DAFTAR ISI

KATA PENGANTAR......................................................................................i
LEMBAR PENGESAHAN............................................................................ii
DAFTAR ISI....................................................................................................iii
DAFTAR TABEL............................................................................................vi
DAFTAR GAMBAR.......................................................................................ix
BAB I. PENDAHULUAN
I.1. Latar Belakang..........................................................................................1
I.2. Perumusan Masalah...................................................................................6
I.3. Tujuan Penulisan........................................................................................6
1.3.1 Tujuan umum
1.3.2 Tujuan khusus
I.4. Manfaat Kegiatan.......................................................................................7
1.4.1 Bagi mahasiswa
1.4.2 Bagi puskesmas
I.5. Metodologi Penelitian................................................................................7
BAB II. DATA UMUM PUSKESMAS SALAMAN 1
II.1. Keadaan Geografi dan Lingkungan..........................................................9
II.1.1. Data Wilayah..................................................................................9
II.1.2. Keadaan Penduduk (Tahun 2013)..................................................10
II.1.3

Sosial Budaya................................................................................11

II.1.4

Sosial Ekonomi..............................................................................13

II.1.5

Kesehatan Lingkungan..................................................................13

II.2. Sumber Daya Puskesmas..........................................................................14

II.2.1

Data Ketenegaan Puskesmas Salaman I........................................14

II.2.2

Sarana Fisik....................................................................................15

II.2.3

Sarana Medis..................................................................................17

II.2.4

Sumber Dana..................................................................................18

II.2.5

Sarana Pelayanan Puskesmas.........................................................19

II.2.6

Jaringan Pelayanan Puskesmas I....................................................19

II.2.7

Jenis Pelayanan dalam Gedung......................................................20

II.3. Data 20 Besar Penyakit Terbesar di Puskesmas Salaman I.......................20

II.4. Derajat Kesehatan.....................................................................................22

II.5. Visi, Misi, dan Strategi Puskesmas Salaman I..........................................23

II.5.1 Visi Puskesmas Salaman I....................................................................23
II.5.2

Misi Puskesmas Salaman I............................................................23

II.5.3

Filosofi Puskesmas Salaman I.......................................................23

II.5.4

Dimensi Mutu Puskesmas Salaman I.............................................24

II.5.5

Definisi Mutu Puskesmas Salaman I.............................................24

II.6. Manajemen Puskesmas.............................................................................24

II.7. Deskripsi Kerja.........................................................................................30
BAB III. DATA KHUSUS PUSKESMAS SALAMAN I
III.1. Program Pokok Puskesmas......................................................................36
III.2. Upaya Kesehatan Wajib Puskesmas........................................................36
III.2.1 Kesehatan Ibu dan Anak serta KB.................................................37
III.2.2 Gizi.................................................................................................40
III.2.3 Kesehatan Lingkungan..................................................................41
III.2.4 Upaya Pencegahan dan Pemberantasan Penyakit..........................42
III.2.5 Promosi Kesehatan........................................................................45
III.2.6 Upaya Pengobatan.........................................................................47
BAB IV. ANALISA MASALAH
IV.1. Kerangka pikir masalah...........................................................................49
IV.2 Analisis penyebab masalah .....................................................................51
IV.3. Cakupan program puskesmas yang bermasalah.......................................52
IV.4 Tekhnik prioritas masalah.........................................................................54
IV.4.1 Penilaian prioritas masalah.............................................................54
IV.4.2 Kriteria A besar masalah.................................................................55
IV. 4.3 Kriteria B kegawatan.....................................................................59
IV.4.4 Kriteria C kemudahan dalam penanggulangan...............................61
IV.4.5 Kriteria D PEARL faktor................................................................63
IV.4.6 Penilaian Prioritas Masalah............................................................64
V.5. Urutan Prioritas Masalah...........................................................................66
BAB V. ANALISIS PEMECAHAN MASALAH
V.1. Kegiatan/Indikator Program yang Akan Dipecahkan................................68
V.2. Analisis Penyebab Masalah.......................................................................68
V.3 Penentuan Prioritas Alternatif Pemecahan Masalah..................................68

BAB VI. PENUTUP

VI.1. Kesimpulan..............................................................................................77
VI.2 Saran .......................................................................................................78
DAFTAR PUSTAKA .....................................................................................79
LAMPIRAN

