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ABSTRAK

Nama : Karmellia Nikke DarnestiProgram Studi : Ilmu Kesehatan MasyarakatJudul : Analisis Kinerja Unit Pelayanan Gigi Puskesmas Kelurahan diWilayah Kecamatan Koja Jakarta Utara Tahun 2018Pembimbing : Prastuti Soewondo, S.E., MPH., Ph.DLebih dari 50% penduduk di Indonesia memiliki permasalahan gigi dan mulut, ironisnyaberdasarkan Riskesdas 2018, hanya sekitar 10% yang mampu mendapat akses ke layanankesehatan gigi. Rifaskes 2011 mengindikasikan cakupan program usaha kesehatan gigiberbasis masyarakat di puskesmas masih sangat rendah, termasuk di wilayah DKI Jakarta.Penelitian ini bertujuan untuk melakukan kajian atas kinerja unit pelayanan gigipuskesmas kelurahan di wilayah Kecamatan Koja. Pendekatan wawancara mendalam,observasi, dan telaah dokumen dilakukan pada dua jenis unit pelayanan gigi yang ada dipuskesmas kelurahan wilayah Kecamatan Koja. Terdapat dua skema, yaitu Pola I yangmemiliki dokter gigi saja dan Pola III memiliki dokter gigi dan terapis gigi. Hasilpenelitian menyatakan bahwa unit pelayanan gigi pola III memiliki kinerja pelayanan gigiyang lebih baik karena dapat menangani lebih banyak pasien dan tindakan, serta dapatmemenuhi program Usaha Kesehatan Gigi Sekolah (UKGS) dan Upaya Kesehatan GigiMasyarakat (UKGM). Sebaliknya, unit pelayanan gigi pola I hanya dapat memenuhiprogram UKGS dan menangani jumlah pasien yang lebih sedikit. Adanya kompetisiwaktu antara program kesehatan gigi masyarakat dan poli gigi membuat dokter gigikesulitan memenuhi semua pelayanan gigi. Pelaksanaan program UKGS maupun UKGMyang dipenuhi hanya terbatas pada penyuluhan singkat dan pemeriksaan sederhana yangdilaksanakan sekedar memenuhi target. Akibatnya, permasalahan gigi dapat terusberkembang menjadi penyakit yang semakin parah dan membutuhkan perawatan lebihkompleks. Hasil kajian juga menguak bahwa tindakan mayoritas, yaitu mumifikasi,kurang sesuai dengan standar perawatan yang dibutuhkan karena keterbatasan sumberdaya. Disamping itu, tugas manajemen puskesmas ternyata menambah beban kerja doktergigi dan mempengaruhi kinerja unit pelayanan gigi. Kolaborasi dokter gigi dengan terapisgigi akan meningkatkan kinerja unit pelayanan gigi karena dapat mengakomodasikenaikan permintaan pelayanan, membantu melaksanakan semua upaya kesehatan gigi,dan meningkatkan kualitas pelayanan dalam era Jaminan Kesehatan Nasional (JKN).Kata kunci: kinerja, pelayanan gigi, puskesmas, dokter gigi, terapis gigi

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ABSTRACT

Name : Karmellia Nikke DarnestiStudy Program : Public Health ScienceTitle : Analysis of Dental Medical Unit Performance in PuskesmasKelurahan at Koja District North Jakarta 2018Counsellor : Prastuti Soewondo, S.E., MPH., Ph.DMore than 50% of the population in Indonesia were reported to have dental problems,ironically based on Riskesdas 2018, only around 10% are able to get access to dentalservices. Rifaskes 2011 has indicated the coverage of the community-based oral healthprogram at the Puskesmas is quietly low, even in the DKI Jakarta. This study aims toanalyze the performance of the dental medical unit at the puskesmas kelurahan in KojaDistrict area. The approach is through in-depth interviews, observations, and documentstudies were carried out on two types of dental medical units that mostly be divided intoPattern I with only dentist and Pattern III which have dentist and dental therapist. Theresults of the study indicated that Pattern III had higher dental service performanceprimarily because it could handle more patients and type of treatments also could carryout School-based Oral Health (UKGS) and Community-based Oral Health (UKGM)programs. In contrast, Pattern I only fulfill the UKGS program and handle fewer patients.Clash of time between community-based program and dental poly makes it difficult fordentists to fulfill all dental services. The implementation of the UKGS and UKGMprograms which only brief counseling and screening tended merely meet the targets sothat dental problems become more severe then require more complex treatments. Thestudy also revealed that the mummification, which were among the most frequenttreatment, were not in accordance with the standard of care due to limited resources. Inaddition, management duties within puskesmas adds further workload of dentists andinfluenced the performance of dental service. Dentist collaboration with dental therapistwill improve the performance of the dental service, allowing them to accommodate theincrease in demand, support implementation of all dental health efforts, and improvedental service quality in the era of National Health Insurance (JKN).Keywords : dental services; performance; puskesmas; dentist; dental therapist

