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Abstrak :
RSUD Pemerintahan Kabupaten Sumedang telah terpapar dengan kebijakan PMK dengan nomor 836/MenkesiSICN1/2005 tentang Pedoman Pengembangan Manajemen Kinerja (PMK) Perawat dan Bidan sejak tahun 2006. 1 (satu) orang Perawat sebagai DTOT kabupaten Sumedang serta 7 orang Perawat dan 1 orang Bidan sebagai First Line Manager (FLIVI) di Rumah Sakit mi. Berdasarkan hal tersebut dilakukan peneiitian Evaltzasi Kesiapan Implementasi PlvIK Perawat dan Bidan Di Unit Pelayanan Kesehatan Reproduksi RSUD Pemerintahan Daerah Kabupaten Surnedang Tahun 2010. Penelitian ini menggunakan metode kualitatif dan kuantitatif (kuantifikasi data). Hasil penelitian menunjukan belurn siapnya inaplementasi P/vIK bagi perawat dan bidan di Rumah Sakit ini, karena belum ada SK khusus untuk mengimplementasikan PMK dan belum tersedianya alokasi anggaran khusus mengimplementasikan PMK bagi perawat dan bidan. Dua komponen PMK. yang disuswi berbeda yaitu: Standar Operasional Prosedur (SOP) dalam bentuk Standar Asuhan Keperawatan (SAIC) dan uraian tu.gas perawat clan bidan berdasarkan kedudukan dalam struktur Rumah Sakit. Sementam 3 komponen lain yaitu: indikator kinetja, D.R.K serta monitoring dan evaluasi belum ada. Hasil evaluasi kinelja dari 31 orang perawat dan bidan di unit pclayanan kesehatan reproduksi Rumah Sakit ini, keadilan transparansi dalam penilaian kinerja di institusi tempat keija ditemukan kurang puas sebanyak 23 orang (74,2%). Disarankan pemegang komitmen dan pengambil keputusan untuk memberikan Support Sistem dan kebijakan dalam mengimplementasikan pengembangan manajemen kinelja bagi perawat dan bidan, 5 komponen PMK disusun dan dimplementasikan secara utuh untuk meniugkatkan kinexja perawat dan bidan khususnya dan mcningkatkan mutu pclayanan di Rumah Sakit ini pada umumnya. ......Sumedang District Govemment Hospital has been exposed by policy of Clinical Performance Development Management Systems (CPDMS) with the number of 836/Menlces/SK/VI!2005 about Pedoman Pengembangan Mamjemen Kinerja (PMK) Perawa: dan Bidan and there is a nurse as District Trainee of Trainer (DTOT) of Sumedang and 7 nurses and a midwife as First Line Manager (FLM) in this Hospital since 2006. The research of evaluation of implementation readiness nurses and midwives in Clinical Performance Development Management Systems (CPDMS) in Reproductive Health Care Unit at Sumedang District Government Hospital 2010 based on the statement below. This research use qualitative and quantitative methods. The result shows the Clinical Performance Development Management Systems (CPDMS) policies aren’t ready yet for nurses and midwives in the hospital, because there is no special Decree to implement Clinical Perfomance Development Management Systems (CPDMS) and there is no specific budget allocation for the implementation of CPDMS for nurse and midwife. Two components of CPDMS which were prepared diferentlyz Procedure Operating Standard (POS) in the form of Nursing Care Standards (NCS) and job descriptions of nurses and midwives based on the position in the structure of the Hospital. Meanwhile the three other components, namely: performance indicators, Reflection of Case Discussion and monitoring, and evaluation still pending. The results of evaluating the performance of 31 nurses and midwives in reproductive health services unit. The results of evaluating the performance of 31 nurses and midwives in reproductive health services unit, justice of transparency in the assessment of institutional performance in the workplace found less satisfied as many as 23 people or (74.2). Suggested to holders and decision makers are committed to providing support systems and policies to implement the Perfonnance Management Development for Nurses and Midwives and the five components of CPDMS prepared and fully implemented to improve the performance of nurses and midwives in particular and improve the quality of care in general hospitals.

Abstrak :
In the United States, the Clinical Laboratory Improvement Act (CLIA) of 1988 describes requirements and guidelines for implementing a quality control/quality assurance (QC/QA) program for moderate and high complexity laboratories. These requirements and guidelines apply to Assisted Reproductive Technology (ART) laboratories as well. The general topic of QC and QA as it pertains to in vitro fertilization (IVF) and embryo transfer (ET) is extensively reviewed. This review summarizes many of the QC and QA events that contribute to the advancement of knowledge in this biotechnological field. These events include control of the culture environment inside and outside of the incubator, as well as factors that affect culture media. This review also discusses, in considerable detail, the QC and the QA that pertain to equipment used within the laboratory and how to control for potential contaminants, which reside within the laboratory. This review provides evidence to indicate the need for laboratory personnel to monitor quality improvement issues on a continuous basis. Personnel must be willing to change as improvements in technology occur in order to meet the ever-evolving demands of a more difficult patient population. Suggestions for meeting these demands are offered.

