Rumah tunggu kelahiran (RTK) merupakan salah satu upaya dalam mendekatkan akses ibu hamil ang dilakukan peneliti di wilayah kerja puskesmas Binjai Serbangan jumlah ibu yang melahirkan pada bulan januari-juli sebanyak 518 orang dan yang memanfaatkan RTK hanya 132 orang (25,4%). Penelitian ini bertujuan untuk mengetahui pengaruh perilaku ibu terhadap Pemanfaatan RTK di wilayah kerja Puskesmas Binjai Serbangan Kabupaten Asahan Tahun 2017. Jenis penelitian ini adalah survey analitik dengan pendekatan cross sectional. Populasi sebanyak 518 orang. sampel dalam penelitian ini sebanyak 226 orang. Analisis data multivariat menggunakan uji logistic regression. Variabel paritas merupakan variabel yang paling dominan berpengaruh terhadap pemanfaatan RTK dengan nilai Exp(B) 9,331(CI: 95% 3,429-25,393). Kesimpulan penelitian ini adalah variabel paritas yang paling dominan berpengaruh terhadap pemanfaatan RTK.Kata Kunci : Rumah Tunggu Kelahiran (RTK), Paritas

Postpartum care is a treatment for mothers who are about to give birth or have just given birth so that their reproductive organs return to normal. Madeung is a medical technique commonly used by Acehnese women who have just finished giving birt. The purpose of this study was to explore the study of postpartum care (madeueng) from the perspective of Aceh culture in the village of Kareung Asan, the city of Lhoekseumawe. This type of research is descriptive qualitative with the approach used by researchers in this study is the ethnographic approach. The characteristics of the main informants were postpartum mothers who carried out the madeung process, while the triangulation informants were family and health workers (midwives). The results made, but the factors that motivated parents to carry out the madeng process are sometimes still considered negative. Informants are influenced by experienced users of parents, which results in them imitating negative habit patterns and perceiving some processes as commonplace. Parents often provide user experiences to parents, who live in them imitating negative habit patterns and perceiving some processes that are created as mater, of course. Parents often provide experiences about madeung and all informants have an adequate level of process. It is recommended that mothers who have just given birth and are about to undergo the madeung ritual to have their own firmness in determining their choices regarding personal health, especially regarding the anxiety of abstinence and advice that must be taken.

<p><em>Today leadership is at the core of economic development in the Asian region including Indonesia. There are two dominant leadership styles, namely American (western) leadership style, and Asian (eastern) leadership style. Based on the preliminary survey conducted, it was seen that the style used by the leaders was the interaction of the leader with his subordinates, but the style was not used well so that it was seen in 10 health workers in West Peureulak Health Center, 6 of whom had low performance. The purpose of this study was to determine the effect of the leadership style of the puskesmas head on the performance of health workers at the Peureulak Barat Health Center in East Aceh Regency in 2018.</em></p><p><em>The research design used in this study was Cross Sectional. The population in this study were 52 health workers and samples taken by total sampling were as many as 51 health workers. Methods of data collection are primary data and secondary data. Data analysis used is binary logistic regression test.</em></p><p><em>The results showed that transactional leadership style had a sig-p value of 0.016 &lt;0.05, transformational sig-p</em><em> </em><em>.005 &lt;</em><em> </em><em>.05 and situational leadership style had a sig-p value of</em><em> </em><em>.003 &lt;</em><em> </em><em>.05, which means that all leadership styles have an influence on quality health services, while caring does not have an influence on the performance of health workers.</em></p><p><em>The conclusion in this study is the influence of transactional, transformational and situational leadership styles on the performance of health workers. It is hoped that it can become a reference for the community and for cadres in the Puskesmas to better understand the importance of appropriate leadership styles to maximize the performance of health workers to the fullest.</em></p><p><strong><em>Keywords</em></strong><strong><em> </em></strong><strong><em>:</em></strong><strong><em> </em></strong><strong><em>leadership style, performance, transactional, transformational, situational</em></strong><strong><em></em></strong></p>

Pelayanan rumah sakit menyediakan jasa yang dijual kepada pelanggan. Kunjungan pasien rawat jalan di RSU Muhammadiyah Sumatera Utara mengalami kenaikan tetapi tidak membuat mereka serta merta merasa puas dengan rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan kualitas pelayanan dengan kepuasan pasien rawat jalan peserta JKN di RSU Muhammadiyah Sumatera Utara. Jenis penelitian adalah cross sectional dengan sampel 75 responden dan pengambilan sampel secara accidental sampling. Metode analisis data yang digunakan adalah chi square dan uji regresi logistik. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kepuasan pasien rawat jalan adalah tanglibility (p=0,016), reliability (p=0,021), responsiveness (p=0,001), assurance (p = 0,001), dan empathy (p = 0,001). Kesimpulan diperoleh bahwa adalah ada hubungan tanglibility, reliability, responsiveness, assurance dan empathy dengan kepuasan pasien rawat jalan. Diharapkan bagi rumah sakit untuk mempertahan pelanggan dan menambah jumlah kunjungan yaitu dengan meningkatkan kualitas pelayanan dan melengkapi prasarana yang masih kurang, sehingga kepuasan pasien terpenuhi dan pasien menjadi loyal.

ABSTRAK   Program Indonesia Sehat merupakan salah satu program yang bertujuan untuk meningkatkan kualitas hidup manusia Indonesia, meningkatkan derajat kesehatan dan status gizi masyarakat melalui upaya kesehatan dan pemberdayaan masyarakat yang didukung dengan perlindungan finansial dan pemerataan pelayanan kesehatan. Adapun tujuan penelitian ini yaitu untuk menganalisis hubungan kebijakan Program Indonesia Sehat dengan Pendekatan Keluarga terhadap Angka Kematian Bayi (AKB). Jenis penelitian ini merupakan survei analitik dengan  rancangan cross sectional study. Penelitian dilakukan di Kecamatan Karang Baru Kabupaten Aceh Tamiang dengan menggunakan teknik Simple Random Sampling yaitu sebanyak 66  ibu yang memiliki balita. Untuk menganalisis data tersebut digunakan uji Chi Square dan regresi logistik. Berdasarkan hasil penelitian diketahui bahwa Angka Kematian Bayi (AKB) berhubungan dengan keluarga yang mengikuti Keluarga Berencana (p=0,020), ibu melakukan persalinan di fasilitas kesehatan (p=0,024), bayi mendapat imunisasi dasar lengkap (p=0,006), pemanfaatan (ASI) eksklusif (p=0,038), pemantauan pertumbuhan balita (p=0,000). Berdasarkan hasil penelitian, dapat disimpulkan bahwa faktor-faktor yang berhubungan dengan Angka Kematian Bayi (AKB) adalah keluarga yang mengikuti Keluarga Berencana, ibu melakukan persalinan di fasilitas kesehatan, bayi mendapat imunisasi dasar lengkap, pemanfaatan (ASI) eksklusif, pemantauan pertumbuhan balita