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DAFTAR ISI

Halaman
DAFTAR TABEL.......................................................................................iv
DAFTAR GAMBAR...................................................................................v

I. PENDAHULUAN...................................................................................1
A. Latar Belakang dan Masalah ...........................................................1
1. Latar Belakang...........................................................................1
2. Rumusan Masalah......................................................................3
B. Tujuan dan Manfaat Penulisan ........................................................4
1. Tujuan Penulisan .......................................................................4
2. Manfaat Penulisan .....................................................................5
II. TINJAUAN PUSTAKA ........................................................................7
A. Demam Berdarah Dengue ..............................................................7
1. Epidemiologi.............................................................................7
2. Etiologi dan Penularan DBD ....................................................8
3. Diagnosis ................................................................................12
4. Pengobatan .............................................................................13
5. Pencegahan .............................................................................18
B. Puskesmas ....................................................................................25
1. Pengertian ...............................................................................25
2. Tujuan ....................................................................................25
3. Fungsi .....................................................................................26
4. Upaya Penyelenggaraan Kesehatan .......................................27
III. METODE EVALUASI .......................................................................28
A. Tolak Ukur Penilaian.....................................................................28
A. Pengumpulan Data.........................................................................28

ii

B. Cara Analisis..................................................................................29

IV. GAMBARAN WILAYAH KERJA PUSKESMAS PANJANG .........32


A. Gambaran Umum...........................................................................32
1. Geografi..................................................................................32
2. Topografi ................................................................................33
3. Demografi ..............................................................................33
B. Sumber Daya Tenaga dan Sarana...................................................34
1. Keadaan Fasilitas Kesehatan ..................................................34
2. Keadaan Sumber Daya Tenaga Kesehatan .............................35
C. Pembiayaan Sektor Kesehatan.......................................................37
D. Program Puskesmas.......................................................................38
1.
2.

Upaya Kesehatan Wajib .........................................................38


Upaya Kesehatan Pengembangan ..........................................45

V. HASIL EVALUASI...............................................................................48
A. Pendekatan Sistem.........................................................................48
B. Identifikasi masalah.......................................................................49
C. Kerangka Konsep...........................................................................50
D. Identifikasi Faktor Penyebab Masalah...........................................51

VI. ALTERNATIF PEMECAHAN MASALAH.......................................56


A. Menyusun Alternatif Jalan Keluar.................................................57
B. Memilih Prioritas Jalan Keluar......................................................58

VII. SIMPULAN DAN SARAN..............................................................59


A. Simpulan........................................................................................59
B. Saran...............................................................................................60

DAFTAR PUSTAKA

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DAFTAR TABEL
Tabel

Halaman

1. Distribusi penduduk, kepala keluarga, jumlah rumah, dan luas wilayah


kerja Puskesmas rawat inap Panjang tahun 2012 .................................. 33
2. Fasilitas kesehatan di wilayah kerja Puskesmas rawat inap Panjang
tahun 2012 ............................................................................................. 34
3

Data tenaga kesehatan di Puskesmas rawat inap Panjang tahun 2012 .. 35

4. Sumber dana kesehatan Puskesmas rawat inap Panjang tahun


2010-2012 ............................................................................................ 37
5.

Pencapaian program pemberantasan penyakit DBD di Puskesmas


Panjang periode tahun 2012 ................................................................. 50

6.

Teknik kriteria matriks pemilihan prioritas penyebab masalah............ 53

7.

Teknik kriteria matriks pemilihan prioritas penyebab masalah (2)....... 54

8.

Alternatif pemecahan masalah (jalan keluar)....................................... 57

9.

Memilih prioritas pemecahan masalah (jalan keluar)........................... 58

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DAFTAR GAMBAR

Gambar

Halaman

1.

Penanganan tersangka DBD tanpa syok............................................... 15

2.

Pemberian cairan pada tersangka DBD dewasa di ruang rawat............ 15

3.

Penatalaksanaan DBD dengan peningkatan hematokrit>20%.............. 16

4. Tatalaksana sindroma syok dengue pada dewasa.................................. 17


5.

Penyebaran penduduk per kelurahan Puskesmas rawat inap Panjang


tahun 2012 ............................................................................................ 34

6.

Pendekatan sistem ................................................................................ 49

7.

Kerangka konsep pelaksanaan program pemberantasan DBD ............ 51

8.

Diagram fishbone.................................................................................. 53