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Abstrak :
Kantor Kesehatan Pelabuhan merupakan penjaga kesehatan di pintu masuknegara. Upaya penyelenggaraan kesehatan di pintu masuk negara harus didukung oleh alokasi pembiayaan kesehatan yang cukup, efektif dan efisien. Analisis pembiayaan kesehatan dan kinerja ditujukan untuk melihat pembiayaan kesehatan dalam mencapai sasaran kinerja yang ditetapkan. Penelitian ini menggunakan metode kualitatif dengan teknik WM dan telaah dokumen terkait. Dokumen terkait realisasi belanja dianalisis menggunakan tools Health Account dan ditabulasi dengan tabel pivot. Hasil penelitian menunjukkan sasaran strategis dan indikator kinerja yang ditetapkan tidak sejalan dengan tugas pokok dan kegiatan yang dilaksanakan. Imbasnya, alokasi pembiayaan kesehatan harus sesuai menu penyusunan perencanaan meskipun peruntukannya terbatas. Penyusunan anggaran memenuhi prinsip penganggaran terpadu dan pendekatan kerangka pengeluaran jangka menengah. Meskipun disiasati dengan efektif, pemotongan anggaran berdampak pada capaian kinerja. Pengeluaran pelayanan kesehatan saat ini sebesar 72,8 -88,7 dengan komposisi fungsi pelayanan pelayanan preventif sebesar 50 -64 dan sisanya fungsi tata kelola dan administrasi kesehatan. Pembentukan modal tetap bruto dalam sistem kesehatan sebesar 11 -27 dari total pengeluaran kesehatan. Pelaksanaan UKM cukup baik dalam menggerakkan mesin birokrasi dan sosial namun terkendala koordinasi pada kegiatan pengawasan OMKABA dan pelabuhan/bandar udara sehat. Ketersediaan SDM belum sesuai standar dan distribusinya tidak merata. Revisi UU kekarantinaan kesehatan yang belum disahkan membuat penguatan KKP belum berjalan optimal. Pengelolaan sistem informasi berjalan dengan baik kecuali website yang kurang diperbaharui. Kesimpulan diperoleh pembiayaan kesehatan belum berbasis kinerja untuk mendukung tupoksi. Capaian kinerja belum optimal bukan hanya disebabkan oleh faktor pembiayaan namun kerjasama lintas sektor, dukungan regulasi, SDM dan peran serta masyarakat turut mempengaruhi pencapaian. Direkomendasikan melakukan penyesuaian antara sasaran strategis dan indikator kinerja dengan tupoksi dan pelaksanaan kegiatan, perbaikan dan penyesuaian menu perencanaan, mengadakan perjanjian kerjasama kegiatan pengawasan OMKABA, mengusulkan pengadaan dan pemerataan SDM sesuai standar, mendorong percepatan pengesahan RUU Kekarantinaan Kesehatan melalui konsultasi publik, advokasi yang lebih intensif kepada pihak-pihak terkait di bandara/pelabuhan, memperbaharui website dan memaksimalkan tren media sosial, serta meningkatkan dan memprioritaskan alokasi pembiayaan kegiatan langsung dan yang mengungkit indikator kinerja. ......Port Health Office is a health guard at the state's point of entry. Public health strengthening at the point of entry should be supported by adequate, effective and efficient allocation of health financing. Health financing and performance analysis is aimed to analyze health financing related to achieve defined goal performance. This is a qualitative research using indepth interview method and documents review. Expenditure documents were analyzed using Health Account tools and tabulated with pivot tables. The results shows that the strategic objectives and performance indicators set arenot in line with the main tasks and activities undertaken. As the impact, health financing must be allocated based on planning menu although the allocation is limited. Budgeting meets the principles of a unified budgeting and medium term expenditure framework approach. Although budget cuts have been tried to be effectively tackled, they impacts to the performance goals. Current expenditure on health care is 72,8 88,7 with the preventive care is 50 64 and the rest is governance, and health system and financing administration expenditure. Expenditure on gross capital formation in the health care is11 27 of THE Total Health Expenditure. Public health program have been well implemented to empower the bureaucratic and social machines though the controls of drugs, food, cosmetics, medical devices, addictive materials OMKABA and a healthy port airport were not well coordinated. The availability of human resources is not up to standard and the distribution is uneven. Unrevision of the Law on Health Quarantine made the point of entry strengthening not optimal. The management of information system goes well but website is not well updated. Conclusion shows that the health financing is not performance based to support tasks, principal and functions. Goal performance is not optimal due to financing factor, cross sector cooperation, regulation support, human resources and community participation which play important roles in the achievement. It is recommended to make an adjustment between strategic objectives and performance indicators with main tasks and activities undertaken, improvements and adjustments to the planning menu, changes in performance indicators, to conduct agreement on OMKABA controls, to propose procurement and distribution of human resource based on standard, to accelerate the enactment of the revision of Law on Health Quarantine through public consultation, more intensive advocacy to stake holders at the airports ports, update websites and maximize trends social media, as well as increasing and prioritizing funds to finance direct health activity and those that improves performance indicator.

