DAFTAR ISI

LEMBAR PENGESAHAN ..........................................................................................

KATA PENGANTAR ..................................................................................................
DAFTAR ISI ...............................................................................................................
DAFTAR TABEL......................................................................................................
DAFTAR TABEL DAN DIAGRAM.......................................................................
BAB I. PENDAHULUAN.........................................................................................
1.1. Latar Belakang ........................................................................................
1.2. Tujuan Kegiatan ......................................................................................
1.2.1. Tujuan Umum ...................................................................................
1.2.2. Tujuan Khusus ..................................................................................
1.3. Manfaat Kegiatan.....................................................................................
1.4. Kependudukan.........................................................................................
1.4.1. Persebaran, Kepadatan Dan Sex Ratio Penduduk..............................
1.4.1.1. Persebaran Dan Kepadatan Penduduk.........................................
1.4.1.2. Sex Ratio......................................................................................
1.4.1.3. Penduduk Menurut Golongan Umur............................................
1.5. Sosial, Ekonomi Dan Budaya..................................................................
1.5.1. Pendapatan Perkapita / Gross National Product (Gnp)......................
1.5.2. Pendidikan..........................................................................................
1.5.3. Agama................................................................................................
1.5.4. Ketenagakerjaan.................................................................................
1.6. Keadaan Lingkungan...............................................................................
1.6.1. Rumah Sehat......................................................................................
1.6.2. Presentase Rumah Tangga Memiliki Akses Terhadap Air
Minum................................................................................................
1.6.3. Presentase Rumah Tangga Menurut Tempat Pembuangan
Kotoran / Tinja................................................................................
1.6.4. Tempat Umum Dan Pengelolahan Makanan (Tupm) Sehat
..........................................................................................................

KKS Ilmu Kesehatan Masyarakat

Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

1.7. Keadaan Perilaku Manusia.....................................................................

1.8. Derajat Kesehatan..................................................................................
1.8.1. Mortalitas ( Angka Kematian)..........................................................
1.8.1.1. Angka Kematian Bayi..............................................................
1.8.1.2. Angka Kematian Balita (Akaba)..............................................
1.8.1.3. Angka Kematian Ibu (Aki).......................................................
1.8.1.4. Umur Harapan Hidup(Uhh)......................................................
1.8.2. Morbiditas (Angka Kesakitan).........................................................
1.8.2.1. Penyakit-Penyakit Menular......................................................
1.8.2.2. Penyakit-Penyakit Tidak Menular............................................
1.8.3. Status Gizi Masyarakat.....................................................................
BAB II. STRUKTUR ORGANISASI DAN PROGRAM DINAS
KESEHATAN PROVINSI SUMATERA UTARA....................................
2.1. Struktur Organisasi Dinas Kesehatan Provinsi
Sumatera Utara.......................................................................................
2.1.1. Tugas, Fingsi Dan Uraian Tugas......................................................
2.1.1.1. Kepala Dinas.............................................................................17
2.1.1.2. Sekretaris...................................................................................19
2.1.1.2.1. Kepala Sub Bagian Umum................................................23
2.1.1.2.2. Kepala Sub Bagian Keuangan...........................................28
2.1.1.2.3. Kepala Sub Bagian Program.............................................31
2.1.1.3. Kepala Bidang Bina Pengendalian Masalah Kesehatan...........33
2.1.1.3.1. Kepala Seksi Bimdal Pengendalian Dan
Pemberantasan

Penyakit................................................

2.1.1.3.2. Kepala Seksi Bimdal Wabah Dan Bencana.......................38

2.1.1.3.3. Kepala Seksi Bimdal Kesehatan Lingkungan .................40
2.1.1.4. Kepala Bidang Bina Pelayanan Kesehatan...............................41
2.1.1.4.1. Kepala Seksi Bimdal Kesehatan Dasar.............................44
2.1.1.4.2. Kepala Seksi Bimdal Kesehatan Rujukan.........................46
2.1.1.4.3. Kepala Seksi Bimdal Kesehatan Khusus...........................48