Abstrak :
after the world witnessed groundbreaking early advances in assisted reproduction that utilized conventional in vitro fertilization in the human, more complex invasive techniques of oocyte and embryo manipulation were introduced to treat human subfertility. amongst these were numrous micromanipulation techniques such as partial zona dissection (PZD; 1988), subzonal insemination (SUZI, 1988) and subsequently ICSI, which became the most powelful tool of assisted fertilization (1992). ICSI requires micromanipulation of both the male and the female gamete. another importand approach is laser-assisted opening of the zona pellucida at different stages of preimplantation development either; to assist hatching (1990) or to remove cells for preimplantation genetic diagnosis (1989), or fragments to restore the integrity of an embryo (1999). sometimes even blastocysts considered for vitrification need further manipulation in order to artificially shrink the blastocoel which facilitates survival of expanded blastocyst (2002). other methods for reproductive purposes, however, failed to gain acceptance in population, such as cytoplasm transfer (1997), nuchler transfer (1998) and cloning (1996), to name but a few.

Abstrak :
Salah satu bagian penting dari program pembangunan kesehatan dan titik pusat pembangunan sumber daya manusia adalah program kesehatan reproduksi. Mengingat bahwa program kesehatan reproduksi menggunakan pendekatan siklus hidup, mengenai setiap orang dan mencakup banyak aspek kehidupan sejak dalam kandungan sampai pada kematian. Pengembangan sistem informasi program pelayanan kesehatan reproduksi yang terpadu yang difokuskan pada pemanfaatan indikator yang ada serta analisis pencapaian terhadap setiap komponen program kesehatan reproduksi khususnya paket esensial yaitu KIA, KB, ISR, dan KRR merupakan pendukung kegiatan monitoring dan evaluasi program serta bahan untuk melakukan manajemen program secara berkesinambungan dalam pencapaian menuju pelayanan kesehatan reproduksi yang efektif dan efisien. Kota Banda Aceh selama ini telah melakukan kegiatan pelayanan kesehatan reproduksi. Akan tetapi masih difokuskan kepada kegiatan pelayanan Kesehatan Ibu dan Anak serta kegiatan Pelayanan Keluarga Berencana saja, sedangkan untuk pelayanan Kesehatan Reporduksi Remaja (KRR) baru dalam tahap sosialisasi dan penyuluhan. Begitupun untuk pelayanan kesehatan, khususnya kasus penyakit menular seksual maupun infeksi saluran reproduksi belum dilakukan sebagai bentuk kegiatan rutin seperti pencegahan dan kontrol infeksi saluran reproduksi (termasuk HIV/AIDS) terutama pada ibu hamil. Permasalahan sistem informasi pada program pelayanan kesehatan reproduksi di kota Banda Aceh masih cukup banyak, diantaranya adalah masih belum optimalnya sistem tersebut dalam menyediakan informasi yang cepat, tepat dan akurat oleh karena masih dikerjakan secara manual, akibatnya sering terjadi keterlambatan maupun kesalahan dalam intervensi program dilapangan. Dengan dikembangkannya sistem informasi program pelayanan kesehatan reproduksi diharapkan dapat membantu dalam penguatan manajemen program yaitu perencanaan, monitoring dan evaluasi yang nantinya akan berujung pada pada peningkatan kinerja program pelayanan kesehatan reproduksi sebagai bagian upaya pelaksanaan program pelayanan kesehatan rerproduksi yang terpadu, khususnya untuk mencapai integrasi pelayanan yang optimal. Tujuan lain dikembangkannya sistem informasi program pelayanan kesehatan reproduksi ini adalah dapat diidentifikasinya permasalahan-permasalahan pada.sistem informasi pelayanan kesehatan reproduksi yang ada dan berjalan sebelumnya, terbentuknya sistem pencatatan dan pelaporan yang terpadu untuk program pelayanan kesehatan reproduksi di puskesmas, tersusunnya basis data dalam mendukung sistem informasi khususnya untuk kegiatan manajemen program kesehatan reproduksi, serta teridentifikasinya indikator-indikator utama dari tiap komponen program pelayanan kesehatan reproduksi khususnya paket pelayanan essensial (KIA, KB, PMS - HIV/AIDS serta KRR). Pengembangan sistem informasi program pelayanan kesehatan reproduksi ini mengikuti metode siklus hidup pengembangan sistem, dimana pengembangannya dibatasi hanya sampai pada tahap ujicoba prototype. Dan hasil analisis kelayakan yang dilakukan dalam rangka pengembangan sistem informasi ini dimana aspek kelayakan yang dinilai adalah dari aspek kelayakan ekonomis, teknis, dan organisasi maka disimpulkan bahwa sistem informasi ini cukup layak untuk dikembangkan. Sistem informasi program pelayanan kesehatan reproduksi ini memiliki beberapa prasyarat untuk dapat berjalan dengan baik, diantaranya adalah sumber daya manusia yang dibutuhkan untuk menjalankan sistem ini adalah orang yang bisa mengoperasikan komputer dan bisa memasukan data secara rutin, seluruh bidan desa maupun puskesmas mengerti tentang indikator-indikator yang digunakan dalam program pelayanan kesehatan reproduksi, tersedianya komputer dan perangkat lainnya untuk mengoperasikan aplikasi sistem informasi ini. serta yang cukup penting adalah sosialisasi kepada pengguna dan pihak pemegang kebijakan (stake holder). Mengingat bahwa aplikasi sistem informasi yang dikembangkan masih berupa prototype maka sebaiknya dilakukan ujicoba dilapangan berulang kali untuk mengetahui kelemahan dan kehandalan sistem sebenarnya.

