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"[Penelitian ini bertujuan membandingkan pengelolaan program P2TB pada dua Puskesmas kecamatan dengan pencapaian CDR TB tinggi dan rendah di Wilayah Kota Administrasi Jakarta Timur. Metode penelitian adalah kualitatif didukung dengan data kuantitatif faktor individu dan sosial dengan pendekatan cross sectional.Hasil penelitian menunjukkan perbedaan manajemen dimana Puskesmas dengan pencapaian CDR TB tinggi mempunyai kepala puskesmas dengan kemampuan manajerial program P2TB yang lebih baik, mekanisme transfer of knowledge yang lebih baik (Komponen Input); mempunyai perencanaan target berdasarkan permasalahan yang ada dan bertujuan meningkatkan CDR TB, melakukan penjaringan kasus secara aktif dengan melibatkan kader dan lintas sektor, adanya antisipasi hasil mutu laboratorium serta monitoring dan evaluasi yang lebih baik (Komponen Proses); telah memenuhi seluruh target indikator penemuan penderita TB (Komponen Output). Perbedaan pada sisi manajemen diperkuat dengan hasil penelitian dimana faktor individu (pengetahuan, sikap suspek terhadap bahaya dan cara pencegahan TB, persepsi suspek terhadap pelayanan kesehatan) dan faktor sosial (dukungan kader, KIE oleh petugas) lebih baik pada Puskesmas dengan pencapaian CDR TB tinggi. Disarankan agar melaksanakan pelatihan TB kepada top manajemen, melakukan penjaringan kasus secara aktif dengan melibatkan kader dan sektor non kesehatan, serta meningkatkan jejaring dan kerjasama lintas sektor.

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This study examined the comparison of TB program management between two Community Health Centers (CHC) with high and low CDR of TB achievement in East Jakarta. This is a qualitative study supported by quantitative study on individual and social factors with cross sectional study design.From the management point of view, CHC with high CDR of TB achievement was proven has the CHC’s head which is better capability in TB management, better mechanism on transfer of knowledge (Input Component); the planning based on fields problem analysis, active case finding involving cadres and related stakeholders, there is anticipation on laboratory results’s quality, better monitoring and evaluation (Process Component); achieved all target indicators of TB case detection (Output Component). The differences on TB management strengthened by different result between the value of individual factors (knowledge, attitudes, and TB suspect perseption of CHC service) and the value of social factors (support by cadres, Communication Information and Education by CHC officers) which was better in CHC with high CDR of TB achievement. This study suggested to carry out trainings on TB management for top management, to conduct active case finding by involving cadres and non-health sectors, and promoting networking and cross-sector cooperation., This study examined the comparison of TB program management between twoCommunity Health Centers (CHC) with high and low CDR of TB achievementin East Jakarta. This is a qualitative study supported by quantitative study onindividual and social factors with cross sectional study design. From themanagement point of view, CHC with high CDR of TB achievement wasproven has the CHC’s head which is better capability in TB management, bettermechanism on transfer of knowledge (Input Component); the planning based onfields problem analysis, active case finding involving cadres and relatedstakeholders, there is anticipation on laboratory results’s quality, bettermonitoring and evaluation (Process Component); achieved all target indicatorsof TB case detection (Output Component). The differences on TB managementstrengthened by different result between the value of individual factors(knowledge, attitudes, and TB suspect perseption of CHC service) and the valueof social factors (support by cadres, Communication Information and Educationby CHC officers) which was better in CHC with high CDR of TB achievement.This study suggested to carry out trainings on TB management for topmanagement, to conduct active case finding by involving cadres and non-healthsectors, and promoting networking and cross-sector cooperation]"

"Penerapan konsep manajemen mutu seperti Lean Six Sigma mulai diterapkan dalam industri jasa seperti pada industri telekomunikasi. Tesis ini dilakukan untuk menganalisis penerapan konsep Lean Six Sigma pada operator telekomunikasi dengan melihat kapabilitas proses BTS melalui kinerja Call Setup Success Rate (CSSR) dan Call Drop Rate (CDR). Parameter tersebut merupakan dua parameter utama jaringan seluler. Penerapan Six Sigma pada proses perbaikan kualitas layanan seluler dilakukan agar kedua parameter tersebut dapat mencapai nilai standar yang telah ditentukan. Kinerja parameter BTS dapat dilihat berdasarkan nilai kinerja proses Ppk yang kemudian dikonversi menjadi nilai sigma. Nilai sigma terbesar yang dapat dicapai setelah dilakukan perbaikan berdasarkan penelitian ini adalah 6σ untuk parameter CSSR area Jakarta Utara. Faktor-faktor yang menentukan keberhasilan implementasi Six Sigma dalam proses perbaikan kualitas jaringan seluler juga dianalisis dan didapatkan bahwa faktor kepemimpinan merupakan faktor utama keberhasilan implementasi Six Sigma menurut para responden. Penelitian ini menggunakan data sekunder yang berupa kinerja BTS dan data primer yang didapatkan dari kuesioner kepada Divisi Optimisasi.

