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"Dampak negatif pembangunan antara lain adalah menurunnya kualitas lingkungan, sampai kepada menurunnya kualitas kesehatan masyarakat akibat berbagai bentuk pencemaran. Dampak langsung dari pencemaran udara, terutama yang berasal dari kualitas udara ambien akan menyebabkan penyakit gangguan saluran pernapasan. Contohmya kasus yang ada di kecamatan Muara Badak, kabupaten Kutai, Kalimantan Timur.Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempunyai kontribusi terhadap penyakit saluran pernapasan pada masyarakat usia dewasa di kecamatan Muara Badak. Dilakukan survey dengan pendekatan cross-sectional di sekitar ke 3 lokasi pengambilan sampel untuk pengukuran kualitas udara ambien, dilakukan pula pengambilan sampel secara acak dan proporsional sebanyak 120 responder.Hasil penelitian menunjukkan kadar partikulat di lokasi penelitian adalah antara 133 µg/m³--415 µg/m3. Sedangkan batas baku mutu lingkungan yang ditetapkan dalam Surat Keputusan Menteri Lingkungan Hidup adalah 260 µg/m³. Secara statistik diperoleh hubungan yang bermakna antara kadar partikulat dan faktor lama tinggal dengan kejadian penyakit saluran pernapasan. Akan tetapi faktor-faktor jenis pekerjaan, masa kerja, merokok, dan kondisi lingkungan hunian (kepadatan hunian, ventilasi, dan bahan bakar masak) secara statistik tidak menunjukkan hubungan bermakna dengan kejadian penyakit saluran pernapasan.

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The decreasing of environmental quality is one of several development program negative impacts. Such as decrease consequently, leads a decrease of public health condition in a community.The direct impact of air pollution, especially which is from dust particles in the ambient air quality will cause the incidence of respiratory diseases. The example was the case in Muara Badak districts, Kutai, East Kalimantan.The objective of this research is to determine the factors that have contribution to incidence of respiratory diseases among the old people in Muara Badak.By conducting surveys and using a cross sectional approach, from the three air sampling sites, 120 respondents were chooser randomly and proportionally.The Result of this research showed the concentration of dust particles was 133 µg/m3 -- 415 µg/m³. The degree of the states Minister Of The Environment is 260 µg/m3. Statistically it is obtained a significant relationship between the concentration of dust particles and the period time of living with the incidence of respiaratory diseases.Another result of this research showed statistically that there's no significant relationship between type of work, time of work, smoking habit, the condition of the houses (overcrowded homes, ventilation, and use of cooking fuel) with the incidence of respiratory diseases."

"Tesis ini membahas tentang kepuasan pelanggan melalui lima dimensi kepuasan (tangibles, reliability, responsiveness, assurance, emphaty) dan minat untuk memanfaatkan kembali pelayanan kesehatan di Puskesmas Dengan Tempat Perawatan (DTP) Kabupaten Cirebon. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Data diolah melalui analisis univariat, bivariat, multivariat, dan dengan menggunakan diagram kartesius. Hasil penelitian menyarankan bahwa pihak Puskesmas harus lebih meningkatkan lagi kualitas pelayanan, khususnya pada dimensi tangibles terutama aspek kelengkapan dan kebersihan peralatan di Puskesmas, penataan dan kebersihan gedung Puskesmas, kebersihan dan kenyamanan ruang tunggu pasien dan ruang perawatan, serta kebersihan kamar mandi.

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The study focussed into the costumer satisfaction on 5 aspects (tangibles, reliability, responsiveness, assurance, emphaty) and willingness to re-function the public health services in Puskesmas (community health centre) equipped with care unit (DTP) in Cirebon district. This research used quatitative method with cross sectional approach. The data was processed with univariate, bivariate and multivariate analysis using Caretesius diagram.

The reasercher suggests that Puskesmas should improve the service quality, in particular the tangibles aspect, especially the aspects of medical equipment cleanness and availability, Puskesmas building management and cleanness, patient waiting room and care unit room cleanness and comfort, and also bathroom's cleanness."

