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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kebidanan JURNAL PROMOSI KESEHATAN INDONESIA JURNAL SISTEM INFORMASI BISNIS Jurnal Kesehatan Masyarakat JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Kebijakan Kesehatan Indonesia Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Masyarakat Jurnal Populasi Jurnal Manajemen Kesehatan Indonesia Jurnal Teknologi dan Sistem Komputer Media Medika Muda Journal of Public Health for Tropical and Coastal Region Amerta Nutrition Manuju : Malahayati Nursing Journal EDUKATIF : JURNAL ILMU PENDIDIKAN Jurnal Kesehatan Unnes Journal of Public Health Jurnal Riset Kesehatan Poltekkes Depkes Bandung Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ners KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research JOURNAL LA MEDIHEALTICO MAHESA : Malahayati Health Student Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) JURNAL KESEHATAN SAMODRA ILMU Journal of Social Research Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Jurnal Multidisiplin Madani (MUDIMA) Jurnal Locus Penelitian dan Pengabdian Proceeding Mulawarman International Conference on Tropical Public Health

Cahya Tri Purnami

Fakultas Kesehatan Masyarakat Universitas Diponegoro, Jl. Prof. H. Soedarto, S.H., Tembalang, Semarang, Indonesia 50275 | Universitas Diponegoro

Author-ID : 349291

Aerospace Engineering Arts Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Counseling Model Development Based on Analysis of Unwanted Pregnancy Case in Teenagers Nugroho, Efa; Shaluhiyah, Zahroh; Purnami, Cahya Tri; Kristawansari, Kristawansari
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 1 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i1.9488

Teenegers who experience unwanted pregnancies are increasing. The number of client that access the Unwanted Pregnancy counseling services in IPPA Central Java in the year 2006 (94 clients), 2007 (91 clients), 2008 (95 clients), 2009 (68 clients), 2010 (157 clients), 2011 (98 clients), and 2012 (83 clients). Related to that data, 31% of clients were referred Haid Induction (HI), 3% refer shelter, and 66% continue the pregnancy and there were not identified. This research cunducted in 2014 used quantitative-qualitative approach which aimed to develop a model of counseling after mapping the case. Respondents were 5 Unwaned Prenancy counseling clients selected based on the final decision of counseling. From the research developed counseling model for teenage which should have an easy procedure, complete services, opening hours accordingly, no discrimination, respect privacy, provide pro choice, and low prices. Services consists of counseling, contraception, safe abortion, treatment of STIs, information center counseling and HIV testing, gynecological, prenatal and postnatal services, as well as the services of victims of gender based violence and sexual abuse.

FAKTOR YANG BERPENGARUH TERHADAP KEPATUHAN IBU HAMIL PREEKLAMSIA DALAM PEMANFAATAN LAYANAN ANC Mariyana, Kristin; Jati, Sutopo Patria; Purnami, Cahya Tri
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRAK Preeklamsia dapat dicegah apabila didukung oleh kesadaran ibu hamil untuk patuh dalam pemanfaatan layanan ANC. ANC berkualitas yang dilakukan tenaga kesehatan dan kesadaran masyarakat tentang kesehatan ibu hamil, bersalin dan nifas. Penelitian ini untuk menganalisa faktor yang paling berpengaruh dari ibu hamil preeklamsia supaya patuh dalam pemanfaatan layanan ANC di wilayah kecamatan Pemalang. Penelitian kuantitatif dengan pendekatan cross sectional bersifat explanatory research. Sebanyak 66 responden dipilih secara purposive, menggunakan quesioner, dan data diolah secara distribusi. Variabel yang berpengaruh : riwayat keturunan hipertensi dan atau DM (0,037), pengetahuan (p-value 0,021), akseptabilitas (p-value 0,018), dukungan dan sikap tenaga kesehatan (p value 0,041), dan dukungan suami (p-value 0,045). Variabel yang tidak berpengaruh : umur (p-value 0,239), paritas (p-value 0,714), tingkat pendidikan (p-value 0,394), pekerjaan (p-value 0,316), sikap (p-value 0,714), persepsi kerentanan (p-value 0,665), persepsi kegawatan (p-value 0,233), persepsi manfaat (p value 0,066) dan dukungan keluarga (p-value 0,067). Variabel paling dominan berpengaruh adalah variabel pengetahuan (p-value 0,015) dengan OR (Exp B) 5,527. Kata Kunci : Kepatuhan, ibu hamil preeklamsia, ANC   ABSTRACT Preeclampsia can prevented if supported by the awareness of pregnant women to obey the service ANC. ANC performed by qualified health personnel and public awareness about the health of pregnant women, maternity and childbirth. The aim is to analyze the most influential factors of maternal preeclampsia to obey the ANC service utilization. Quantitative research with cross sectional on pregnant women with preeclampsia in Pemalang district. A 66 respondents taken with purposive, using quessionaire, data analyse with distribution. Related variables : hypertension or DM (0,037), knowledge (p-value 0.021), acceptability (p-value 0.018), support-attitude of health workers (p-value 0.041), and the support of her husband (p-value 0.045). Not related variable: age (p-value 0.239), parity (p-value 0.714), educational level (p-value 0.394), occupation (p-value 0.316), attitude (p-value 0.714), perception of vulnerability (p-value 0.665), perception of severity (p-value 0.233), perceived benefits (p-value 0.066), family support (p-value 0.067). Dominant variable is knowledge (p-value 0.015) OR (Exp B) 5.527. Keywords : Compliance, preeclampsia pregnant women, ANC