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Masih banyaknya jumlah bidang tanah yang belum terdaftar dan terpetakan di Indonesia serta lambannya proses sertifikasi tanah menjadi latar belakang dibentuknya program Pendaftaran Tanah Sistematis Lengkap (PTSL). Para aktor pelaksana dituntut untuk melaksanan PTSL secara profesional yang mengacu pada ketentuan hukum maupun teknis sehingga tidak terjadi praktik maladministrasi. Hal tersebut menjadi alasan  dilakukannya penelitian yang bertujuan untuk menganalisis pelaksanaan program PTSL serta faktor-faktor yang mempengaruhi pelaksanaan program PTSL di Kantor Pertanahan Kota Jakarta Utara Tahun 2018. Penelitian ini menggunakan teori dari Edwards III (1980) dengan pendekatan post-positivist  dan teknik pengumpulan data kualitatif melalui wawancara mendalam dan studi pustaka. Hasil penelitian menunjukan bahwa dari segi capaian, pelaksanaan program PTSL tahun 2018 di Kantor Pertanahan Kota Jakarta Utara berhasil mencapai target yang telah ditetapkan. Namun, secara keseluruhan program PTSL di Kota Jakarta Utara belum dilaksanakan dengan baik dikarenakan terdapat beberapa kendala seperti kurangnya penyuluhan intensif dari Kantor Pertanahan, kurangnya kuantitas sumber daya manusia dan fasilitas dalam menunjang pelaksanaan PTSL, serta terdapat kekosongan hukum perihal peraturan teknis  pembiayaan persiapan pelaksanaan program PTSL. Peneliti juga menemukan faktor lain yang mempengaruhi dalam pelaksanaan program PTSL yaitu faktor kepemimpinan faktor sosial ekonomi masyarakat. 

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The large number of land parcels that have not yet been registered and mapped in Indonesia and the slow process of land certification is the background for the establishment of a complete systematic land registration program (PTSL). The actors involved in this program are required to implement PTSL professionally which refers to legal and technical provisions so that there is no practice of maladministration, thus being the reasons for this research that aims to analyze the implementation of the PTSL program and the factors that influence it at the Land Office of North Jakarta in 2018. This research refers to the theory from Edwards III (1980) with a post-positivist approach with qualitative data collection techniques through in-depth interviews and literature studies. The results of the research show that in terms of achievement, the implementation of the PTSL program in 2018 at the Land Office of North Jakarta City successfully achieved the set target. However, overall the PTSL program in North Jakarta City has not been implemented properly due to several constraints such as lack of intensive counselling from the Land Office the quantity of human resources and facilities are still lacking in supporting the PTSL implementation, and there is a legal vacuum regarding technical regulations that regulate the financing of preparation for implementing PTSL programs. The researcher also found other factors that influence the implementation of the PTSL program, namely the leadership factors and the socio-economic factors of the community.

 

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"Skripsi ini membahas tentang Pengembangan Sistem Informasi Penyakit Diare di Puskesmas Kecamatan Koja. Penelitian ini menunjukkan angka kesakitan diare di wilayah Kecamatan Koja masih tinggi. Upaya untuk mereduksinya memerlukan pengambilan keputusan berdasarkan informasi yang tepat waktu dan akurat.Penelitian ini menggunakan metode pendekatan sistem dan merancang sistem berdasarkan data laporan kasus diare dan penanganan penderita diare. Selain itu, rancangan sistem ini menghasilkan sistem basis data penyakit diare dan informasi berupa laporan bulanan kasus diare dan informasi pasien diare.This thesis discusses the developing of Diarrhea Diseases Information Systems in Koja District Primary Health Care. This Research shows incidences of diarrhea in the sub district of Koja is still high. The efforts reducing it need decisions making which is based on exact and accurate information.