"Hasil pemeriksaan laboratorium yang cepat dan akurat sangat penting untuk pengarnbilan keputusan bagi dokter. Kesalahan hasil pemeriksaan laboratorium akan berdampak pada kesalahan dokter dalam mendiagnosis suatu penyakit serta penatalaksanaan pasien (pemantauan jalannya penyaldt dan evaluasi efektivitas pengobatan). Untuk itu upaya mencegah atau meminimalisasi faktor-faktor penyebab kesalahan analisis, harus dilkukan dengan kegiatan pengendalian mutu balk internal maupun eksternaI (uji profisiensi). Penelitian ini bertujuan untuk mengetahui faktor dominan pada kinerja laboratorium klinik di Provinsi Jawa Barat yang berperan dalam penyimpangan hasil pemeriksaan melalui uji profiiensi. Desain penelitian adalah cross sectional dengan pendekatan kuantitatif. Responden adalah petugas laboratorium klinik peserta uji profisiensi. Sampel penelitian berupa total populasi sebanyak 77 laboratorium. Pengumpulan data dilakukan dengan kuesioner dari melihat hasil evaluasi kegiatan pengendalian mutu eksternal laboratorium kesehatan provinsi Jawa Barat tahun 2007. Hasil penelitian menunjukan bahwa faktor manusia, alat, lingkungan, dan sistem memiliki hubungan yang bermakna dengan kinerja laboratorium. Hasil analisa multivariat menunjukan bahwa faktor manusia raerupakan faktor dominan penyebab kesalahan analisis di laboratorium klinik. Studi ini menyarankan agar pimpinan laboratorium dan dinas kesehatan provinsi Jawa Barat lebih meningkatkan kualitas tenaga laboratoriuna dengan mengikutsertakan path program pendidikan berkelanjutan sesuai keahlian dan spesifikasi pekerjaannya.

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A quick and precise clinical laboratory examination result was very important for a physician in making medical decision. Any inaccuracies of laboratory results could affect the medical decision suggested by the physician and as well as for the effectiveness of patient treatment.There were some efforts proposed to minimize laboratory examination inaccuracy, i.e., internal quality control and external quality control, called as proficiency test.

The research objectives were to determine any factors which are involved in making of any inaccuracy in some clinical laboratories in West Java Province, using proficiency test. The research was designed as a quantitative approach of cross-sectional method. Respondents who involved in the research were laboratory technicians (called health analyst) taken from seventy-seven (77) clinical laboratories located around West Java Province. Data collecting were conducted using interviewing and questionnaires check-list, and also secondary data collecting from West Java Health Laboratory External Quality Control Program conducted in year 2007.

The results have been concluded that individual skills (human factor), laboratory equipments, job environments and laboratory management system show a significant correlation with the laboratory performance. Statistical multivariate analysis has determined that individual skill (human factors) was as dominant factor in making inaccuracy of laboratory examination result. Based of the conclusion and discussion, the research recommended that West Java Health Agency and related stakeholders could make some efforts in improvement of laboratory's individual quality which is can be realized with academic upgrading based on their specific jobs. "

