Suchergebnisse

Background: Surabaya is one of the pioneers of the enactment of Smoke Free Area regulation. Regulations about Smoke Free Area ( SFA) and Smoke- Restricted Area (SRA) have validated at 2008 but started to be implemented in 2009. The aim of this study is to describe compliance of the implementation of that regulations from 2012until2014. Methods: This was a descriptive study with time series method. It saw how the implementation regulation based on the two surveys have done. The first survey conducted in 2012 with a sample size of 154 and the second survey conducted in 2014 by the number 300. The Survey samples were Categorized as Smoke Restricted Areas is a public place and Smoking Free Areas is health facilities. Cluster random sampling was used based on different areas of Surabaya (East, West, Center, North, and South). Data collection was done by an observation check list. The variable Consist of people are still found to be smoking inside the building, there are smoking room, Ashtray, cigarettes butts and cigarette sellers were found in the Smoke - Free Area. Results: The study founded that some indicators had improved in terms of the implementation of compliance regulations. But they also found an increase in violations in several indicators. Improved Implementation obtained on the indicators found room smoking increased (5.8% to 24%), showed signs ofbanned smoking (31.2% to 53%). Increasing the number of violations found in some indicator consist of founded people smoke (2 5.3 % to 41.3 % ), There was a smell of cigarette smoke (25.3% to 34.3%), found ashtrays and lighters (27.3% to 53.3 %), found cigarette butts (29.2% to 59%), there were indications of cooperation with the tobacco industry (22.1 % to 44.7%). Conclusions: The duration of the implementation of the regulations do not affect the compliance of the implementation of the regulation. The need for reinforcement in order to strengthen the implementation of regulations SFA in Surabaya.

Background: The percentage of complete immunization in urban areas is higher than rural areas. The purpose of the study was to analyze the relationship between ownership of Maternal and Child Health (MCH) books with Complete Basic Immunization (CBI) coverage in slums and poor areas. Design and Methods: A rapid survey was conducted in selected slums and poor groups based on medical records from Public Health Center. Informants were mothers with a sample of 325 infants aged 12 to 23 months. Results: The lowest coverage of CBI for slum and poor residents is Pasuruan, which is 55.4%. The results of statistical analysis showed that there was a significant relationship between ownership of MCH books and the complete coverage of basic immunization in Malang (P=0.000; PR=3.682); Pasuruan (P=0.002; PR=1.854); Sidoarjo (P=0.000; PR=4.042); Surabaya (P=0.000; PR=2.425). Conclusions: It is recommended that the government should improve access to complete immunization programs in slums and poor population.

Access to health services is often seen only from the provider perspective, while from the community side as a user isless noticed. Improving the quality of health services access requires a complete perspective on two diff erent sides. Thisresearch is designed descriptively qualitative. Data were collected by Focus Group Discussion (FGD), in-depth interviewand observation. The research was conducted in Malang Regency in June-August 2018. The study results showed healthservices access generally the community believes that there are still perceived defi ciencies. Especially on the aspectof physical access, due to poor facilities and infrastructure. In addition, social access was also considered inadequate,because there were still health workers who served with less friendly. This study concludes that people still feel accessto physical and social aspects is still diffi cult. It should be recommended to the local government for eff orts to improvephysical access, and the Health Offi ce to disseminate health information about the rights of patients to the community. Abstrak Akses pelayanan kesehatan seringkali dilihat hanya dari perspektif pemberi pelayanan saja, sementara akses dari sisimasyarakat sebagai pengguna kurang terperhatikan. Perbaikan kualitas pelayanan kesehatan dari sisi akses memerlukanperspektif yang lengkap dari dua sisi yang berbeda. Penelitian ini didesain secara deskriptif kualitatif. Data dikumpulkandengan Focus Group Discussion (FGD), wawancara mendalam dan pengamatan. Penelitian dilakukan di KabupatenMalang pada bulan Juni–Agustus 2018. Hasil penelitian menunjukkan aksesibilitas pelayanan kesehatan yang ada, secaraumum masyarakat berpendapat bahwa masih ada kekurangan yang dirasakan. Terutama pada aspek akses secara fisik,dikarenakan sarana dan prasarana yang kurang baik. Selain itu akses secara sosial juga dirasa kurang, karena masih adatenaga kesehatan yang melayani dengan kurang ramah. Penelitian ini menyimpulkan bahwa masyarakat masih merasaakses dari aspek fisik dan sosial masih sulit. Perlu direkomendasikan pada pemerintah daerah setempat untuk upayaperbaikan akses secara fi sik, dan Dinkes untuk mendiseminasikan informasi kesehatan mengenai hak pasien kepadamasyarakat.