Pemecahan Masalah Kesehatan Di Indonesia

7/25/2019 Pemecahan Masalah Kesehatan Di Indonesia

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PEMECAHAN MASALAH KESEHATAN DI INDONESIA

MODUL : PRIORITAS MASALAH KESEHATAN DI INDONESIALBM : 3 (TIGA)

TOPIK : PROBLEM SOLVING KESEHATAN DI INDONESIA

HARI/TANGGAL : KAMIS /23 DESEMBER 2010

I. Dasar !"#$#ra%

II. Sasara% P!"&!'aara%a. Maas#s*a "a"+ "!'a$+$a% #,!%-#$as# "asa'a $!s!a-a%&. Maas#s*a "a"+ "!'a$+$a% r#r#-as -!ra,a "asa'a $!s!a-a%

,!%a% &!r&aa# "!-,!. Maas#s*a "a"+ "!'a$+$a% a%a'#s#s !%!&a& "asa'a

III. Dasar -!r#

P!"!aa% "asa'a $!s!a-a% a,a'a s+a-+ rs!s a% ,#'a$+$a% '!s!$!'"$ ra% ,!%a% "!-,! -!r-!%-+ +%-+$ "!%!%-+$a% +r+-a% ,a'a"!"!aa% s+a-+ "asa'a ,!%a% &!r&aa# "!-,!A. Masa'a : A,a%a $!s!%a%a% a%-ara $!a,aa% a% ,##%#%$a% ,!%a%

$!a,aa% a%%a-a/$!a,aa% a% -!ra,#

B. Kr#-!r#a : a$-r45a$-r a% ,aa- "!%!%-+$a% -#%# r!%,a%a %#'a#!r"asa'aa%

S!#%a "asa'a a% sa-+ ,!%a% "asa'a a% 'a#%%a,aa- ,#&!,a$a%.

6. S$r : !"&!r#a% %#'a# -!ra,a "asa'aD. B&- : D!raa- $!!%-#%a% ,ar# -#a r#-!r#a

La%$a4'a%$a ,a'a" !"!aa% "asa'a :

P!%!-aa% "asa'a Pr#r#-as "asa'a

P!%#'a#a% A%a'#sa P!%!&a&

P!'a$sa%aa% P!"!aa% "asa'a

A'-!r%a-#5 P!"!aa%

P!%a"'a% K!+-+sa%

R!%a%a !'a$sa%aa% (RKO)


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A. Penetapan masalahU%-+$ "!%!-a+# aa$a #-+ "asa'a "a$a !r'+ ,#$!-a+# "!%!%a#!%!r-#a% "asa'a7 a#-+ a,a%a $!s!%a%a% a%-ara araa%/-++a%a% #%#% ,#aa# ,!%a% $!%a-aa% a% s!s+%+%a s!#%a

"!%#"&+'$a% rasa -#,a$ +as.D!%a% ,!"#$#a% +%-+$ "!"+-+s$a% a,a%a "asa'a !r'+ -#asara- a% ar+s ,#!%+#7 a#-+ :

1. A,a%a $!s!%+a%a%2. A,a%a rasa -#,a$ +as3. A,a%a rasa -a%+% a*a& +%-+$ "!%a%+'a%# "asa'a

Da'a" !%!-aa% "asa'a ar+s ,#$!-a+# $!a,aa% s!$ara% ,a%$!a,aa% a% ,##%#%$a%7 ,ar# as#' "!"&a%,#%$a% $!,+a $!a,aa%-!rs!&+- $!"+,#a% ,#ar# "a%a a% &!'+"/-#,a$ "!"+as$a%"!r+a$a% $!s!%a%a%/"asa'a.

B. Prioritas masalah

1. M!-,! Ha%'% K+a%-#-a-#52. M!-,! Ha%'% K+a'#-a-#5

C. Analisa penyebab MasalahA%a'#sa !%!&a& "asa'a "!r+a$a% $!#a-a% +%-+$ "!%$a#-$a%"asa'a ,!%a% 5a$-r !%!&a&%a. U%-+$ a%a'#sa !%!&a&"asa'a ,aa- ,#+%a$a% ,!%a% &!r&aa# "!-,! a#-+ :

1. A%a'#s#s -+'a% #$a% (#s &r% a%a's#s)2. A%a'#s#s ss-!"3. P!%,!$a-a% HL B'+"8. A%a'#s#s E#,!"#'#9. P% "asa'a (Pr&'!" -r!!)

PENETAPAN PIOITAS MASALAH

METODE HANLON K!ALITATI"Pr#%s# ,asar !%!-aa% r#r#-as "asa'a #%# a,a'a "!"&a%,#%$a% !%-#%%a"asa'a sa-+ ,!%a% a% 'a#%%a ,!%a% ara "a-#% +%-+$ -#a4-#a "asa'a.