This Research uses approaching system method and designs a system based on diarrhea cases report and diarrhea patients? handling. Beside those, the system planning results diarrhea data based system and information as monthly diarrhea cases report and diarrhea patients? information."

"Tantangan program CSR korporasi di bidang industri ekstraktif Indonesia adalah merealisasikan keberlanjutan program, yang dinilai problematis sebab masifnya disharmonisasi serta rendahnya sinergitas antara pihak korporasi dengan pemangku kepentingan. Walaupun program CSR telah ditetapkan dengan wujud mandataris, keberlanjutan program CSR masih enggan diraih karena korporasi cenderung imperatif. Dalam cakupan model evaluasi program CSR, secara formatif dapat dipetakan menjadi tiga tingkatan yaitu internal program, organisasi pengelola, serta kemasyarakatan. Urgensi pada program CSR di indikasi terletak pada dimensi keberlanjutan, karena pada praktiknya pengelola terlalu mengabaikan durabilitas program tanpa merefleksikan potensi sosial, ekonomi, lingkungan, dan budaya masyarakat setempat. Merespon hal tersebut, korporasi dapat melakukan intervensi melalui rekonstruksi model evaluasi formatif dengan mempertimbangkan proses konsolidasi terhadap komunitas lokal. Penulis berargumen, jika prosedur konsolidasi terlaksana dengan baik, akan mampu memberikan pengaruh signifikan terhadap tingkat pemberdayaan dan tingkat partisipasi. Semakin tinggi tingkat konsolidasi, maka semakin tinggi tingkat pemberdayaan dan tingkat partisipasi, sehingga semakin tinggi pula tingkat keberlanjutan program CSR. Model Evaluasi dalam riset ini menggunakan pendekatan kuantitatif dengan metode pengumpulan data melalui teknik Digital Research Methods milik Dawson, yakni melalui teknik e-questionnaires serta online interviews, dengan melibatkan kelompok pemanfaat program CSR PT. Pertamina Lubricants Production Unit Jakarta diidaerahiKelurahaniTuguiSelatan,iKecamataniKoja, KotaiJakartaiUtara. Riset ini menggunakan uji analisis regresi untuk memperoleh potret secara ekstensif terhadap tingkat keberlanjutan program. Hasil dari riset ini menunjukkan bahwa tingkat konsolidasi berada dalam kategori tinggi, hal ini berkesinambungan dengan tingginya tingkat pemberdayaan dan tingkat partisipasi pemanfaat program, sehingga keberlanjutan dari program ini seyogianya akan berakselerasi dengan baik.

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The challenge of corporate CSR programs in the Indonesian extractive industry sector is to realize the sustainability of the program, which is considered problematic due to the massive disharmony and low synergy between the corporations and stakeholders. Although the CSR program has been established in a mandatory form, the sustainability of the CSR program is still reluctant to be achieved because corporations tend to be imperative. Within the scope of the CSR program evaluation model, formatively it can be mapped into three levels, namely internal program, managing organization, and community. The urgency of the CSR program is indicated to lie in the dimension of sustainability, because in practice the manager ignores the durability of the program without reflecting on the social, economic, environmental, and cultural potential of the local community. Responding to this, corporations can intervene through the reconstruction of a formative evaluation model by considering the consolidation process for local communities. The author argues, if the consolidation procedure is carried out properly, it will be able to have a significant influence on the level of empowerment and level of participation. The higher the level of consolidation, the higher the level of empowerment and the level of participation, so the higher the level of sustainability of the CSR program. The evaluation model in this research uses a quantitative approach with data collection methods through Dawson's Digital Research Methods technique, namely through e-questionnaires and online interviews, involving a group of beneficiaries of the CSR program PT. Pertamina Lubricants Production Unit Jakarta in Tugu Selatan Village, Koja District, North Jakarta City. This research uses regression analysis to obtain an extensive portrait of the level of program sustainability. The results of this research show that the level of consolidation is in the high category, this is continuous with the high level of empowerment and participation of program beneficiaries, so that the sustainability of this program should accelerate well."

