DAFTAR ISI

Halaman
HALAMAN PENGESAHAN ......................................................................

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KATA PENGANTAR ..................................................................................

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DAFTAR ISI ................................................................................................

DAFTAR TABEL .........................................................................................

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DAFTAR BAGAN .......................................................................................

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DAFTAR GAMBAR ....................................................................................

DAFTAR LAMPIRAN ................................................................................

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BAB I PENDAHULUAN
1.1. Latar Belakang ......................................................................................

1.2. Perumusan Masalah ...............................................................................

1.3.Tujuan Kegiatan.......................................................................................

1.3.1 Tujuan Umum..................................................................................

1.3.2 Tujuan Khusus.................................................................................

1.4. Manfaat Kegiatan ..................................................................................

1.4.1 Manfaat Bagi Mahasiswa................................................................

1.4.2 Manfaat Bagi Puskesmas.................................................................

1.5 Metodologi..............................................................................................

BAB II DATA UMUM

2.1 Keadaan Geografis dan Lingkungan .......................................................

2.1.1. Data Wilayah ..................................................................................` 8

a. Batas batas wilayah Puskesmas Tempuran............................

b. Luas Wilayah Kerja...................................................................

c. Pembagian Wilayah...................................................................

d. Kondisi Geografis......................................................................

e. Transportasi...............................................................................

f. Komunikasi...............................................................................

10

g. Keadaan Penduduk....................................................................

10

h. Sosial Budaya............................................................................

11

2.1.2. Kesehatan Lingkungan....................................................................

12

2.1.3. Visi, Misi, Filosofi dan Struktur Organisasi Puskesmas Tempuran

13

A.Visi Puskesmas Tempuran..........................................................

13

B.Misi Puskesmas Tempuran..........................................................

13

C.Filosofi Puskesmas Tempuran.....................................................

14

D.Struktur Organisasi......................................................................

15

2.1.4. Input ............................................................................................

16

A. Man............................................................................................

16

B. Machine.....................................................................................

29

C. Money........................................................................................

31

D. Methode.....................................................................................

31

E. Material.....................................................................................

32

2.1.5. Proses.............................................................................................

32

A. P1 ( Perencanaan ).....................................................................

32

B. P2 ( Penggerakan dan Pelaksanaan ).........................................

34

C. P3 ( Pengawasan, Pengendalian dan Penilaian ).......................

37

2.1.6. Data 20 Penyakit Terbesar di Puskersmas Tempuran....................

38

BAB III DATA KHUSUS

3.1. Upaya Kesehatan / Program Wajib Puskesmas .....................................

40

1. Kesehatan Ibu dan Anak ( KIA ) dan KB...........................................

40

2. Gizi.....................................................................................................

41

3. Kesehatan Lingkungan.......................................................................

42

4. Penanggulangan Penyakit Menular....................................................

43

5. Promosi Kesehatan.............................................................................

45

6. Pengobatan..........................................................................................

46

3.2. Upaya Kesehatan Pengembangan Puskesmas .......................................

47

1. UKS....................................................................................................

47

2. UKGS.................................................................................................

48

3. Kesehatan Jiwa...................................................................................

48

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BAB IV ANALISIS MASALAH

4.1. Analisis Penyebab Masalah.....................................................................

49

4.2. Cakupan Program Puskesmas yang Bermasalah ....................................

50

4.3. Prioritas Masalah.....................................................................................

51

4.3.1. Metode Hanlon Kuantitatif ............................................................

51

1. Kriteria A : Besarnya Masalah.....................................................

52

2. Kriteria B : Kegawatan Masalah..................................................

56

3. Kriteria C : Kemudahan dalam Penanggulangan.........................

59

4. Kriteria D : Kriteria PEARL........................................................

60

5. Penilaian Prioritas Masalah..........................................................

62

BAB V ANALISIS PEMECAHAN MASALAH

5.1. Kegiatan atau Indikator Kegiatan yang Bermasalah...............................

67

5.2. Kerangka Pikir Pemecahan Masalah.......................................................

67

5.3. Menentukan Kemungkinan Penyebab Masalah......................................

70

1. Pendekatan Sistem..............................................................................

71

A. Konfirmasi Keemungkinan Penyebab Masalah.............................

74

B. Penentuan Alternatif Pemecahan Masalah.....................................

75

C. Penentuan Pemecahan Masalah dengan Kritera MAtriks

menggunakan Rumus M x I x V /C...............................................

