Suchergebnisse

The health insurance program in Indonesia shows efforts to continue to be optimized, one of which is through the implementation of a tiered referral system starting from the First Level Health Facility (FKTP). The purpose of this study was to determine the implementation of BPJS Health Outpatient referral at First Level Health Facilities (FKTP) in Makassar City. In this study using a mixed method, the population in this study was 146 people with 60 samples drawn. Quantitative data analysis namely univariate analysis, bivariate analysis and multivariate analysis used in this study is logistic regression analysis. While qualitative data analysis includes organizing / structuring data, conducting coding and categorizing, looking for patterns and research propositions, interpreting data, and evaluating interpretations. The results showed that there was an influence between health human resources on the implementation of outpatient referrals, there was an influence between facility facilities on the implementation of outpatient referrals. There is no influence between the availability of medicines on the implementation of first-degree outpatient referrals for BPJS Health patients at FKTP in the city of Makassar. There is no influence between the understanding of health workers about the tiered referral system and the implementation of first-degree outpatient referrals for BPJS Health patients at FKTP in Makassar city.

Motivation is a condition that encourages or causes someone to do an act or activity, which takes place consciously. This study aims to analyze the effect of intrinsic and extrinsic motivation on the performance of midwives in community health centers. This type of research is qualitative research with a snowball sampling design. The sample is a midwife who is assigned to the book of Kesehatan Ibu dan Anak (KIA) at Asologaima community health center, Jayawijaya Regency, Indonesia. The results showed that there was no effect of work performed on the performance of health midwives. There is no influence between recognition, responsibility, incentives, work relations, and working conditions on the performance of midwives. Therefore, it is hoped that the government will pay more attention to incentives for health workers, especially midwives at a community health center increasing working hours.

Background: Evaluation of large-scale stunting interventions in Indonesia has never been carried out, because it found limited sensitive and specific interventions that were carried out massively at the village level. The provincial government of South Sulawesi Indonesia in 2020 has implemented a stunting intervention model called Gammarana. The purpose of this evaluation is to analyze the impact of Gammarana on changes in stunting at the project site. Location project as many as 30 villages with a population estimated 60,000.Design and methods: Evaluation in this study using a retrospective method and internal and external audit to document potential, then validated after the field visit Gammarana first phase in 2020. Basic Logic Model evaluation model with 22 indicators (input, process, secondary output and primary output). Proving the effect of Gammarana on changes in stunting by comparing the phenomena in the comparison village.Results: The comparison villages were set as equal and comparable in 13 indicators that could disturb the study conclusions. The result of the initial condition is that the conditions of the two villages of Gammarana and Villages Comparison are seen as the same in various characteristics, so that whatever the results of this evaluation study are believed to be the impact of Gammarana Project.Conclusions: this protocol eligible to evaluation of Gammarana Project Intervention in Enrekang District, South Sulawesi Indonesia.