Analisis Faktor Risiko Status Kematian Neonatal Studi Kasus Kontrol di Kecamatan Losari Kabupaten Brebes Tahun 2006 Prabamurti, Priyadi Nugraha; Purnami, Cahya Tri; Widagdo, Laksmono; Setyono, Sigit
Jurnal Promosi Kesehatan Indonesia Volume 3, No. 1, Januari 2008
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: The efforts to reach the national target to decreasing infant mortality, what in this time still become governmental priority programs. Nationally, mortality rate in this last decade had decreased excessively, from 50 per a thousand alive births in 2001 becoming 39 per a thousand alive births in 2005. The number revealed if seen at mortality neonatal still high enough.Method: This is an analytical survey research with case-control approach. Research subjects consists of 29 women having infant which die at neonatal age as a case group, and 29 women having alive infant passed a neonatal period, as a control group. Source of data obtained from secondary data to verbal autopsy record, history of pregnant woman and confinement note from public health center (Puskesmas). Data analyzing by univariate and bivariate analysis. Statistical test by Chi Square test that significance rate determined if p -value less than 0.05 and calculation of Odds Ratio (OR>1).Result: Result of analysis indicates that mother age (p = 0.0023 and OR = 7.69), parity (p =0.0006 and OR = 8.25), helper of confinement (p = 0.044 and OR = 6.07), born baby weight (p = 0.016 and OR=6,12) and condition of baby breathing effort (p= 0.001 and OR = 7.85), significantly risked to neonatal status. It is conclude that mother age, parity, helper ofconfinement, born baby weight and condition of baby breathing effort is risked to neonatal status. It is suggested to maturing marriage age and management of birth at healthy reproduction age, increasing of neonatal call so that can decreasing mortality rate.Keywords: neonatal mortality status, risk factors, pregnant woman