La%$a4'a%$a !%!-aa% :1. B+a- "a-r#$2. T+'#s s!"+a "asa'a a,a s+"&+ !r-#a' ,a% r#;%-a'3. Ba%,#%$a% "a- : "asa'a a% a,a 'a$s,a%a$a% !%#'a#a% ,!%a%

$!-!%-+a% s!&aa# &!r#$+-:a.


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,. ANG DIPAKAI :

1. MENDESAK (URGEN6>)P!r-#"&a%a% #%# ,ar# as!$ *a$-+ 7 "as# ,aa- ,#-+%,a a-a+ar+s s!!ra ,#-a%+'a%#. S!"a$#% !%,!$ -!a% *a$-+%as!"a$#% "!%,!sa$ +%-+$ ,#-a%+'a%#.

2. KEGA?ATAN (SERIOUSNESS)B!sar%a a$#&a- a-a+ $!r+#a% a% ,#%a-a$a% ,a'a" &!sara%$+a%-#-a-#5 &!raa r+#a7 ra%7 ,''.

3. PERKEMBANGAN (GRO?TH)$!!%,!r+%a% a-a+ !r$!"&a%a% a$#&a- ,ar# s+a-+!r"asa'aa%. S!"a$'#% &!r$!"&a% "asa'a s!"a$#%,#r#r#-as$a%.

#. Kriteria !r$en%y &men'esa()

Masa'a ISPA DIARE TB6 HIPERTEN

SI

TOTAL

HORISONTALISPA 4 4 = 1

DIARE = = 2

TB6 = 1

HIPERTENSI 0

T-a' V!r-#$a' 0 1 1 0

T-a'

Hr#s%-a'

1 2 1 0

T O T A L 1 3 2 0

*. Kriteria Serio+sness &(e$a,atan)

Masa'a ISPA DIARE TB6 HIPERTENSI

TOTALHORISONTAL

ISPA 4 4 = 1

DIARE = = 2

TB6 = 1


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HIPERTENSI 0

T-a' V!r-#$a' 0 1 1 0

T-a'

Hr#s%-a'

1 2 1 0

T O T A L 1 3 2 0-. Kriteria ro,th &per(emban$an)

Masa'a ISPA DIARE TB6 HIPERTEN

SI

TOTAL

HORISONTAL

ISPA4 4 4 0

DIARE = = 2

TB6 = 1

HIPERTENSI 0

T-a' V!r-#$a' 0 1 1 0

T-a'

Hr#s%-a'

0 2 1 0

T O T A L 0 3 2 0

/. Prioritas Masalah

Masa'a U S G T-a' Pr#r#-aISPA 1 1 0 2 III

DIARE 3 3 3 @ ITB6 2 2 2 II

HIPERTENSI 0 0 0 0 IV

KESIMPULAN : Masa'a a% !r'+ ,#r#r#-as$a% a,a'a : DIARE

METODE HANLON K!ANTITATI"

T!0!AN 11. I,!%-#$as# 5a$-r45a$-r '+ar ,aa- ,##$+-s!r-a$a% ,a'a" rs!s !%!%-+a%

"asa'a2. M!%!'"$$a% 5a$-r45a$-r a,a ,a% "!"&!r#$a% &&- $!a,a

$!'"$ 5a$-r -!rs!&+-


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3. M!"+%$#%$a% a%-a +%-+$ "!%+&a 5a$-r ,a% %#'a# s!s+a# ,!%a%

$!&+-+a%%a

U%-+$ $!!r'+a% "!-,! #%# ,#+%a$a% 8 $!'"$ $r#-!r#a :1. K!'"$ Kr#-!r#a A : &!sar%a "asa'a2. K!'"$ Kr#-!r#a B : $!a*a-a% "asa'a

3. K!'"$ Kr#-!r#a 6 : $!"+,aa% ,a'a" !%a%+'a%a%8. K!'"$ Kr#-!r#a D : PEARL 5a$-r

Lan$(ah2lan$(ah penetapan %riteria#. Kriteria A 1 besarnya masalah

B!sar%a Masa'a $!s!a-a% ,#+$+r ,ar# &!sar%a !%,+,+$ -!r$!%a !5!$'a%s+% (#%#,!%!.r!a'!%!)

Masa'a

K!s!a-a%

B!sar%a "asa'a !r 10.000 !%,+,+$NI'a#

900(10)

8@@4

100(C)

@34

90()

8@410(8)

@49(2)

9(1)

