-upaya antara lain: peningkatan pendidikan, peningkatan aktifitas sosial, pengadaan sarana dan prasarana, pernberian imbalan, peningkatan kerjasama lintas program, dukungan pimpinan, pengurangan tugas rangkap secara bertahap, peningkatan kontrol terhadap petugas sanitasi dan peningkatan motivasi kerja petugas sanitasi.

---

Factor Related to the Sanitation Officials Performance of Public Health in Order to Improve Coverage Waste Water Treatment System in Central Lampung Region 2003The sanitation officials performance is one factors which influence low environmental quality, Especially the basic sanitation which causes the disease from environment such as : Diarrhea, Scabies, ISPA, etc. Besides the improvement of performance is one way to improve human resources in region which is qualified and self relied on.

In this research, low coverage of waste water treatment system and the high number of diseases which are environment based is the back ground. The problem of this research is the low performance of sanitation officials in Public Health Centre in Central Lampung. The objectives of this research were to find out the performance of sanitation officials in Central Lampung and factor related to performance. The population and sample of the research were all sanitation officials of thirty Central Lampung. This research is quantitative using cross sectional. The data were analyzed univariate and bivariate. Univariate used frequent distribution with percentage, while bivariate analysis used chi square test. Alpha being used was 5 % (Cl 95 % ).

The result of the research shows that there is a meaningful correlation between the sanitation officials performance with educational level, social activities, accommodation, incentive, divisional relationship inter organizational, leader support, work design, control and motivation.

It is suggested to public Health Centre and Health Institution of Central Lampung to improve the sanitation officials performance with some efforts such as : the improvement of education, the improvement of social activities, providing accommodation, providing financial support, the better cooperation across program, leader support, the step by step reduction of double functions, better control to the sanitation officials and their motivation."

"Program imunisasi merupakan program yang mempunyai daya ungkit besar terhadap Angka Kematian Bayi, oleh karena itu perlu adanya Sumber Daya Manusia yang potensial dan berdedikasi. Penelitian ini bersifat cross sectional dengan analisis deskripsi kuantitatif yang bertujuan untuk mengetahui gambaran kinerja petugas penanggung jawab imunisasi puskesmas dan faktor-faktor yang berhubungan dengannya. Hasil penelitian menunjukan 51,8 % petugas mempunyai kinerja baik dan sisanva 48,2 % kinerjanya kurang. Terdapat hubungan yang bermakna antara tingkat pendidikan dan motivasi dengan kinerja petugas penanggang jawab imunisasi puskesmas. Berdasarkan hasil penelitian tersebut diatas, dapat dikemukakan beberapa saran antara lain :

1. Kegiatan tambahan di puskesmas untuk meningkatakan kejujuran, tanggung jawab, kerja sama dan inisiatif.
2. Job Training diharapkan tidak hanya pada sisi pengetahuan kerja, mutu pekerjaan atau pemanfaatan waktu saja akan tetapi lebih menitik beratkan perilaku kerja.

Demikian gambaran penelitian ini dan semoga hasilnya dapat merupakan masukan bagi Dinas Kesehatan Kabupaten Ciamis dalam rangka meningkatkan kinerja.

---

The immunization program is a program, which has a great influence on the Infant Mortality Rate due to this; potential and dedicated Health Human Resources for health is a must.

This Scientific Research is cross sectional with a quantitative and qualitative description analysis with the aim and purpose to abstain true a picture regarding the performance Health Care Immunization Coordinated and the relating factor.

The outcome of this and research indicated that 51,8 % of the Immunization Coordinated are in a good performance, while the remaining 48,2 % are not. There exist, a significant correlation between the level of education Immunization Coordinated and performance, also between motivation and performance of the Immunization Coordinated Health Care.

Based on the above research several advices, recommendation on put forward:

1. Additional activities in the Health Center should be implementation to increase honesty, responsibilities, collaboration and initiatives.
2. It is that the job training would not only cover the working aspect, quality of work or time utilization, but also all the more emphasize on working behavior.

It is hoped that this research outcome to become an input for this personal performance improvement."