Hubungan Persepsi Ibu Tentang Sarana Pelayanan KIA Dengan Kun- jungan Pemeriksaan Kehamilan (K4) (Studi di Wilayah Kerja Puskesmas Tegal Barat II Kota Tegal Tahun 2006) Purnami, Cahya Tri; L, Rizki Anna
Jurnal Promosi Kesehatan Indonesia Volume 2, No. 2, Agustus 2007
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: Maternal and Child Care is one of factors to reduce Maternal Mortality Rate. This service needs sufficient supports, i.e. antenatal care guideline, health personnel, and its facilities. A pregnant mother is required to have a minimum of 4 times of Antenatal Care within her pregnancy, i.e. 3rd month, 6th month, 7th and 9th month. Compared to other health centers, Tegal Barat II Health Center recorded lower rate on Antenatal Visitors Rate or about 60%. Meanwhile, the national standard requires 90% of Antenatal Visitors Rate. This research aimed to explain the association between maternal perception on maternal and child carefacilities and antenatal care (K4).Method: This research was an explanatory research, utilizing cross sectional approach. Forty five respondents were taken from mothers who have babies less than 3 months old and visited the health centers. Questionnaires were utilized to gather the data, and the analysis wasconducted based on descriptive as well as analytic.Result: Result showed that out of 45 respondents: 53.3% had perception that antenatal guideline book was not interesting, 17.8% said that health personnel had to examine fundus height metrically, and 93.3% said that all pregnant women had to obtain Fe tablets from health center. Variables that significantly associated with antenatal care (K4) were maternal perception on antenatal care guideline (at p-value: 0.012) and maternal perception on antenatal care facilities (at p-value: 0.0001). Meanwhile, maternal perception on health personnel (at p-value: 0.161) was not associated with antenatal care. It was concluded and recommendedthat the performance of Antenatal Care Guideline and Antenatal Care Facilities must be improved.Keywords: Antenatal care, service quality.

Hubungan Kontrasepsi Hormonal, Pengetahuan Dan Sikap Tentang Cuti Haid Dengan Praktik Cuti Haid Pada Pekerja Perempuan PT. Nyonya Meneer Semarang Setyaningsih, Yuliani; Purnami, Cahya Tri; Mahmudah, Mar Atul
Jurnal Promosi Kesehatan Indonesia Volume 3, No. 2, Agustus 2008
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: According to state role on section 81 undang-undang No 13/2003 mentioned that woman workers who are suffering dismenorrhea during menstruations period could take leave on first and second day menstruation. However not all woman workers in PT.Nyonya Meneer Semarang utilize this policy. One of the reason is using hormonal contraception make their period unstable and irregular. The aim of this study was to analyze about relationships between hormonal contraception usage, knowledge and attitude about menstruation leave and the practice of menstruation leave.Method: This research was an explanatory, with a cross sectional approach. The sample recruited from woman workers of PT. Nyonya Meneer Semarang who have age less than 50 years, not menopause, and using hormonal contraception. 81 woman workers were involved in this study selected by simple random sampling. Chi-square test was employed to test significances between variables.Result: The study shows that there was a relationship between hormonal contraception usages with the practice. However, knowledge and attitude of woman workers have no relation with menstrual leave practice. This study suggest that the company should socialize about determination on menstruation leave and the effect to the woman workers in order to makethe woman workers utilize this rule.Keywords: hormonal contraception, rules of menstruation leave, women worker

Hubungan Karakteristik Ibu Keluarga Miskin dengan Pemilihan Tempat Pemeriksa Kehamilan di Kecamatan Sulang Kabupaten Rembang Tahun 2006 Purnami, Cahya Tri; Masâ€™udah, Masâ€™udah
Jurnal Promosi Kesehatan Indonesia Volume 2, No. 1, Januari 2007
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background : The goal of maternal and antenatal care is to strengthen to improve access and to omprove maternal and child health status effectively and efficiency. One of indicators to evaluate the program at health center level is the coverage of pregnant mothers who seek theservice (K4). The antenatal care service is provided free of charge for underprevilege families at community health centers, village midwives and village health posts under social security community health service. However, the coverage of pregnant mothers who seek the service(K4) for underprevilege families at Sulang is still under target as recorded on 2005. The coverage of this community health center was still reach 39,6 %. This condition could be assumed that the utility of antenatal care servese is not at optimum level. The preference of antenatal careservice is a form of behavior in health. This research aims to know the association between demographic factors, maternal knowledge and antenatal care service preference amongst underprevilege families at Sulang Community Health Center, Rembang Regency.Method : This study utilized explanatory survey. The respondents are 35 mothers from underprevilege famil ies who prefer to use the designated antenatal care service base on recommendation by local government and 40 mothers from underprevilege families who prefer to use the others on 2005. Proportionate random sampling was utilized based on randomnumber table. Data was analyzed using Chi-square test.Result : Results showed there was a significant association between age and antenatal care service preference ( p-value= 0,001), a significant association between educational attainment and antenatal care service preference ( p-value= 0,007), a significant association between parity and antenatal care service preference ( p-value= 0,003). However range of birth is not association with antenatal care service preference ( p-value= 0,348). It is recommended to give communication, information and education amongst pregnant mothers at the age of <20 years old and >35 years old. Those include the risk of pregnancy and giving birth withinthe high risk age, antenatal care service procedure, place and requirement to obtain free facility for antenatal care service amongst underprevilege family. The programme can be delivered through integrated health service posts (posyandu) and on household meetings.Keywords : Antenatal care, Underprevileged family, Health assurance