"Setiap tahunnya, 585.000 ibu meninggal akibat komplikasi kehamilan dan persalinan, dan hampir 99% dari kematian tersebut terjadi di negara berkembang. Pada tahun 1995, Angka Kematian Ibu (AKI) di Indonesia di perkirakan sekitar 373 per 100.000 kelahiran hidup. Angka tersebut merupakan yang tertinggi dibandingkan negara ASEAN.Persalinan lama atau macet merupakan salah satu dari lima penyebab kematian ibu di negara berkembang. Berdasarkan hasil SKRT 1995, persalinan lama juga merupakan komplikasi persalinan yang paling sering dikeluhkan oleh ibu. Persalinan lama atau macet merupakan satu-satunya komplikasi persalinan yang mengakibatkan begitu banyak morbiditas kronis.Tujuan penelitian ini adalah untuk mengetahui hubungan antara penolong persalinan dengan kejadian persalinan lama, faktor-faktor yang berhubungan dengan persalinan lama dan untuk mengetahui informasi mengenai kebijakan dan program penatalaksanaan persalinan lama di tingkat pelayanan kesehatan dasar dan rujukan.Penelitian ini memadukan metode kuantitatif dan kualitatif. Metode kuantitatif menggunakan data Studi Morbiditas dan Mortalitas SKRT 1995 di Jawa Barat, sedangkan metode kualitatif menggunakan wawancara mendalam dan studi kasus di Kabupaten Tangerang.Hasil penelitian memperlihatkan bahwa angka kejadian persalinan lama di Jawa Barat sebesar 6,4%. Analisis data multivariat menemukan bahwa penolong persalinan dan tempat tinggal berhubungan dengan persalinan lama. Ibu yang tinggal di desa berpeluang mengalami persalinan lama 2,7 kali dibandingkan ibu yang tinggal di kota setelah dikontrol variabel penolong persalinan.Penelitian ini menunjukkan bahwa asuhan persalinan oleh tenaga kesehatan terlatih dapat menurunkan risiko komplikasi persalinan. Persalinan lama sering terlambat dirujuk karena dukun tidak mampu menilai kemajuan persalinan dan tidak mengetahui tanda-tanda atau penyebab ketika persalinan lama terjadi.Program pencegahan persalinan lama harus ditujukan untuk meningkatkan cakupan persalinan oleh tenaga kesehatan terlatih, menyediakan kartu sehat bagi kelurga tidak mampu, memperbaiki sistem transportasi, menunda pernikahan melalui program wajib belajar sembilan tahun serta meningkatkan status gizi dan kondisi lingkungan anak perempuan sehingga mereka dapat mencapai tinggi badan yang optimal.

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Relationship between Birth Attendant and the Occurance of Prolonged Labor in West JavaAt least 585,000 women die each year from the complications of pregnancy and childbirth, and almost 99% of these deaths occur in developing countries. In 1995, Maternal Mortality Ratio (MMR) in Indonesia is estimated 373 per 100,000 live births. This figure is relatively high when compares to ASEAN countries.

Prolonged or obstructed labor is one of the five major causes of maternal mortality in developing countries. Based on the 1995 Household Health Survey, prolonged labor is also the most common reported obstetric complication. No other complication of delivery is associated with as much chronic morbidity as prolonged or obstructed labor.

The purposes of this research are to examine the relations between birth attendant and prolonged labor, to examine factors that might affects the occurance of prolonged labor and to review the policies and programs on the management of prolonged labor at primary and referral health services.

This research combined quantitative and qualitative method. The quantitative method used the Maternal Morbidity and Mortality data from the 1995 Household Health Survey in West Java, and qualitative method used in-depth interview and case study in the District of Tangerang_The result showed that the prevalence of prolonged labor in West Java was 6.4%. The multivariate logistic regression analysis found that the birth attendant and the residence were associated with the occurance of prolonged labor. Women who lived in the rural area are 2.7 times as likely to experience prolonged labor than those who lived in the urban area, controlled by birth attendant.

This study revealed that delivery care by trained health care provider could reduce the risks of prolonged labor. Prolonged labour were often referred too late because the traditional birth attendant (TBA) could not be able to assess the progress of labor, they did not know the symptoms and the causes when prolonged labour occur.

Intervention programs should be directed to increase the coverage of delivery attended by trained health care provider, provide health card for poor family, improve transportation system, delay marriage until women have reached full physical maturity through compulsory universal education and improve nutrition status and living conditions for girls to prevent stunded growth."