"Salah satu tujuan program KIA adalah meningkatkan kemandirian keluarga dalam pemeliharaan kesehatan ibu dan anak karena ibu dan anak adalah kelompok yang rentan terhadap berbagai masalah seperti kesakitan dan gangguan gizi yang sering kali berakhir dengan kecacatan atau kematian, melalui upaya penggunaan buku KIA. Buku KIA wajib dimiliki oleh setiap ibu hamil untuk mengetahui perkembangan kesehatan ibu dan tumbuh kembang anak hingga usia 5 tahun, buku pedoman terpadu yang dimanfaatkan sebagai fungsi pencatatan, komunikasi, informasi dan edukasi bagi ibu hamil dan keluarga. Pemanfaatan buku KIA secara efektif dapat meningkatkan derajat kesehatan ibu dan anak sehingga dapat menurunkan angka kematian ibu, gizi buruk pada anak dan angka kematian bayi. Penelitian ini bertujuan untuk mengetahui gambaran perilaku ibu hamil dan balita ditinjau dari faktor predisposing, reinforcing dan enabling dalam pemanfaatan buku KIA. Penelitian kualitatif ini menggunakan desain Rapid Assessment Procedures (RAP) pada ibu hamil/balita dengan triangulasi sumber pada informan suami, kader posyandu dan bidan kemudian dilakukan analisis tema. Hasil penelitian menunjukkan bahwa pemanfaatan buku KIA oleh ibu hamil masih terbatas untuk pemeriksaan kehamilan, imunisasi dan penimbangan di Posyandu. Frekuensi pemeriksaan ANC lebih dari 4 kali selama masa kehamilan namun minat baca dan kepatuhan membawa serta merawat buku KIA masih rendah. Hal ini dikarenakan oleh faktor predisposing pengetahuan ibu yang kurang tentang fungsi buku KIA sebagai komunikasi, informasi dan edukasi dalam kesehatan ibu dan anak, faktor reinforcing kurangnya dukungan suami, kurangnya dukungan bidan dalam memberikan konseling tentang fungsi buku KIA karena beban kerja berat, motivasi kurang serta tidak adanya pelatihan dalam 1 tahun terakhir, selain itu dukungan kader dalam penyuluhan juga kurang dan faktor enabling yaitu karena waktu pelayanan di puskesmas yang terbatas hanya sampai siang hari. Oleh karena itu perlu ditinjau kembali pemanfaatan buku KIA sesuai dengan fungsinya dengan menyediakan media KIE sehingga dapat dipahami oleh ibu hamil/balita serta keluarga, selain itu perlu peninjauan kembali beban kerja bidan dan kompetensinya sebagai ujung tombak dalam pelayanan kesehatan ibu dan anak di masyarakat, dan lebih meningkatkan kembali peran kader dalam penyuluhan kepada ibu hamil/balita di masyarakat.

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One of the objectives of the MCH program is to increase family independence in maintaining maternal and child health because mothers and children are vulnerable to various problems such as morbidity and nutritional disorders which often end in disability or death, through efforts to use KIA books. The MCH handbook must be owned by every pregnant woman to know the development of maternal health and growth and development of children up to the age of 5 years, an integrated guidebook that is used as a function of recording, communication, information and education for pregnant women and families. The effective use of MCH books can improve the health of mothers and children so that they can reduce maternal mortality, child malnutrition and infant mortality. This study aims to describe the behavior of pregnant women and toddlers in terms of predisposing, reinforcing and enabling factors in the use of MCH books. This qualitative research uses the design of Rapid Assessment Procedures (RAP) for pregnant women/toddlers with source triangulation in husband informants, posyandu cadres and midwives then subject analysis with content analysis. The results showed that the utilization of the KIA book by pregnant women was still limited to prenatal care, immunization and weighing at the Posyandu. The frequency of maternal antenatal care (ANC) is more than 4 times during the pregnancy but reading interest and compliance with caring for KIA books are still low. This is due to the trigger factors (predisposing) of mothers lack of knowledge about the function of MCH books as communication, information and education in maternal and child health, reinforcing factors lacking husband support, lack of support from midwives in providing counseling about the functions of MCH books caused because of the heavy workload, lack of motivation and lack of training in the past 1 year, besides that cadre support in counseling is also lacking and enabling factors (enabling) affordability of health facilities, namely because the service time at the puskesmas is limited to daylight hours. Therefore, it is necessary to review the use of MCH books inccordace with their function by providing IEC media assistance so that they can be understood by pregnant women/toddlers and families. In addition, it is necessary to review the workload of midwives and their competence as the spearhead in maternal and child health services in the community, and further enhance the role of cadres in counseling to pregnant women/toddlers in the community."