ANALISIS FAKTOR â€“ FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU PELAYANAN KONTRASEPSI OLEH BIDAN DI KABUPATEN KEBUMEN Kusumastuti, K; Purnami, Cahya Tri; Tjondrorini, T
Jurnal Ilmiah Kesehatan Keperawatan Vol 11, No 2 (2015): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

IUD is one of the long term contraceptions which its usage is still below the target of Kebumen goverment on 11%. The local government has done a workshop of Contraception Technology Update (CTU) for the midwives in the Kebumen regency so the numbers of the IUD acceptors had increased to 6.57% in June 2012 but however, this is still below the government's target. Some efforts have been done by the local governement but it still can not show a good of IUD contraveption good services. Objective of the research is to give clear descrpition of the analysis of factors Â relate to intra Uterine Device (IUD) contraception services by midwives inÂ Kebumen Regency.This study Â Â this is an observational research with analytic survey method and cross sectional approach. The data were collected using interview consited of strutured questioners to 80 midwives in Kebumen area. The data were analyzed using univariat, bivariat and multivariat analyses techniques.The results show that the variables of knowledge, motivation, acces, human resource availability and policy are in good category but there are still 40% of midwives who have low motivation so they still prefer to give the other more practical contraceptions instead of IUD, and 31% of the places for the IUD services still have not been provided with flipcharts. The variable of IUD contraception has correlation with the variables of knowledge with (p=0.037), motivation (p=0.045), and the availability of the human resources (p=0.021). Meanwhile the variables of service acces (p=0.691) and policy (p=1.000) have no correlation with the behaviour of IUD contraception service. Togetherly the variables of motivation and human resource availability have influenced the behaviour of IUD contraception service pâ‰¤ 0.05 with Exp.(B) > 2.It is recomended to midwives to motivate them selves in giving more rasionally Family Planning service and it is necessary to hold an Up to date Contraception Technology Workshops for midwives to increase the quality of IUD contraception services. KeywordsÂ Â Â Â :Â IUD Contraception Services, CTU for midwives

Analisis Faktor-Faktor Yang Berhubungan dengan Perilaku Pelayanan Kontrasepsi oleh Bidan di Kabupaten Kebumen Kusumastuti,; Kartasurya, Martha Irene; Purnami, Cahya Tri
Jurnal Keperawatan Soedirman Vol. 08 No. 1 (2013)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2013.8.1.462

Pemerintah Kabupaten Kebumen telah mengadakan pelatihan Contraception Technology Update (CTU) bagi Bidan. Namun tetap saja pemakaian kontrasepsi Intra Uterine Device IUD) masih di bawah target. Penelitian ini merupakan penelitian observasional dengan metode survey analitik dengan pendekatan kuantitatif dan pendekatan waktu cross sectional. Pengumpulan data menggunakan kuesioner terstruktur pada 80 responden bidan di wilayah Kabupaten Kebumen. Analisa data dilakukan dengan analisis univariat, bivariat dan multivariate. Pengetahuan, motivasi, akses, ketersediaan sumberdaya dan kebijakan dalam kategori baik, namun masih terdapat 40% bidan yang motivasinya kurang karena lebih memilih melayani kontrasepsi yang praktis, dan 31% tempat pelayanan responden tidak terdapat lembar balik. Pelayanan kontrasepsi IUD berhubungan dengan pengetahuan bidan, motivasi bidan, dan ketersediaan sumberdaya. Sedangkan akses pelayanan dan kebijakan tidak berhubungan dengan pelayanan kontrasepsi IUD. Motivasi bidan dan ketersediaan sumberdaya berpengaruh terhadap pelayanan kontrasepsi IUD.