"Di Indonesia penyakit malaria khususnya diluar Jawa-Bali masih menjadi masalah kesehatan masyarakat, hal ini disebabkan karena masih tingginya angka kesakitan, dimana pada akhir pelita VI angka kesakitan 32,23 perseribu penduduk dan parasit rate di daerah prioritas 4,78 perseratus penduduk, sedangkan tujuan yang ingin dicapai adalah menurunkan angka kesakitan dibawah 40 perseribu penduduk dan di daerah prioritas menurunkan parasit rate dibawah 2 perseratus penduduk dan malaria tidak lagi menjadi masalah kesehatan masyarakat.Sedangkan di Propinsi Daerah Istimewa Aceh angka kesakitannya 32,7 perseribu penduduk dan pada daerah prioritas parasit rate 3,15 perseratus penduduk dan khususnya pada daerah pantai 4,91 perseratus penduduk.Dalam penelitian ini dilakukan pengambilan total sampel sebanyak 45 desa di daerah pantai dengan lingkup 4 dati II di 7 kecamatan dengan melakukan pengumpulan data sekunder laporan penyemprotan rumah dengan bendiocab dan data survai malaria tahun 1997 - 1998. Kemudian data tersebut dilakukan pengolahan dan analisa data dengan menggunakan program SPSS dan Epi Info untuk mengetahui apakah ada pengaruh penyemprotan rumah dengan insektisida terhadap penurunan parasit rate.Dalam penelitian ini di fokuskan pada 4 variabel yang terkait dengan kualitas penyemprotan rumah dan breeding places dengan perubahan parasite rate, dengan hasil yang diperoleh menggambarkan adanya perbedaan yang bermakna antara parasite rate awal dengan parasite rate akhir dengan p = 0,020 dengan perbedaan rata-rata parasite rate awal 4,84 dengan simpangan baku 4,78 dan rata-rata parasite rate akhir.3,80 dengan simpangan baku 3,64 (t-tes). Namun dari hasil uji statistik dengan chi squre's yang dilakukan terhadap kualitas penyemprotan dengan perubahan parasite rate ditemukan hubungan yang tidak bermakna dengan nilai p -1,00.Sedangkan hubungan antara breeding places dan perubahan parasite rate di peroleh hasil uji statistik dengan paired t-tes diperoleh nilai p = 0,051 , sehingga menggambarkan kecendrungan bahwa pada desa yang mempunyai breeding places penyemprotan rumah mempunyai manfaat dalam penurunan parasite rate. Dan hasil uji paired t-tes pada desa yang ada breeding places yang dilakukan penyemprotan dengan kualitas baik mempunyai manfaat dalam penurunan parasite rate.Sehingga dari pembahasan dapat disimpulkan bahwa pada desa-desa yang ada breeding places, penyemprotan rumah dengan kualitas baik dapat menurunkan parasite rate.Daftar bacaan: 16 (1969 -1999)

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Spaying Effect with Bendiocarb for Housing to Decreasing Parasite Rate Malaria Desease in the Seashore of Province Specific AcehMalaria desease in Indonesian, especially out side Jawa-Bali still be a problem of Public Health. Because of it's incidence rate is still high. In last pelita VI, the incidence rate it 32,23 / 1000 of population and parasite rate in the priority area 4,78 /100 population. The am halt want to action is reduce incidence rate lower than 40/1000 population and for the priority area lower than 2/100 population, after malaria desease will not the a public health problem any more.Incidence rate in Provinc specific Aceh is 32,7/1000 population and in priority area parasite rate is 4,25 /100 population, especially for the sea shore areait is parasite rate 4,93/100 of population.In this reseach, total sample in taken from 45 villages in the leach which haven four municiplelities in seven district by collecting secondary data have spraying report with Bendiocarb and malaria survey in 1997-1998. The data is manufactored and analisys data by Epi Info and SPSS, for used is there an effect of house spraying with insectiside to reduce parasite rate.This reseach is focus by 4 variables that connect with the house spraying quality for loused and breeding places with changing parasite rate, and the ralt pictures that there is a with significant 0,020, with mean deviation of begginning parasite rate is 4,84 with standart deviation 4,78 and last mean parasite rate is 3,80 with standart deviation 3,64 (paired t-tes). But, the result of statistic test used chi square's, which is done to spraying quality with relation and parasite rate changes, is founded the meaninggless relation with probability score 1,0000.Beside that to relation with breeding places and changing parasite rate statistic test with paired t-tes scor 0,051 is showed trends to villagge to relation in reduce parasite rate. And statistic paired t-tes an village between breedingplaces with spraying good quality and having in reduce the parasite rate.Refference, 16 (1969 -1999)."