"Skripsi ini membahas analisis jumlah kebutuhan bidan di Unit PONED puskesmas Sriamur Tambun Utara dengan menggunakan Metode WISN melalui observasi menggunakan work sampling dan wawancara. Penelitian ini adalah penelitian kualitatif dengan desain deskriptif. Hasil penelitian mendapatkan bahwa keadaan jumlah bidan berdasarkan teori yang terdapat di Puskesmas Sriamur berkelebihan sebesar 31,24 dan berdasarkan keadaan riil sebesar 0,038. Menyarankan untuk distribusikan bidan ke Pustu dan unit lain yang membutuhkan SDM, memberikan tugas dan fungsi pokok tambahan bidan yang bertugas di PONED.

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This thesis discusses the analysis of the number of midwife needs in the unit PONED puskesmas Sriamur Tambun Utara by using WISN method through observation using work sampling and interview. This research is a qualitative research with descriptive design. The result of the research shows that the number of midwives based on theory in Sriamur Public Health Center is over 31,24 and based on real case is over 0,038. Suggest to distribute midwives to Pustu and other units that require human resources, providing the additional duties and functions of additional midwives on duty at PONED. "

"Perencanaan sumber daya manusia merupakan fungsi utama yang harus dilakukan dalam organisasi, guna menjamin tersedianya tenaga kerja yang tepat untuk menduduki berbagai posisi, jabatan dan pekerjaan yang tepat pada waktu yang tepat. Salah satu metode dalam perencanaan kebutuhan tenaga kesehatan di instansi adalah dengan metode Workload Indicators of Staffing Needs (WISN). Penelitian ini bertujuan untuk mengetahui kebutuhan dokter umum dengan menggunakan metode Workload Indicators of Staffing Need (WISN) melalui observasi menggunakan tehnik work sampling di Poli Umum Puskesmas Kecamatan Pademangan Jakarta Utara Tahun 2018. Penelitian ini merupakan jenis penelitian kualitatif dengan desain deskriptif. Penelitian ini dilakukan pada bulan Desember 2018. Sampel penelitian ini adalah tiga orang dokter umum di Poli Umum Puskesmas Kecamatan Pademangan Jakarta Utara. Hasil penelitian ini menunjukan bahwa waktu kerja tersedia bagi dokter umum di Poli Umum Puskesmas Kecamatan Pademangan adalah 76.620 menit/tahun di Poli Umum. Dengan standar beban kerja terbesar dokter umum di Poli Umum per tahun sebesar 29583,01 pelayanan medik dengan waktu penyelesaian kegiatan pelayanan medik adalah 2,59 menit per satu kali layanan. Standar tugas penunjangnya adalah 1,82. Hasil perhitungan WISN didapatkan kelebihan tenaga satu orang dokter. Diperlukan peningkatan kualitas layanan dengan mengevaluasi standar mutu layanan.

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Human resource planning is the main function that must be carried out in the organization, to ensure the availability of the right workforce to regulate various positions, positions and the right job at the right time. One of methods in planning the needs of health workers in institutions is the Workload Indicators of Staffing Needs (WISN) method.

This study discusses the needs of general practitioners by using the Workload Indicators of Staffing Needs (WISN) through observation using work sampling technique at the General Poly of the Public Health Center of Pademangan District, North Jakarta in 2018.