76

D. Perencanaan Kegiatan Masalah yang Terpilih...............................

78

BAB VI KESIMPULAN DAN SARAN

6.1. Kesimpulan .............................................................................................

84

6.2. Saran ......................................................................................................

85

DAFTAR PUSTAKA ..................................................................................

86

LAMPIRAN ..................................................................................................

87

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DAFTAR TABEL
Halaman
TABEL 2.1. Daftar Desa di Wilayah Kerja Puskesmas Tempuran..............

TABEL 2.2. Sebaran Umur Berdasarkan Umur ...........................................

10

TABEL 2.3. Data Pemeluk Agama di Wilayah Puskesmas Tempuran

Tahun 2011 ..............................................................................

11

TABEL 2.4. Tingkat Pendidikan Kepala Keluarga di Wilayah

Puskesmas Tempuran Tahun 2011 ..........................................

11

TABEL 2.5. Sarana Perekonomian di Tempuran .........................................

11

TABEL 2.6. Sarana Pelayanan Air Bersih ...................................................

12

TABEL 2.7. Sarana Jamban .........................................................................

12

TABEL 2.8. Data Pegawai Puskesmas Tempuran Tahun 2011 ...................

16

TABEL 2.9. Pembagian Tugas Dan Tanggung Jawab di Puskesmas

Tempuran Tahun 2011.............................................................

17

TABEL 4.1. Daftar Masalah Manajemen Program Puskesmas

Tempuran Bulan Januari-Agustus 2011 ..................................

50

TABEL 4.2. Program-program Yang Belum Mencapai Target....................

52

TABEL 4.3. Skala Interval ..........................................................................

55

TABEL 4.4. Besarnya Masalah Terhadap Persentase Pencapaian .............

55

TABEL 4.5. Kriteria B (kegawatan\masalah). Daftar Masalah

Puskesmas Tempuran Berdasarkan Kriteria B ........................

57

TABEL 4.6. Kriteria C : Kemudahan Dalam Penaggulangan. Daftar

Masalah Puskesmas Tempuran Berdasarkan Kriteria C ........

59

TABEL 4.7. Kriteria D : Faktor PEARL. Daftar Masalah

Puskesmas Tempuran Berdasarkan Kriteria D .......................
61
TABEL 4.8. Urutan Prioritas Berdasarkan Perhitungan Hanlon
Kuantitatif ................................................................................

63

TABEL 5.1. Identifikasi Kemungkinan Penyebab Masalah ...................... .

70

TABEL 5.2. Investarisasi Kemungkinan Penyebab Masalah Dan

Penerapannya ..........................................................................

75

TABEL 5.3. Total Prioritas Alternatif Pemecahan Masalah ........................

77

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TABEL 5.4. Rencana Kegiatan Masalah ....................................................

DAFTAR BAGAN

Halaman
Bagan 1 Struktur Organisasi ..........................................................................

15

Bagan 2 Pendekatan Sistem...........................................................................

49

Bagan 3 Siklus Pemecahan Masalah..............................................................

70

Bagan 4 Diagram fish-bone............................................................................

73

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DAFTAR GAMBAR
Halaman
Gambar 1. Peta wilayah kerja Puskesmas Tempuran.....................................

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DAFTAR LAMPIRAN
Halaman
LAMPIRAN 1

SPM....................................................................................

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