HUBUNGAN BEBERAPA FAKTOR DENGAN KURANGNYA PENGGUNAAN METODE KONTRASEPSI JANGKA PANJANG PADA IBU USIA 15 – 49 TAHUN DI PROVINSI MALUKU UTARA (ANALISA DATA SDKI 2017) Ternate, Elvicta Venteysa; Nugroho, Raden Djoko; Wirnani, Sri; Purnami, Cahya Tri
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Long Term Contraceptive Method (MKJP) is the most effective contraceptive method in reducing the number of birth rates. In 2012 the prevalence of MKJP of North Maluku Province (23.7%) prevalence of MKJP usage below the national figure (27.5%). This study aims to analyze factors related to the practice of mkjp use in mothers aged 15-49 years in North Maluku Province. This type of research is explanatory research using Cross Sectional design. This study has a population of 316,855 mothers 15 - 49 years, a sample of 1050 mothers who use contraceptives Data sources in this study are the results of the 2017 Indonesian health demographic survey (SDKI). This type of research is quantitative research Stages conducted in data processing are data input, edit, and clening., entry, tabulation. Analysis is done based on univariate (frequency distribution) and bivariate (frequency distribution, cha square, and p-value= 0.05.) The results showed that most mothers who did not use MKJP (81.2%), mothers aged <35 years (61.5%), mothers with the number of children living 0 - 2 (64.6%), mothers with low levels of pedidikan (79.2%), mothers of poor knowledge about the type of contraceptives (54%). Sources of birth control services received by mothers as much as (53.2%) from other sources of service (friends, shops, NGOs). The practice of using MKJP relates to maternal knowledge (p-value = 0.050), maternal education level (p-value = 0.002), the area where the mother lives (p-value = 0.000), and the source of maternal kb services (p-value = 0.018). However, the age of the mother (p- value = 0.436) and the number of children living in the mother (p-value = 0.106) have no relationship with the practice of using MKJP in mothers.Keywords: Long-Term Contraceptive Method, Lifespan, number of children living, knowledge, education level, residential area, source of birth control services.

Evaluasi Pelayanan Persalinan oleh Bidan Desa Selama Pelaksanaan Program Jaminan Persalinan di Puskesmas Salomekko Kabupaten Bone Sulawesi Selatan Tahun 2012 Zulaeha Amirudin Amdadi; Chriswardani Suryawati; Cahya Tri Purnami
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 3 (2012)
Publisher : Center for Health Policy and Management