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One of the important part of the health development programs and the center of human resources development is Reproductive Health Programs, because it is using a human lifecycle approaches not only considering all human being but it also covering almost all aspect of the life from the beginning of life into the end of life. The development of the integrated reproductive health information systems which is focused in the analyzing performance of existing indicators and from each components from essential package in the reproductive health services (MCH, FP, RTI including HIV/AIDS, and adolescents reproductive health services) are the substance in the monitoring and evaluation activity, and also as an object for the continuity in program management in order to achieve an effective and efficient reproductive health services. Banda Aceh city have giving reproductive health services, but still focusing in maternal and child health and family planning services, and for the adolescent reproductive health services is only delivered as socialization activity. Like wise the health services for sexual transmitted disease including HIV/AIDS and reproductive tract infection not yet delivered as a routine activity especially for pregnant women. Information system problems in reproductive health programs at Banda Aceh city is quite a lot, such as the existing information is not yet adequate for giving a fast, reliable and accurate information because it still done manually, the consequences of this problem like late and wrong in reproductive health program intervention frequently happen. The Expectation in the development of this reproductive health information system is that it can help in strengthening the program management such as planning, monitoring and evaluating which can be ended in improvement of programs performance as the effort in delivering services, especially to gain the optimum integrated reproductive health services. Other objectives in this information system development are that it can help identify problems in existing information systems, the developing of integrated reporting and recording activity for reproductive health programs in health centers, the formed of database to support the information systems specially for programs management, and the identifications of the main reproductive health services program indicators that will be used specially the essential package (MCH, FP, STD including HIVIAIDS and ARH). The development of this reproductive health service program was based on the system development life cycle methods, where the development was limited only in the trial of the sistem information application prototype. This reproductive health information systems have several requirements in order to be well functioned, such as the human resource requirement like an operators that familiar with computers and can routinely inputting data, all the midwives that involve in this reproductive health services is understand about the indicators that used in this program, the availabilty of computers and other hardwares in order to operate the application, and also the one of the important thing is a socialization of the systems on the stakeholders. Because this developed information systems application was in form of prototype then field trials was emphasized to identify the weaknesses and reliability of the applications.

Abstrak :
Penelitian ini bertujuan mengungkapkan pemahaman dan pengalaman remaja awal (preteen) tentang seksualitas dan kesehatan reproduksi. Bagaimana para remaja usia preteen memahami informasi yang masuk dan menerapkannya dalam kesehariannya dan pandangan-pandangan mereka bedasarkan pemahaman dan pengalaman mereka tentang seksualitas dan kesehatan reproduksi. Penggalian pemahaman dan pengalaman mengenai seksualitas dan kesehatan reproduksi dengan berpatokan pada kata-kata kunci yaitu, pacaran, ciuman, seksi, merangsang, VCD porno, perempuan baik-baik, mimpi basah, sperma, menstruasi, bersetubuh, diperkosa, dan hamil. Informan dalam penelitian ini adalah lima orang perempuan remaja usia awal dan tiga orang remaja laki-laki usia awal. Wawancara yang digunakan dalam penelitian ini adalah wawancara kelompok dari wawancara mendalam. Penelitian ini menggunakan teori-teori feminis yang menyangkut seksualitas dan kesehatan reproduksi dan psikologi. Hasil penelitian memperlihatkan bahwa pemahaman dan pengalaman remaja usia awal (preteen) sudah sangat jauh melebihi yang diduga dipahami dan diaiami remaja usia awal (preteen). Hal ini dipengaruhi oleh media, lingkungan, dan kelompok sebayanya. Beberapa pemahaman dan tindakan remaja awal (preteen) yang kurang benar dan cenderung salah ditemukan dalam penelitian ini. Hal ini berdampak tidak baik bagi perkembangan seksualitas dan kesehatan reproduksinya.

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This thesis is aims to discover understanding of sexuality and reproductive health and the experiences of preteen. This thesis examine how preteen internalize the information relating to sex and reproductive health and apply it in their daily life, their views based on their own experience and understanding. There are key words in the interview; dating, kissing, sexy, blue VCD, good girl, wet dream, sperm, menstruation, having sex, raped, and pregnant. There are eight informants, five girls and three boys in this research. In depth interviews and group discussions have been used in order to obtain accurate data. Feminist theories about psychoanalysis, sexuality and reproductive health are used. Findings show that preteens know more about sexuality than the researcher expected. Preteens are very much influenced by the media, their environment, and peer group. The misunderstanding that occur, have a negative effect on their sexuality and reproductive health.