ABSTRAK Keinginan pindah fasilitas kesehatan tingkat pertama merupakan salah satu bentuk ketidakpuasan pasien serta akan berdampak pada loyalitas pasien dalam memanfaatkan pelayanan kesehatan. Pada tahun 2016, terjadi peningkatan yang signifikan pada peserta JKN Mandiri di Kota Denpasar yang melakukan perpindahan FKTP yaitu di bulan Juni sebanyak 453 orang dan menjadi 504 orang pada bulan November 2016. Berdasarkan hasil wawancara dengan pihak BPJS Kesehatan Cabang Denpasar didapatkan data mengenai keluhan peserta JKN di FKTP di Kota Denpasar meliputi pelayanan yang kurang ramah, kurang informatif, antrian panjang, penolakan pasien luar wilayah dan pasien tidak terlayani karena berobat di luar jam kerja FKTP. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan keinginan pindah FKTP pada peserta JKN Mandiri di Kota Denpasar. Desain penelitian ini menggunakan analitik crossectional dengan jumlah sampel 108 orang. Teknik pengambilan sampel dilakukan dengan cara consecutive sampling di beberapa FKTP yang bekerjasama dengan BPJS Kesehatan di Kota Denpasar. Pengumpulan data dilakukan dengan kuesioner dan dianalisis dengan analisis univariat, bivariat (chi-square) dan multivariat (regresi logistik) Berdasarkan hasil mutivariat didapatkan hasil terdapat hubungan antara ketersediaan fasilitas (p=0,005, 95% CI=2,05-56,57), waktu tunggu (p=0,000, 95% CI=5,98-233,68), jarak (p=0,000, 95% CI=3,66-51,92), pindah domisili (p=0,022, 95% CI=1,34-43,01) dan pelayanan dokter (p=0,005, 95% CI=2,02-55,32) dengan keinginan pindah FKTP, sedangkan waktu pelayanan tidak mempunyai hubungan dengan keinginan pindah FKTP (p=0,138, 95% CI=0,50-147,25). Adapun faktor yang paling dominan terhadap keinginan pindah FKTP yaitu waktu tunggu (p=0,000 dan Adjust OR= 37,38) Bagi pihak FKTP sebaiknya dapat meningkatkan kualitas mutu pelayanan yang diberikan pada peserta JKN serta bagi BPJS Kesehatan dapat meningkatkan penilaian terhadap FKTP yang bekerjasama dengannya dalam hal kredensialing dan rekredensialing FKTP. Kata Kunci: Perpindahan, FKTP, JKN ABSTRACT The desire to move first-level health facilities is one form of patient dissatisfaction and will have an impact on patient loyalty in utilizing health services. In 2016, there was a significant increase in JKN Mandiri participants in Denpasar City who moved FKTP in June as many as 453 people and became 504 people in November 2016. Based on interviews with BPJS Health Denpasar Branch data obtained about JKN participants' complaints in FKTP in Denpasar City includes services that are not friendly, less informative, long queues, rejection of patients outside the region and patients not served because of treatment outside FKTP working hours. This study aims to determine the factors associated with the desire to move FKTP on JKN Mandiri participants in Denpasar City. The design of this study used cross-sectional analytics with a sample of 108 people. The sampling technique was done by consecutive sampling in several FKTP in collaboration with BPJS Health in Denpasar City. Data collection was carried out by questionnaire and analyzed by univariate, bivariate (chi-square) and multivariate (logistic regression) analysis. Based on the results of the mutivariat, there was a correlation between the availability of facilities (p = 0.005, 95% CI = 2.05-56.57) , waiting time (p = 0,000, 95% CI = 5.98-233.68), distance (p = 0,000, 95% CI = 3.66-51.92), moving domicile (p = 0.022, 95% CI = 1.34-43.01) and doctor's service (p = 0.005, 95% CI = 2.02-55.32) with the desire to move FKTP, while the service time has no relationship with the desire to move FKTP (p = 0.138, 95 % CI = 0.50-147.25). The most dominant factor for the desire to move FKTP is the waiting time (p = 0,000 and Adjust OR = 37.38) For the FKTP it should be able to improve the quality of service provided to JKN participants and for BPJS Health can improve the assessment of FKTP in collaboration with in terms of FKTP credentialing and recruitment. Keywords: Displacement, FKTP, JKN
Anemia is a medical condition in which the hemoglobin level less than normal. Normal Hb levels in adolescent girls are >12 g/dl. Anemia in adolescent girls is still relatively high. Impact of anemia can be caused the body to become thin and drastically lose weight, shortness, constant illness, and anemia. This literature review identified factors that are consistently associated with the incidence of anemia in adolescent girls. This research method is a literature review by collecting various databases from Pubmed, Science Direct, Proquest, and Google Scholar. The selection of articles were limited from 2014-2019 and 20 articles were found. Factors that are consistently associated with the incidence of anemia in adolescents girls include the level of knowledge of girl adolescents regarding anemia, iron intake, nutritional status and the duration of menstruation, BMI, category of residence (rural/urban), dietary habits, and infections such as malaria. It is necessary to provide continuous blood supplement tablets to young women from the government and schools so that they can meet their nutritional needs and further research is expected to be able to use different research designs such as case control and cohorts in order to prove a stronger causal relationship, this is because there have been quite a number of studies related to risk factors for the incidence of anemia in adolescent girls.
Nutritional status, nutrient density, and dietary diversity of children under five during the COVID-19 pandemic in Bangli Regency, BaliBackground: Stunting in children caused the lack of nutritionally balanced food intake in the first two years of life. During the COVID-19 pandemic, the fulfillment of balanced nutrition for children must still be considered to maintain body resistance to avoid COVID-19 infection.Objective: This study was conducted to find out the nutritional status of children and also the knowledge and attitudes of mothers regarding the practice of balanced nutrition based on local food in the COVID-19 pandemic situation. Methods: Cross-sectional study with 202 children aged 23-59 months located in Susut District, Bangli Regency, Bali Province. Data collection includes anthropometric measurements and food recall. Characteristics, knowledge, and attitudes of mothers were conducted by interview using a questionnaire. Results: The nutritional status of subjects showed that the average weight for height z-score (WHZ) was 0.29 ± 1.37, height for age z-score (HAZ) was 0.56 ± 2.38, and weight for age z-score (WAZ) which is -1.18 ± 2.03. The average density of energy intake in the adequate (1.66±0.456), as well as protein density (4.12±0.884 g/100 calories), vitamin B12 (0.225±0.457 mg/100 kcal), and vitamin A (71.7 ±104.6 mg/100 kcal). The majority (61.9%) of subjects consumed less than five food groups in the last 24 hours. The average knowledge of respondents is 69.5±15.3, which is 35.1% in well nutrition knowledge, while most respondent’s attitude has in the good category. Conclusions: Overall children are in normal nutritional status, but it is necessary to attention to the density of vitamins and minerals which are still low, and the lack of food diversity. Suggestion to increase education on balanced nutrition practices based on local food to mothers and families so that they can help grow and also maintain children's health during the COVID-19 pandemic.
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