This study uses a qualitative type of research with descriptive design. This research was conducted in December 2018. The sample of this study were three general practitioners at the General Poly District Health Center of Pademangan District, North Jakarta.

The results of this study indicate that the working time for general practitioners at the General Police of Pademangan District Public Health Center is 76,620 minutes / year at General Poly. With the workload standard of the practitioner at General Police per year was 29583.01 medical services with medical service approval time was 2.59 minutes per one time service. The supporting task standard was 1.82. The results of the WISN calculations obtained were by the strength of one doctor. Improved service quality is needed by evaluating service quality standards."

"[Riset Kesehatan Dasar tahun 2013 menyebutkan bahwa DKI Jakarta menempati urutan ke tiga provinsi dengan insiden diare tertinggi Kondisi lingkungan yang berubah perilaku hidup tidak sehat serta pencemaran lingkungan meningkatkan kejadian diare padahal kejadian diare dapat diturunkan dengan integrasi pengelolaan lingkungan berkelanjutan serta perilaku hidup sehat Tujuan penelitian ini menganalisis kondisi lingkungan menganalisis perilaku hidup bersih dan sehat dan menganalisis bentuk pengelolaan lingkungan berbasis masyarakat untuk menurunkan kejadian diare pada balita Penelitian ini menggunakan pendekatan kuantitatif pengumpulan data menggunakan kuesioner dan analisis Kondisi lingkungan Kecamatan Koja terkait sanitasi dan tempat tinggal tidak baik Perilaku hidup bersih dan sehat dari responden 34 baik 40 sedang 26 tidak baik Pengelolaan lingkungan yang dapat dilaksanakan untuk menurunkan kejadian diare pada balita adalah integrasi pelaksanaan sanitasi total berbasis masyarakat serta pengelolaan sampah dengan aman.

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Basic Health Research 2013 shows Jakarta is third highest province with diarrhea cases Environmental changes unhealthy behavior and environment pollution increases the incidence of diarrhea whereas the incidence of diarrhea can be reduced by the integration of healthy behavior and sustainable environmental management This research purposes to know environment condition to analyze the clean and healthy living behaviors and analyze the community based environmental management to reduce incidence of diarrhea in infant This study uses a quantitative approach using the questionnaires and control analysis The environment condition regarding the sanitation is not good Clean and healthy living behaviors of the respondent are 34 good 40 moderate 26 poor Environmental management that can be implemented to reduce the incidence of diarrhea in infant is integration of community led total sanitation and save waste management ;ABSTRACTBasic Health Research 2013 shows Jakarta is third highest province with diarrhea cases Environmental changes unhealthy behavior and environment pollution increases the incidence of diarrhea whereas the incidence of diarrhea can be reduced by the integration of healthy behavior and sustainable environmental management This research purposes to know environment condition to analyze the clean and healthy living behaviors and analyze the community based environmental management to reduce incidence of diarrhea in infant This study uses a quantitative approach using the questionnaires and control analysis The environment condition regarding the sanitation is not good Clean and healthy living behaviors of the respondent are 34 good 40 moderate 26 poor Environmental management that can be implemented to reduce the incidence of diarrhea in infant is integration of community led total sanitation and save waste management.;ABSTRACTBasic Health Research 2013 shows Jakarta is third highest province with diarrhea cases Environmental changes unhealthy behavior and environment pollution increases the incidence of diarrhea whereas the incidence of diarrhea can be reduced by the integration of healthy behavior and sustainable environmental management This research purposes to know environment condition to analyze the clean and healthy living behaviors and analyze the community based environmental management to reduce incidence of diarrhea in infant This study uses a quantitative approach using the questionnaires and control analysis The environment condition regarding the sanitation is not good Clean and healthy living behaviors of the respondent are 34 good 40 moderate 26 poor Environmental management that can be implemented to reduce the incidence of diarrhea in infant is integration of community led total sanitation and save waste management , ABSTRACTBasic Health Research 2013 shows Jakarta is third highest province with diarrhea cases Environmental changes unhealthy behavior and environment pollution increases the incidence of diarrhea whereas the incidence of diarrhea can be reduced by the integration of healthy behavior and sustainable environmental management This research purposes to know environment condition to analyze the clean and healthy living behaviors and analyze the community based environmental management to reduce incidence of diarrhea in infant This study uses a quantitative approach using the questionnaires and control analysis The environment condition regarding the sanitation is not good Clean and healthy living behaviors of the respondent are 34 good 40 moderate 26 poor Environmental management that can be implemented to reduce the incidence of diarrhea in infant is integration of community led total sanitation and save waste management ]"

