The Scaling-Up Nutrition (SUN) Movement was an intervention to overcome chronic malnutrition through integrated stakeholder collaboration. Furthermore, the roles of stakeholders' in the SUN-Movement were not optimal and their characteristics were not yet known based on the groups and government areas (cities and regency). This study aims to map the SUN-Movement stakeholders' roles in different groups and government areas based on their attitudes, powers, and interests. This is an observational descriptive research with a qualitative approach. Totally of 30 institutions as stakeholders were involved in this study and divided into 3 different groups, namely Decision Maker (DM), Provider (P), and Clients & Representatives (CR). The DM group have the power to influence programs. Also, the P group was better at handling technical issues, however, it cannot build collaboration with other stakeholders. The CR tend to build this collaboration passively, nevertheless, it does not consider the SUN-Movement to be important. Consequently, each stakeholder views their roles differently. Different perceptions about stakeholders' roles in various indicators and government areas reveals an implementation gap in the SUN-Movement. Therefore, in conclusion, strengthening advocacy, coordination, routine socialization, and communication between stakeholders could bridge the needs, constraints and challenges that cause malnutrition and stunting.
Indonesia targeting that at least 70% of the population vaccinated and formed the herd immunity. However, there are several challenges in reaching that target, such as the anti-vaccine movements, disinformation or hoaxes, fear of the Adverse Event Following Immunization (AEFI), and fear of needles. Based on the preliminary study, the area of Bandarharjo Public Health Centre was in the lowest 3rd place related to the COVID-19 vaccination coverage in Semarang. This was due to lack of education to the community regarding the vaccination, the high resistance to vaccination due to concerns about AEFI, and so on. Health cadres are one of the main actors in the supporting the health programs in PHC, therefore the role of health cadres need to be optimized in education and management of AEFI related to COVID-19 vaccination. This community service program was carried out offline in 30 health cadres in the working area of Bandarharjo PHC. The activity began with a pre-test, continued with the presentation of the topic, discussion session, and ends with post-test. The results of the pre-test and post-test showed that there was an increase in the knowledge of cadres between before the presentation and after the presentation session. Health cadres also received booklets containing general information about COVID-18 vaccination and also related to AEFI. Booklets given to cadres not only to increase their knowledge but also can be used to educate the community. Hopefully, with the increase in knowledge and understanding of cadres, the community will be easily get the right information. The health cadres commitment to educate the community regarding COVID-19 vaccination also hoped to increase the community knowledge related to the vaccination and also the willingness of community to receive the COVID-19 vaccination, especially in the working area of Bandarharjo PHC, Semarang City, Central Java Province.
Deteksi dini gangguan jiwa di Puskesmas Banyuurip sebagai tindakan pencegahan dan intervensi dini faktor risiko. Deteksi dini diharapkan mengurangi prevalensi Orang Dengan Gangguan Jiwa (ODGJ) Kabupaten Purworejo yang menempati peringkat tertinggi di Riskesdas 2018 di Jawa Tengah. Pencapaian Puskesmas Banyuurip tahun 2019 adalah 33,02% pada usia produktif dan 80,6 % pada usia lanjut. Capaian tersebut menunjukkan adanya aspek-aspek yang perlu diperbaiki. Tujuan dari penelitian ini adalah mengevaluasi pelaksanaan deteksi dini gangguan jiwa melalui model CIPP. Metode penelitian ini menggunakan wawancara mendalam dan observasi. Penelitian ini merupakan penelitian kualitatif pendekatan deskriptif. Aspek evaluasi meliputi context, input, process dan product. Hasil penelitian pada evaluasi aspek context bahwa kebutuhan, masalah, dan sasaran deteksi dini gangguan jiwa menjadi latar belakang perencanaan. Evaluasi aspek input menunjukkan perencanaan cukup baik walaupun terdapat keterbatasan tenaga, dana, dan infrastruktur. Evaluasi aspek process bahwa pelaksanaan edukasi, rujukan, dan pelaporan kurang optimal dilaksanakan. Evaluasi aspek product dalam kriteria cukup baik dengan beberapa aspek perlu ditingkatkan. Antar aspek memiliki keterkaitan sehingga perbaikan satu aspek harus diikuti oleh aspek lainnya.
The Dental and Oral Hospital (RSGM) as a part of health care facilities, especially teeth and mouth, do not rule out unexpected events / near-injury events that have an impact on patient safety. The safety incidents at RSGM are only reported when an incident occurs. Solving this problem requires changing the culture of health care from one in which errors are viewed as the result of individual failure to one in which errors are viewed as opportunities to improve from one in which errors are viewed as the system. This study aims to determine the culture of patient safety in dental and oral health services at RSGM Unimus. This type of research is descriptive research with mixed methods research approaches, namely quantitative and qualitative. The study involved a sample of 65 respondents, where the study was conducted from March to April 2020. Quantitative data collection techniques used AHRQ (Agency for Healthcare Research and Quality instrument questionnaire) and qualitative through interviews. The results of the study show that in all dimensions of the AHRQ questionnaire, the highest positive response results are in the very good/strong category, which means that the level of patient safety at RSGM Unimus is already supportive. This study shows that the dissemination of patient safety has not been routinely carried out, errors in communication often occur, reporting only when unexpected incidents occur, and it is necessary to increase feedback between medical personnel and evaluation of intentional or accidental errors that is related to patient safety still needs to be improved.
Dharmarini Public Health Center has a high number of COVID-19 cases and there are COVID-19 epidemiological surveillance activities that are not in accordance with those stated in the guidelines, specifically in health monitoring and in terms of Community-Based Surveillance that vulnerable populations have not been recorded and reported. Based on a preliminary study, Dharmarini Public Health Center only has a surveillance officer and experienced obstacle in cross-sectoral coordination. This study aims to analyze the management aspects of COVID-19 epidemiological surveillance at Dharmarini Public Health Center include planning, organizing, actuating, and controlling. This is a qualitative research with analytical descriptive approach. Primary data collection was done by in-depth interviews and research subjects were selected by purposive sampling. The result shows that management aspects in COVID-19 epidemiological surveillance activities at Dharmarini Public Health Center have been carried out from planning, organizing, actuating, to controlling, but there are still shortcomings including in actuating that not all officers involved have received training, there is obstacle in cross-sectoral coordination, the implementation of health monitoring can still be improved, there are refusals in tracing, Community Based Surveillance has not been fully implemented, supervision has only been held once, and in controlling aspect that the evaluation carried out is still not comprehensive. Dharmarini Public Health Center is suggested to optimize the actuating and controlling aspects in COVID-19 epidemiological surveillance.
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