"Peningkatan kinerja, produktivitas dan keefektifan perusahaan merupakan usaha yang sulit, memerlukan kerja sama antara manajemen, karyawan dan perusahaan. Puskesmas Perawatan Merlung merupakan sarana layanan kesehatan di wilayahnya yang tentunya sangat dibutuhkan masyarakat setempat. Bila dilihat dari hasil evaluasi penilaian puskesmas dari tahun 2009 sampai 2011, pencapaian indikator Puskesmas Perawatan Merlung mengalami penurunan yaitu dari 45,17% pada tahun 2009 menjadi 37,79% pada tahun 2011.Penelitian ini bertujuan untuk mengetahui pengaruh langsung dan tidak langsung antara kepuasan kerja dan kepatuhan terhadap kinerja petugas layanan kesehatan di Puskesmas Perawatan Merlung.Penelitian ini merupakan penelitian observasional dengan menggunakan cross sectional study. Populasi penelitian adalah seluruh petugas Puskesmas Perawatan Merlung berjumlah 40 orang yang berhubungan langsung dengan pelayanan kesehatan. Dimensi kepuasan kerja, kepatuhan petugas dan kinerja diukur dengan menggunakan semantic differential scale, selain mengukur sikap dan karakteristik juga mengukur 5 dimensi pelayanan seperti tangibles, reliability, responsiveness, assurance dan empathy. Keseluruhan analisis menggunakan program SPSS ver. 20.0 dengan tingkat kemaknaan uji p<0,05.Hasil akhir dari keseluruhan analisis pada penelitian ini didapati regresi linier antara variabel kepuasan kerja terhadap variabel kinerja petugas, menunjukkan bahwa variabel kepuasan kerja sebagai prediktor untuk kinerja petugas. Oleh sebab itu perlu senantiasa perbaikan dan evaluasi dari kebijakan yang sudah ada untuk peningkatan kepuasan kerja dan kepatuhan petugas sehingga menghasilkan peningkatan kinerja yang baik terhadap pelayanan kesehatan.

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Improved performance, productivity and effectiveness of the company is a difficult undertaking, requiring cooperation between management, employees and the company. Merlung Service Health Care Center is a health care Facilities in the region are certainly much needed local community. When seen from the results of the evaluation assessment clinic from 2009 to 2011, the achievement indicators Merlung Service Health Care Center is decreased from 45.17% in 2009 to 37.79% in 2011.

This study aims to determine the direct and indirect influence between job satisfaction and compliance with the performance of the hospitality officer at Merlung Service Health Care Center.

This study is an observational research using cross sectional study. Population were all officers Merlung Service Health Care Centers are 40 people who are directly related to health care. Dimensions of job satisfaction, compliance officers, and performance was measured using semantic differential scale, in addition to measuring attitudes and characteristics were also measured 5 dimensions of service such as tangibles, reliability, responsiveness, assurance and empathy. Overall analysis using SPSS ver. 20.0 with a significance level of test p <0.05.

The end result of all this research is the analysis of the linear regression was found between job satisfaction variable on the variable performance officer, indicated that job satisfaction variables as predictors for performance officer. Therefore it is necessary to constantly repair and evaluation of existing policies to increase job satisfaction and compliance officers resulting performance improvement is good for health care services."