"IUD merupakan salah satu jenis KB yang dipasang didalam uterus melalui kanalis servikalis, yang diselubungi oleh kawat halus terbuat dari tembaga mengandung hormon Levonorgestrel. Penelitian ini bertujuan untuk mengetahui faktor faktor yang berhubungan dengan penggunaan IUD di Wilayah Kerja Puskesmas Koja Jakarta Utara tahun 2015. Data dikumpulkan melalui kuesioner terpadu dan diolah dengan menggunakan software statistic. Dari hasil uji statistic terdapat dua variabel yang menunjukkan hubungan signifikan dengan penggunaan IUD yaitu variabel pendidikan dengan nilai p=0,000 variabel pengetahuan dengan nilai P=0,036. Perlu edukasi dan promosi dari petugas untuk meningkatkan pengetahuan akseptor.

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Intra uterine Devices (IUD) is one type of birth control that is placed in the uterus through the cervical canal, which is covered by fine wires made of copper and containing the hormone levonorgestrel. This study aims to determine the factors associated with the use of IUDs in Puskesmas Koja in 2015. Data were collected through questionnaires integrated and processed using statistical software. From the results of the statistical test, there are two variables that showed a significant association with the use of IUD that education variables with p = 0.000 knowledge variables with a P value = 0.036. Keep in education and promotion of officers to increase knowledge acceptor."

"Tesis ini membahas tentang kinerja dokter verifikator internal didalam menurunkan angka klaim pending di RSUD Koja pada tahun 2018 dengan melakukan telaah berkas klaim dan observasi pada data klaim dari tahun 2017 hingga tahun 2019. Penelitian ini menggunakan desain studi evaluasi intervensi dengan menganalisa data kuantitatif dan kualitatif. Metode yang digunakan adalah dengan membandingkan data kesalahan koding pada klaim pending rawat inap Pra Intervensi dan Pasca Intervensi dokter verifikator internal baik secara jumlah klaim maupun nominal klaim. Kemudian melakukan wawancara mendalam untuk mengetahui penyebab terjadinya kesalahan koding hingga menyebabkan klaim pending. Hasil penelitian ini adalah bahwa terbukti dokter verifikator internal dapat menurunkan angka klaim pending rawat inap karena kesalahan koding dan didapatkan penyebab terjadinya kesalahan koding yaitu ketidaklengkapan resume medis, kurang telitinya koder, kurangnya pengetahuan koder, ketidakseragaman informasi terkait koding dan overload berkas klaim yang tidak diiringi dengan kesesuaian jumlah koder. Hasil penelitian menyarankan penerapan Electronic Medical Record, mendaftarkan koder untuk mengikuti pelatihan terkait klaim, mengadakan Team Building, membuat Whatsapp grup untuk saling berbagi informasi dan perhitungan ulang tenaga koder sesuai kebutuhan.

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This thesis discusses the performance of internal verification doctors in reducing the number of pending claims at Koja Regional Hospital in 2018 by reviewing claim files and observing claims data from 2017 to 2019. This study uses an intervention evaluation study design by analyzing quantitative and qualitative data. The method used is to compare the coding error data on pre-Intervention and Post-Intervention pending inpatient claims by internal physician verifiers both in number of claims and nominal claims. Then conduct in-depth interviews to find out the cause of coding errors that cause pending claims.

The results of this study are proven that internal verification doctors can reduce the number of inpatient pending claims due to coding errors and found the causes of coding errors are incomplete medical resumes, lack of coder scrutiny, lack of coder knowledge, unequal information related to coding and overload of claim files that are not accompanied by an incomplete claim compatibility of the number of coders. The results of the study suggest the application of an Electronic Medical Record, register the coders to attend training related to claims, hold a Team Building, create a Whatsapp group to share information and recalculate the coders as needed. "