Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.
To achieve Universal Health Coverage (UHC) for the entire population, the Indonesian government took the initiative to establish a public health insurance system through JKN for individual health. The JKN program managed by BPJS, intended to provide health protection for participants to obtain health care benefits and protection to meet the basic health needs. However, the use of JKN cards in community health centers (Puskesmas) remains low. This study was to investigate the determinants of JKN card utilization in Puskesmas Manutapen in 2019. The research is was quantitative study using a cross-sectional design. The sample consisted of 85 people obtained by a purposive sampling technique. Data analysis employed using univariate and bivariate methods with the chi-square test. The results showed that factors related to JKN card utilization were knowledge (ρ =0.023), income (ρ = 0.037), the availability of facilities and infrastructure (ρ = 0.043), and disease complaints (ρ = 0.041), while unrelated factor was family support (ρ= 0.662). The community should maximize the use of JKN card to obtain comprehensive health services, not only for treatment, but also for prevention to improve their health status. To achieve Universal Health Coverage (UHC) for the entire population, the Indonesian government took the initiative to establish a public health insurance system through JKN for individual health. The JKN program managed by BPJS, intended to provide health protection for participants to obtain health care benefits and protection to meet the basic health needs. However, the use of JKN cards in community health centers (Puskesmas) remains low. This study was to investigate the determinants of JKN card utilization in Puskesmas Manutapen in 2019. The research is was quantitative study using a cross-sectional design. The sample consisted of 85 people obtained by a purposive sampling technique. Data analysis employed using univariate and bivariate methods with the chi-square test. The results showed that factors related to JKN card utilization were knowledge (ρ =0.023), income (ρ = 0.037), the availability of facilities and infrastructure (ρ = 0.043), and disease complaints (ρ = 0.041), while unrelated factor was family support (ρ= 0.662). The community should maximize the use of JKN card to obtain comprehensive health services, not only for treatment, but also for prevention to improve their health status.
Puskesmas Tarus is the only puskesmas in Kupang Regency that has always contributed to maternal death cases since 2016-2018. The number of maternal deaths at the Tarus Health Center in 2016 was 2 cases, in 2017 1 case and in 2018 1 case. The direct cause of maternal death at the Tarus Health Center in 2020 was due to heavy bleeding and preeclampsia and childbirth was carried out at home. Therefore, the decision to choose a health facility as a place of delivery is very important to help prevent the occurrence of maternal death due to 3 late (3T) which is a factor in indirectly causing maternal death. This study aims to determine the relationship between knowledge, family income, personal autonomy, culture, accessibility, and family support with the selection of a place of delivery in the Tarus Health Center Work Area in 2022. This type of research is quantitative research that is an analytical survey with a cross-sectional research design. The size of the sample in this study of 65 people was determined by the Probability Sampling technique using a simple random sampling method. The data were then analyzed using the spearman correlation rank test. The results showed that there was a relationship between the level of knowledge (ρ = 0.000), income (ρ = 0.000), personal autonomy (ρ = 0.035) and family support (ρ = 0.025) with the selection of a place of delivery in the Tarus Health Center Working Area in 2022. Health workers who handle Maternal and Child Health (MCH) are expected to be able to carry out counseling activities with print media, electronic media, as well as other websites or social media and increase the implementation of the pregnant women's class program by more involving family husbands and local village communities.
The quality of health services is inseparable from the role of medical and non-medical personnel, including nurses. In providing health services, one of the most potential human resources in the hospital are nurses. Good nurse performance is a determining factor for the hospital image in the community. The performance also supports the achievement of organizational goals. Factors affecting nurse performance can be categorized into individual (abilities and skills), psychological (motivation, perceptions, attitudes, personality and learning) and organizational factors (resources, leadership, compensation, workload, rewards, job structure and design). This study aimed to analyze the relationship between motivation, compensation, reward and workload with nurse performance at Kefamenanu Hospital, North Central Timor Regency. This research is an analytical survey with a cross-sectional design. The population in this study consisted of 153 nurses at Kefamenanu Hospital. A total sample of 61 people was selected using a simple random sampling technique. The data were analyzed with the Chi-Square test. The results showed that there was a relationship between motivation (p-value = 0,000), compensation (p-value = 0.002) reward (p-value = 0,000) and workload (p-value = 0.004) with the performance of nurses. The hospital needs to make policies to increase nurse performance such as preparing a proper reward system and balancing the workload.
Service Quality can be obtained if what is expected by the patient to the service provider is in accordance with the patient's requirements. This study aims to determine the quality of patient health services by health workers at the Sonimanu health center in 2019. The sample in this study was all In patients with a total sample of 73 people the sampling technique in this study was totally sampling. Data collection was carried out with 20 items of hope and reality questionnaire, which is a quantitative description of this type of study. The analysis conducted is univariate using Importance Performance Analysis. The results of this study indicate that the value of conformity between expectations and quality of inpatient services of health workers to the tangible dimension is 97.28% (Very Satisfied), reliably 95.27% (Very Satisfied), responsiveness 86.38% (Satisfied), assurance 98.14% (Very Satisfied), empathy 97.21% (Very Satisfied). There is one attribute of inadequate quality of service that is a good nutrition officer providing and helping patients with dietary needs (58.42%), it is expected that the health staff at the Sonimanu health center need to prioritize and be more responsive in paying attention to the rights or needs of Inpatients. It is recommended that the quality of inpatient health services by health workers need to be further improved, especially in the dimension of responsiveness.
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