Background: The delivery assurance (Jampersal) issued from April 2011 aims to increase access to maternal delivery assistance by health workers in health facilities by providing financing guarantees. Delivery coverage by health workers in Bone District in 2011 was 76.67%. Delivery by health workers was only 60% done in health facilities and Salomekko Health Center had the lowest figure which was 25%. Objective: To evaluate service delivery by village midwives during the implementation of Jampersal in Salomekko Health Center of Bone District of South Sulawesi Province in 2012. Methods: This study was observational using a qualitative descriptive design that was evaluative in nature. The study subjects were 8 village midwives in the work area of Salomekko Health Center. The triangulation informants were the head and midwife coordinator of Salomekko Health Center and the head of MCH section of Bone Health office. Data was collected by in-depth interviews and analyzed by content analysis. Results: All midwives in the village did not perform service delivery well because most of them had not joined APN training. There was no Standard Operational Procedures (SOP), four village health post buildings in the four villages were not adequate (their width, no water or electricity and away from settlements), four other villages had not yet Poskesdes, and delivery equipment was also incomplete. The process of planning, implementation, monitoring and supervision of Jampersal was also not performed well. In 2011 and 2012 (January to April), all deliveries by health workers in the Salomekko Health Center were funded by Jampersal although deliveries took place in non-medical facilities. The culture of siri was expected to encourage mothers to give birth at home. The delivery rate by traditional birth attendants was still high. Although there was no necessity, the mothers should pay around 100,000 00 to midwives for consumables without the knowledge of the health office. The application procedure for Jampersal funds with certain administrative requirements was perceived to be quite complicated. Conclusion: Poskesdes needs to be built immediately in four villages and, for the other four villages that already have Poskesdes, the facilities need improving following the completeness of equipment. APN training and Jampersal SOP socialization should be improved and monitoring and supervision by the health center in the village should be increased. Levies should be removed and delivery by health workers not at the health facilities cannot claim Jampersal. Lastly, the claims of Jampersal process should be simplified. Latar belakang: Jaminan persalinan diberlakukan mulai April tahun 2011 dan bertujuan meningkatkan akses ibu bersalin terhadap pertolongan persalinan oleh tenaga kesehatan di fasilitas kesehatan dengan memberikan jaminan pembiaya- annya. Cakupan persalinan oleh tenaga kesehatan di Kabupaten Bone tahun 2011 yaitu 76,67%. Persalinan oleh tenaga kese- hatan hanya 60% dilakukan oleh fasilitas kesehatan dan Puskesmas Salomekko mempunyai angka terendah yaitu 25%. Tujuan penelitian adalah melakukan evaluasi pelayanan persalinan oleh bidan di desa selama pelaksanaan Jampersal di Puskesmas Salomekko Kabupaten Bone Sulawesi Selatan tahun 2012. Metode: penelitian observasional menggunakan rancangan deskriptif kualitatif yang bersifat evaluatif, dengan subyek penelitian adalah 8 orang bidan di desa di wilayah Puskesmas Salomekko. Informan triangulasi adalah Kepala Puskesmas Salomekko dan Bidan koordinator Puskesmas Salomekko, serta Kepala seksi KIA Dinas Kesehatan Kabupaten Bone. Data dikumpulkan dengan wawancara mendalam dan dianalisis dengan content analysis. Hasil: Semua informan bidan di desa belum melaksanakan pelayanan persalinan dengan baik karena sebagian besar petugas belum mengikuti pelatihan APN, belum adanya Standar Operational Prosedur (SOP), empat gedung Pos Kesehatan Desa di empat desa tidak memadai (luasnya, tidak ada air mau- pun listrik dan jauh dari pemukiman), empat desa lainnya belum memiliki Poskesdes, peralatan persalinan juga belum lengkap. Proses perencanaan, pelaksanaan, monitoring dan pengawas- an Jampersal juga belum terlaksana dengan baik. Tahun 2011 dan 2012 (Januari sampai April) semua persalinan oleh tenaga kesehatan di wilayah Puskesmas Salomekko dibiayai dana Jam- persal walaupun persalinan dilakukan di non fasilitas kese- hatan. Budaya siri diperkirakan mendorong ibu bersalin di rumah. Angka persalinan oleh dukun bayi masih tinggi. Walaupun tidak ada keharusan tetapi cukup memberatkan ternyata sebagian ibu bersalin membayar sekitar Rp100.000,00 ke bidan di desa untuk bahan habis pakai, dan hal ini tidak sepengetahuan dinas kesehatan. Prosedur pengajuan dana Jampersal dengan syarat administrasi tertentu dirasakan cukup rumit. Kesimpulan: Diperlukan segera pembangunan Poskesdes di empat desa dan perbaikan fasilitas di empat desa yang telah mempunyai Poskesdes berikut kelengkapan peralatannya, pelatihan APN dan sosialisasi SOP Jampersal begitu juga peningkatan upaya monitoring dan supervisi oleh Puskesmas berdasarkan rayon wilayah desa, menghilangkan pungutan, persalinan Nakes tidak di Faskes tidak diklaimkan jampersal serta penyederhanaan proses klaim Jampersal.