Abstrak :
Loading and unloading activity at port of Boom Baru in Palembang reached mean number 8264.892 ton each year. This caused happening of particulate contamination which can cause of the occurrence of non infection bronchi trouble. This study aim is to know PM10 exposure to occurrence of non infection bronchi trouble for loading and unloading worker at Port of Boom Baru in Palembang. In this study, variables of temperature, dampness and wind velocity are studied and their effect for PMI0 concentration, while variables of PM10 concentration, age, work time, nutrition status, smoking habit and usage of self protective device (APD) are checked and their effect for the occurrence of non infection bronchi trouble. PM1o concentration is used for analyzing effect of particulate contamination for the occurrence of non infection bronchi trouble. This study used a retrospective cohort study design for calculating Relative Risk (RR) to occurrence of non infection bronchi trouble as result of PM1o exposure and also another factors. Data analysis which has been done consisting of univariate analysis (descriptive), bivariate (kai square test and t-test) and multivariate (multiple linear regression and multiple logistic regression). Data analysis result indicated the existence of PM,o concentration related to temperature variable (p = 0,022), dampness (p = 0,002) and wind velocity (p = 0,006). While data analysis for the occurrence of non infection bronchi trouble with PM16 concentration variable (p = 0,001), age (p = 0,011), work time (p = 0,044) and smoking habit (p = 0,000). From all factors which related significantly, smoking habit is a dominant factor which affecting for the occurrence of non infection bronchi trouble. Therefore, factors which affected for occurrence of non infection bronchi trouble must be lessened, especially for smoking habit.

Abstrak :
Aktivitas bongkar muat di pelabuhan Boom Baru Palembang yang mencapai rata-rata angka 3.264.892 ton/tahun, hal ini memungkinkan teejadinya pencemaran partikulat yang dapat menyebabkan kejadian gangguan saluran pemapaaan non inreksi. Penelitian ini untuk mengetabui pajanan PM10 terhadnp kejadian gangguan saluran pemapasan non infeksi padn tenaga kerja bongkar muat di pelabuhan Boom Baru Pelembang. Dalam penelitian ini variable suhu, kelembaban dan keeepatan angin diteliti pengaruhnya terhadap konsentrasi PM10, sedangkan variable konsentrasi PM10 umur, masa kerja,. status gizi, kebiasaan merokok dan penggunaan alat pelindung diri (APD) diteliti pengaruhnya terhadap kejadian gangguan saluran pernapasan non infeksi. Konsentrasi PM1o digunakan untuk menganalisa efek pencemaran partikulat. Terhadap kejadian gangguan saluran pernapasan non infeksi. Penelitian ini dengan menggunakan disain restrospective cohort study untuk menghitung Risiko Relatif (RR) pada kejadian gangguan saluran pernapasan non infeksi akibat pajanan PM 10 serta faktor-faktor lain. Analisa data yang dilakukan mencakup analisa univariat (deskriftif), bivariate (uji kai kuadrat dan t-test) dan multivariate (regresi linier ganda dan regresi logistik ganda). Hasil analisa data menunjukkan hubungan konsentrasi PM 10 dengan variabel suhu (p=0,022), kelembaban (p=0,022) dan kecepatan angina )p=0,006). Sedangkan analisa data kejadian gangguan saluran pernapasan non infeksi dengan variabel koosentmsi PM..(p 0,001), umur (p 0,011), masa kerja (p 0,044) dan kebiasaan merokok (p 0,000). Diantara faktor-faktor yang berhubungan secara signifikantersebut; kebiasaan merokok merupakan faktor dominan, yang berpengaruh terhadap kejadian ganggnan saluran pernapasan non infeksi. Oleh karena itu faktor-faktor yang berpengaruh terhadap kejadian ganggnan saluran pernapasan non infeksi harus di kurangi, terutama terhadap kebiasaan merokok. ......Loading and unloading activity at port of Boom Barn in Palembang reached mean number 3.264.892 ton eaob year. This caused happening of particulate contamination which can cause of the occurrence of non infection bronchi trouble. This study aim is to know PM1o exposure to occurrence of non infection bronchi trouble for loading and unloading worker at Port of Boom Baru in Palembeng.ln this study, variables of temperature, dampness and wind velocity are studied and their effect for PM10 coneentration while variables of PM1o concentration, age. wotk time. nutrition status. smoking habit and usage of self protective device (APD) are checked and their effect for the occurrence of non infection bronchi trouble. PM10 concentration is used for analyzing effect of particulate contamination for the occurrence of non infection bronchi trouble. This study used a retrospective cohort study design for calculating Relative Risk (RR) to occurrence of non infection-habit is a dominant factor which affecting for the occurrence of non infection bronchi trouble. Therefore., factors which affected for occurrence of non infection bronchi trouble must be lessened, especiaUy for smoking habit.