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The application of quality management concepts such as Lean Six Sigma was implemented in the service industry such as the telecommunications industry. This thesis is conducted to analyze the application of the concept of Lean Six Sigma in the telecommunications operator to see performance capability of BTS through the performance of Call Setup Success Rate (CSSR) and Call Drop Rate (CDR). These parameters are the two main parameters of the mobile cellular network. Application of Six Sigma in mobile cellular service quality improvement process is done so that these two parameters can achieve a standard value that has been determined before. Performance parameters of BTS can be seen by Ppk process performance values which then converted into a sigma value. The largest sigma value that can be achieved after improvement process by this research is 6σ for CSSR parameter in North Jakarta area. The factors that determine the success of the implementation of Six Sigma in the process of improvement of the quality of mobile networks is also analyzed and found that leadership is a key factor for the successful implementation of Six Sigma according to the respondents. This study uses secondary data such as the performance of the BTS and primary data obtained from the questionnaire to the Division of Optimization."

"Penelitian ini merupakan penelitian dengan menggunakan desain potong lintang (comparative cross sectional) yang bertujuan untuk menilai dan membandingkan ketebalan lapisan serabut saraf retina/retinal nerve fiber layer (RNFL) peripapil antara kelompok normal dan kelompok glaukoma dengan cup disk ratio (CDR) vertikal 0,4 sampai dengan 0,7 di poliklinik mata Rumah Sakit Cipto Mangunkusumo (RSCM) kirana. Sebanyak 40 mata kelompok normal dan 34 mata kelompok glaukoma mengikuti pemeriksaan Humphrey field analyzer dan Optical Coherence Tomography (OCT). Kemudian ketebalan RNFL peripapil kelompok normal dan glaukoma dianalisis untuk mendapatkan perbandingan ketebalan RNFL peripapil antara kelompok normal dan glaukoma. Pada penelitian ini didapatkan hasil tidak ada perbedaan perubahan ketebalan lapisan serabut saraf retina peripapil seiring dengan penambahan CDR vertikal namun secara klinis ketebalan RNFL peripapil pada kelompok glaukoma lebih tipis dibandingkan kelompok normal dengan CDR vertikal yang sama kecuali pada kuadran temporal.

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This was a comparative cross-sectional study. The purpose of this study was to assess and compare the peripapillary retinal nerve fiber layer (RNFL) thickness between the normal and glaucoma eyes with vertical cup disc ratio (CDR) 0.4 to 0.7 in eye clinic Cipto Mangunkusumo Hospital (RSCM) Kirana. A total of 40 eyes of normal group and 34 eyes of glaucoma following Humphrey field analyzer examination and Optical Coherence Tomography (OCT). Peripapillary RNFL thickness between normal and glaucoma eyes were analysed and compared each other. The result of this study was no difference in changes of peripapillary RNFL along with the progression of vertical CDR but clinically, peripapillary RFNL thickness in glaucoma group is thinner than that of normal group with the same vertical CDR except in temporal quadr."

"Menurut WHO, tahun 2013, Indonesia merupakan negara ketiga yang paling banyak pengidap TB dengan angka insiden 185 per 100.000 penduduk dan angka kematian sebesar 27 per 100.000 penduduk. Berdasarkan laporan perkembangan TB di Indonesia Januari s.d. Juni 2011 angka penemuan pasien baru TB (case detection rate/CDR) pada tahun 2010 tercatat 8 provinsi yang mencapai target CDR 70%, salah satunya adalah Provinsi Banten. Kota Tangerang adalah salah satu kota yang berada di Provinsi Banten dengan pencapaian CDR pada tahun 2010 hanya sebesar 68,2%. Tercatat di Puskesmas Karawaci Baru pencapaian CDR tahun 2010 hanya sebesar 55%, bahkan pada tahun 2014 hanya sebesar 29%. Tingkat pengetahuan merupakan salah satu faktor yang dapat meningkatkan cakupan penemuan pasien TB didapatkan sebesar 68,4% tahu mengenai penyakit TB, 27,8% cukup tahu mengenai TB, dan 3,8% kurang tahu mengenai TB. Berdasarkan uji statistik, tidak didapatkan hubungan yang signifikan antara nilai pengetahuan dengan temuan suspek sehingga diperlukan faktor lain untuk meningkatkan cakupan penemuan TB, seperti tingkat kesadaran dan perilaku mencari layanan kesehatan.

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According to WHO, in 2013, Indonesia is the third country with TB sufferers accounted 185 incidence rate per 100,000 population and a mortality rate of 27 per 100,000 population. Based on the progress report of TB in Indonesia from January to June 2011, the discovery rate of new TB patients (case detection rate / CDR) in 2010 listed eight provinces achieve the target of 70% CDR, one of which is the Banten Province. Tangerang city is one of the city located in the Banten Province with the achievement of CDR in 2010 only amounted to 68.2%. Recorded in Puskesmas Karawaci baru, attainment CDR in 2010 was only amounted to 55%, even in 2014 only by 29%. The level of knowledge is one factor that can increase the coverage obtained by the discovery of the TB patients 68.4% know about TB disease, 27.8% know enough about TB, and 3.8% less know about TB. Based on statistical test, there was not a significant relationship between the value of knowledge and the findings (suspected) so that other factors are required to increase the coverage of TB, such as the level of awareness and health services seeking behavior."