DAFTAR TABEL
Tabel 1. Komposisi Penduduk di Wilayah Kerja Puskesmas.........................11
Salaman I Tahun 2013
Tabel 2. Data Pemeluk Agama di Wilayah Kerja Puskesmas........................11
Salaman I
Tabel 3. Data Tingkat Pendidikan di Wilayah Kerja Puskesmas...................12
Salaman I
Tabel 4. Data Mata Pencaharian Penduduk di Wilayah Kerja.......................13
Puskesmas Salaman I (10 tahun keatas)
Tabel 5. Data Ketenagaan Puskesmas Salaman I...........................................14
Tabel 6. Nama Ruang Perawatan, Kelas, dan Jumlah Tempat Tidur.............16
Tabel 7. Data 20 Besar Penyakit Rawat Jalan di Puskesmas Salaman I........20
Kabupaten Magelang, Bulan Januari September 2013
(Diagnosis Berdasarkan ICD-X)
Tabel 8. Pola 20 Besar Penyakit Pasien Rawat Inap......................................21
Puskesmas Salaman I Bulan Januari September 2013
Tabel 9. Satus Gizi di Wilayah Kerja Puskesmas Salaman I.........................22
Tabel 10. Hasil Kegiatan Pelayanan KIA Puskesmas Salaman I.....................38
Bulan Januari September 2013
Tabel 11. Hasil Kegiatan Pelayanan Kesehatan Anak Pra Sekolah.................39
dan Usia Sekolah di Puskesmas Salaman I Bulan
Januari - September 2013
Tabel 12. Hasil Kegiatan Pelayanan KB Puskesmas Salaman I Bulan............39
Januari - September 2013
Tabel 13. Hasil Kegiatan Pelayanan Usila Puskesmas Salaman I Bulan.........39
Januari - September 2013
Tabel 14. Hasil Kegiatan Pemantauan dan Petumbuhan Balita Puskesmas.....40
Salaman I Bulan Januari - September 2013
Tabel 15. Hasil kegiatan Pelayanan Gizi Puskesmas Salaman I Bulan..........41
Januari - September 2013
Tabel 16. Hasil Kegiatan Pelayanan Kesehatan Lingkungan Puskesmas........41

Salaman I Bulan Januari - September 2013

Tabel 17. Hasil kegiatan Pelayanan Higienis dan Sanitasi Puskesmas............42
Salaman I Bulan Januari - September 2013
Tabel 18. Hasil Kegiatan P2 Malaria Puskesmas Salaman I Bulan.................43
Januari - September 2013
Tabel 19. Hasil Kegiatan P2 TB Paru Puskesmas Salaman I Bulan................43
Januari - September 2013
Tabel 20. Hasil Kegiatan P2 ISPA Puskesmas Salaman I Bulan
Januari - September 2013.................................................................44
Tabel 21. Hasil Kegiatan P2 Diare Puskesmas Salaman I Bulan
Januari - September 2013.................................................................44
Tabel 22. Hasil kegiatan P2P Imunisasi Puskesmas Salaman I Bulan
Januari - September 2013................................................................45
Tabel 23. Hasil Kegiatan Penyuluhan Kelompok dan Umum di Dalam
Luar Gedung Puskesmas Salaman I Bulan Januari - September
2013..................................................................................................46
Tabel 24. Hasil kegiatan Promosi Kesehatan Puskesmas Salaman I Bulan
Januari - September 2013.................................................................46
Tabel 25. Hasil Kegiatan Perkembangan Sekolah Sehat Puskesmas Salaman I
Bulan Januari - September 2013......................................................47
Tabel 26. Hasil Kegiatan Pengobatan Rawat Jalan Puskesmas Salaman I
Bulan Januari - September 2013......................................................48
Tabel 27. Hasil Kegiatan Upaya Kesehatan Gigi Puskesmas Salaman I
Bulan Januari - September 2013......................................................48
Tabel 28. Hasil Kegiatan Upaya Kesehatan Jiwa Puskesmas Salaman I
Bulan Januari - September 2013......................................................48
Tabel 29. Hasil Kegiatan Puskesmas yang Bermasalah...................................52
Tabel 30. Program-Program yang Belum Mencapai Target.............................55
Tabel 31. Pembagian Interval Kelas.................................................................57
Tabel 32. Nilai Masalah Sesuai Kelas..............................................................57
Tabel 33. Daftar Masalah Puskesmas Salaman I Berdasarkan Kriteria B.......60
Tabel 34. Daftar Masalah Puskesmas Salaman I Berdasarkan Kriteri C..........62
Tabel 35. Daftar Masalah Puskesmas Salaman I Berdasarkan Kriteria D........63
Tabel 36. Urutan Prioritas Berdasarkan Perhitungan Hanlon Kuantitatif........65

Table 37. Analisis input....................................................................................68

Table 38. Analisis proses penyebab masalah...................................................69
Table 39. Analisis lingkungan penyebab msalah.............................................70
Tabel 40. Alternatif penyebab masalah............................................................73
Table 41. Alternatif pemecahan masalah..........................................................74
Tabel 42. Teori prioritas pemecahan masalah..................................................75
Tabel 43. Penentuan prioritas alternatif pemecahan masalah..........................75
Tabel 44. Gann Chart.......................................................................................78