"Penelitian ini bertujuau untuk mengetahui gambaran kinerja bidan di desa (bides) dan faktor-falctor yang berhubungan dengan kinerja bidan di desa dalam pelayanan kebidanan program JPKMM di'Kabupaten Aceh Selaian tahun 2007. Penelitian ini dilakukan dengan desain penelitian cross sectional dengan pendekatan kuautitatif dan dianalisa secara univariat, bivariat dan multivariat. Populasi dalam penelitian ini adalah seluruh bides yang bertugas di wilayah Aceh Selatan tahun 2007 berjumlah 117 orang dan yang menjadi sampel adalah bides yang sudah bertugas minimal 1 tahun pada bulan Agustus 2006 berjumlah 104 orang. Hasil penelitian menunjukan sebagian besar kinerja bides dalam pelayanan kebidanan program JPKMM di Kabupaten Aceh Selatan tahun 2007 kurang (56%), Faktor yang dominan berhubungan dengan kinerja adalah pesaing, pembiusan, pengetahuan dan motivasi. Faktor yang tidak berhubungan dengan hides adalah umur, status pernikahan, status kepegawaian, domisili, jumlah desa, sikap, imbalan, kemampuan dan pendidikan. Perlu adanya bememtaan pembinaan kepada bides dan memberikan penghargaan kepada Bidan untuk meningkatkan motivasi bidan di desa dalam melakukan pelayanan kebidanan program JPKMM.

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This Research aimed to find out the picture of village midwife performance and what factors that related to village midwife performance in midwifery service of program JPKMM in Aceh Selatan District, year 2007. This Research was done by a cross sectional method with quantitative approach and imivariate, `bivarite, multivariate analyzed. The Population was all village midwives in Aceh Selatan District in 2007 amormt to l 17 people and that become sampel was village midwife. Researches Result shows a large part of village midwife performances in midwifery service of program JPKMM in Sub-Province of Aceh Selatan year 2007 less (56%), Dominant Factor relaters to village midwife performance aria: competitor, supervision, knowledge and motivation. Factors which unrelated to village midwife performance are : age, marriage status, employe status, domicile, amount village, attitude, reward, ability and education. Must existence of supervision generalization to village midwife and give reward to village midwife to improve village midwife motivation in conducting service of program midwifery JPKMM."

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This research was done to find out defecation behaviour among rural community after triggering Community Led Total Sanitation (CLTS) in villages under Puskesmas Pagelaran, Pandeglang district in 2009. Using cross sectional design, 210 respondents who were randomly selected, were recruited with criteria already exposed with CLTS trigger. The result indicated that perceived barriers using latrine and low income are two risk factors to defecate in latrine. On the other hand, perceived threatening, perceived benefit, land availability, facilitator?s and social support can significantly protect respondents to defecate in Iatrine (p=0,05). Among those variables, facilitator support is the dominant variable (0R=I2,743) related to latrine defecation behavior. It is recommended to consider all variables above, especially facilitator support, in implementing CLTS program in order to maintain and preserve clean and healthy life behaviour permanently among community."

"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.

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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."

"Kepuasan kerja perawat pelaksana dapat mempengaruhi pemberian pelayanan kesehatan di rumah sakit. Penelitian ini bertujuan mengetahui pengaruh langsung dan tidak langsung serta besarannya antara aspek kepribadian dalam pekerjaan dan karakteristik faktor pekerjaan terhadap kepuasan kerja perawat pelaksana di ruang rawat inap RSUD Banjarbaru 2013. Penelitian ini merupakan studi deskriptif dengan desain cross sectional dan jumlah sampel 90 orang. Hasil analisis SEM-SmartPLS-v.2.0 menunjukan adanya hubungan yang bermakna antara kepuasan kerja perawat pelaksana dipengaruhi secara langsung dan tidak langsung antara aspek kepribadian dalam pekerjaan serta karakteristik faktor pekerjaan terhadap kepuasan kerja perawat pelaksana. Direkomendasikan perlunya dukungan besar manajemen untuk peningkatan kepuasan kerja perawat pelaksana.

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Job satisfaction of nurses can influence health service delivery in the hospital. This study aims to determine the effect of direct and indirect as well as the magnitude of the aspect of personality factors in work and job characteristics on job satisfaction of nurses in at the Inpatient Public Hospital Banjarbaru 2013. This research is a descriptive study with cross-sectional design and sample size 90.

SEM analysis results-v.2.0-SmartPLS show a significant relationship between job satisfaction of nurses is influenced directly and indirectly between aspects of personality in the work as well as the characteristics of occupational factors on job satisfaction of nurses. Recommended the need for increased support for the management of the job satisfaction of nurses."