A 8B F 6 8

6%- :6a$+a% P+s$!s"as F a,a'a s&&:A. 9

B. 996. 39D.29E.19.80

R (%#'a# &!sar $!#')I%-!ra' $'as 444444444444444444444444444444444444


6/8

E 10 F

*. Kriteria B 1 (e$a,atan masalahU%-+$ "!%!-a$a% r#-!r#a #%# s$r! 1 sa"a# 9

Masa'a

$!s!a-a%

$!a%asa% T#%$a-

Ur!%s#

B#aa a%

,#$!'+ar$a%

N#'a#

A 3 2 3 CB 2 2 3 J6 3 8 3 10

-. Kem+'ahan 'alam penan$$+lan$an

U%-+$ "!%#'a# $!"+,aa% ,a'a" !%a%+'a%a% !r-a%aa% a% ar+s,#a*a& a,a'a7 aa$a s+"&!r4s+"&!r ,a% -!$%'# a% -!rs!,#a "a"+"!%!'!sa#$a% "asa'a: "a$#% s+'#- ,a'a" !%a%+'a%a% s$r! a%,#&!r#$a% "a$#% $!#'.Sa%a- s+'#- Sa%a- "+,aD#-a%+'a%#

1 2 3 8 96%- :Has#' $%s!%s+s a% ,#aa# a,a 'a%$a #%# "!"&!r#$a% %#'a# ra-a4ra-as!&aa# &!r#$+- ($!'"$ -!r,#r# ,ar# J ra%) :

3=8=3=2=8=3=2 21Masa'a A 444444444444444444444444 44444444 3

J J 8=8=3=8=3=8=3 29Masa'a B 444444444444444444444444 44444444 3 J J 2=3=3=2=8=3=3 20Masa'a 6 444444444444444444444444 44444444 27C J J8. Kriteria D.PEAL 3a(tor

K!'"$ $r#-!r#a D -!r,#r# ,ar# &!&!raa 5a$-r a% sa'#% "!%!%-+$a%,aa- a-a+ -#,a$%a s+a-+ rra" ,#'a$sa%a$a% 5a$-r45a$-r -!rs!&+- :a. K!s+sa#a% (rr#!-)&. E$%"# M+ra (E%"#)

. Daa- ,#-!r#"a (A!-a'#-),. T!rs!,#a%a s+"&!r (r!s+r!s aa#'a'#-)!. L!a'#-as -!ra"#% (L!a'#-)

6%- :Masa'a P E A R L Has#' !r$a'#a%

A

B

1

1

1

1

1

1

1

1

1

1

1

1


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6 1 1 1 0 1 0

P!%!-aa% %#'a#:S!-!'a %#'a# r#-!r#a A7B76 ,a% D ,#,aa-$a% $!"+,#a% %#'a# -!rs!&+-,#"as+$$a% $! ,a'a" 5r"+'a s!&aa# &!r#$+- :N#'a# Pr#r#-as ,asar (NPD) (A=B) 6

N#'a# Pr#r#-as T-a' (NPT) (A=B) 6 DMasa'a A NPD (8=C)3 3Masa'a B NPD (=J)37 87CMasa'a 6 NPD (8=10) 27C 3@72

D!%a% "!%a'#$a% NPD ,!%a% $"%!% r#-!r#a D ,ar# a"s#%4"as#%"asa'a "a$a ,#,aa- a%$a NPT s!&aa# &!r#$+- :

Masa'a N P D N#'a# PEARL N P T Ur+-a%

Pr#r#-asAB6

387C3@72

110

387C

0

III

KESIMPULAN : Masa'a a% !r'+ ,#r#r#-as$a% a,a'a : Masa'a B

D. Peme%ahan masalah

S!-!'a $#-a "!%,aa-$a% r#r#-as "asa'a ,ar# "asa'a a% a,a7

'a%$a s!'a%+-%a &!r+a P!"!aa% Masa'aT++a% : +%-+$ "!%#'a%$a%/"!%+ra%# 5a$-r 5a$-r !%!&a&7$!#a-a% ,#'a$+$a% &!r+a :

1. P!%!-aa% -++a% ,a% sasara%2. M!%ar# a'-!r%a-#! !"!aa% "asa'a

6%- : Masa'a a% a$a% ,#-a%+'a%# a,a'a "asa'a DIARE7"a$a !%!-aa%

-++a%%a a,a'a :

M!%+r+%$a% !%,!r#-a !%a$#- D#ar! a,a &a'#-a ,ar# 20

"!%a,# 10 ,# P+s$!s"as F -a+% 2010

S!!r-# ,#$!-a+# +%-+$ "!%aa# -++a% ,aa- ,#'a$+$a% ,!%a%"!%a%+'a%# sasara% &!r+a 5a$-r !%!&a& "asa'a.Dar# %- ,# a-as a,a 8 5a$-r !%!&a& "asa'a a% "!r+a$a%'#%$+ sasara% $!#a-a%7 %- sasara% a% ,aa- ,#'a$+$a% :

1. M!%+ra%# !r#'a$+ a% -#,a$ &a#$ "!%!%a# $!asaa% BABs!"&ara%a%

2. M!"&!r#$a% "-#as# a,a !-+as aar "a+ &!'aar "!%!%a#"a%a!"!% !%!''aa% $!s'#%

3. M!%#%$a-$a% $!-ra"#'a% !-+as ,a'a" !%+'+a%


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8. P!%a,aa% sara%a a#r &!rs# ,a% 'a#%4'a#%

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