Co-Authors Agung Budi Prasetijo Agung Budi Prasetijo Agung Budi Prasetjo Agung Budi Prasetjo Alfi Fairuz Asna Amelia Donsu Amni Zarkasyi Rahman, Amni Zarkasyi Anisa Nur Cahyanti Antono Suryoputro Apoina Kartini Apoina Kartini Atik Mawarni Atik Mawarni Ayun Sriatmi Bagoes Widjanarko Bambang Edi Warsito Budi Utomo Budiyono Budiyono Choirunissa, Risza Chumair, Nisrina Ocktalifa Daru Lestantyo Dea Amarilisa Adespin Delfia, Fila Denny, Hanifa Maher Dessy Lutfiasari Dewi, Aulia Ulfah Mutiara Dharminto Dharminto Dini Fitri Damayanti Djauharoh A. Hadie Dwi Retno Murdiyanti DWI RIKI Dwi Sulistyawati Dwi Sutiningsih Efa Nugroho Eko Sediyono Eko Wigiantoro Fadilah Pujiningtyas Permani Farid Agushybana Farid Agushybana Farid Farid Agushybana Fila Delfia Firston Arfiansyah Wicaksono Fitriani Fitriani Ghinanissa Azzahra Dustar Ghinanissa Azzahra Dustar Hadina Eka Camalia Hamdan Syah Alam Hanifa Maher Denny, Hanifa Maher Harahap, Ana Pujianti Harlen Yunita Heri Nugroho Husna, Eriana Mayasari I Putu Okta Diwian Jaya Putra I Putu Okta Diwian Jaya Putra Imawan, Satria Aji Indarwati, Novi Indarwati, Novi Inneke Elysia Lavender Johnston, Caroline Khairiyah, Oktarisa Komariyatun Komariyatun Krisnamurti Krisnamurti Kristawansari, Kristawansari Kusumastuti, K Kusworo Adi Laksmono Widagdo Laksmono Widagdo Lina Dwi Yoga Pramana Lina Dwi Yoga Pramana Lucia Ratna Kartika Lucia Ratna Kartika Wulan Mar Atul Mahmudah Mariyana, Kristin Martha Irene Kartasurya Martini Martini Masâ€™udah Masâ€™udah Mateus Sakundarno Adi, Mateus Sakundarno Mercy Joice Kaparang Moh. Hasyim Purwadi Muhamad Anja Ahul Alaiha Kavit Muhammad Azinar Muhammad Hadiyanto Muhdar Muhdar Murdiyanti, Dwi Retno Muslimahtun Baadiah Naila Fauziatin Naintina Lisnawati Nashihah, Prenati Ninik Dwi Ambarwati Nofa Martina Ariani, Nofa Martina Novia Handayani Novita Wulandari Nur Endah Wahyuningsih Nuridzin, Dion Zein Oktavia Beni Kujariningrum Opik Taufik Pramesti, Shinta Dwi Surya Priyadi Nugraha P Qatrannada, Shabrina Arifia R. Djoko Nugroho Raden Djoko Nugroho, Raden Djoko Ranindyta Elda Cintya Reni Murnita Rina Sri Widayati Rivaldi Indra Nugraha Rizal Kurniawan Rizki Anna L Rofifatun Nisa Salma Salma Sani Khoirul Amalia Seftika Indra Murhanda Putri Septo Pawelas Arso Septo Pawelas Arso Setyoningsih, Rr. Devi Noviana Sigit Setyono Sri Achadi Nugraheni Sri Achadi Nugraheni Sri Winarni Sri Winarni Sri Winarni Suci Ramadhani, Suci Sudiro Sudiro Sudiro Sudiro Suryawati, Chriswardhani Sutiyono Sutiyono Sutopo Patria Jati Ternate, Elvicta Venteysa Theresia Christiarini Kuntalawati Titi Suherni Tjahjono Kuntjoro Tjondrorini Tjondrorini Tjondrorini, T U. Evi Nasla Ulfa Ariska Putri Viera Juniver Thenu Vina Estetika Pakpahan Wawan Kurniawan Wicaksono, Firston Arfiansyah Wijaya, M. Indra Hadi Wirnani, Sri Wulandari, Nunung Yokbeth Kareth Yudhy Dharmawan Yudhy Dharmawan Yuliani Setyaningsih Zahroh Shaluhiyah Zainal Arifin Zulaeha A. Amdadi

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