KKS Ilmu Kesehatan Masyarakat

Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

2.1.1.5. Kepala Bidang Bina Pengembangan Sumber Daya Manusia

(Sdm) Kesehatan......................................................................50
2.1.1.5.1. Kepala Seksi Bimdal Perencanaan Dan Pendayagnaan....53
2.1.1.5.2. Kepala Seksi Bimdal Perndidikan Dan Pelatihan.............55
2.1.1.5.3. Kepala Seksi Bimdal Registrasi Dan Akreditasi...............57
2.1.1.6. Kepala Bidang Bina Jaminan Dan Saran Kesehatan................59
2.1.1.6.1. Kepala Seksi Bimdal Jaminan Kesehatan ........................61
2.1.1.6.2. Kepala Seksi Bimdal Sarana Dan Peralatan Kesehatan ...63
2.1.1.6.3. Kepala Seksi Bimdal Kefarmasian....................................65
2.1.2. Unit Pelaksanaan Teknis (Upt) Pada Dinas Kesehatan Provinsi
Sumatera Utara.................................................................................
2.1.2.1. Upt Kesehatan Indera Masyarakat............................................67
2.1.2.2. Upt Kesehatan Paru Masyarakat...............................................72
2.1.2.3. Upt Laboratorium Kesehatan Daerah.......................................79
2.1.2.4. Upt Pelatihan Kesehatan..........................................................85
2.1.2.5. Upt Provincial Training Centre Kesehatan Masyarakat............91
2.1.2.6 Upt Rumah Sakit Kusta Lau Simomo.......................................97
2.1.2.7. Upt Pelayanan Ambulans Dan Pengaduan Masyarakat
................................................................................................
2.1.3. Kelompok Jabatan Fungsional.......................................................109
2.1.4. Tata Kerja........................................................................................110
2.2. Program Pembangunan Kesehatan Dinas Kesehatan Provinsi
Sumatera Utara Tahun 2009-2013.......................................................
2.2.1. Program Pembangunan Kesehatan Dinas Kesehatan Provinsi
Sumatera Utara Tahun 2009-2013..................................................
2.2.1.1. Visi Dan Misi Pembangunan Kesehatan Daerah....................
2.2.1.2. Program Dan Kegiatan Indikatif Dinas Kesehatan
Daerah

Provinsi Sumatera Utara Tahun 2009 - 2013

................................................................................................
2.2.1.2.1. Program Upaya Kesehatan Masyarakat ........................112
2.2.1.2.2. Program Obat Dan Perbekalan Kesehatan.....................113
2.2.1.2.3. Program Promosi Kesehatan Dan Pemberdayaan
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

Masyarakat.....................................................................114
2.2.1.2.4. Program Perbaikan Gizi Masyarakat.............................115
2.2.1.2.5. Program Lingkungan Sehat...........................................116
2.2.1.2.6. Program Pencegahan Dan Pemberantasan Penyakit.....117
2.2.1.2.7. Program Upaya Kesehatan Perorangan.........................118
2.2.1.2.8. Program Sumber Daya Kesehatan.................................119
2.2.1.2.9. Program Kebijakan Dan Manajemen Pembangunan
Kesehatan......................................................................120
2.2.1.2.10.Program Penelitian Dan Pengembangan Kesehatan.....121
BAB III. STRUKTUR ORGANISASI DAN PROGRAM DINAS
KESEHATAN KOTA MEDAN................................................................
3.1. Struktur Organisasi Dinas Kesehatan Kota Medan.............................123
3.1.1.Kepala Dinas...................................................................................124
3.1.2. Sekretaris........................................................................................125
3.1.3. Kepala Bidang Bina Pelayanan Kesehatan.....................................126
3.1.4. Kepala Bidang Pengendalian Masalah Kesehatan.........................124
3.1.5. Kepala Bidang Pengembangan Sumber Daya Manusia Kesehatan127
3.1.6. Kepala Bidang Kefarmasian Jaminan Dan Sarana Kesehatan.......128
3.1.7. Unit Pelaksana Teknis Dinas (Uptd)..............................................129
3.1.7.1. Upt Puskesmas.......................................................................129
3.1.7.2. Upt Gudang Farmasi..............................................................129
3.1.7.3. Upt Klinik Spesialisasi Bestari...............................................129
3.1.7.4. Upt Laboratorium Kesehatan Lingkungan.............................129
3.1.8. Kelompok Jabatan Fungsional.......................................................130
3.2. Program Pembangunan Kesehatan Dinas Kesehatan Kota Medan......130
3.2.1. Program Upaya Kesehatan Masyarakat.......................................130
3.2.2. Program Obat Dan Perbekalan Kesehatan...................................131
3.2.3. Program Promosi Kesehatan........................................................132
3.2.4. Program Perbaikan Gizi Masyarakat............................................133
3.2.5. Program Lingkungan Sehat..........................................................134
3.2.6. Program Pencegahan Dan Pemberantasan Penyakit....................135
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

3.2.7. Program Upaya Kesehatan Perorangan........................................136

3.2.8. Program Sumber Daya Kesehatan................................................137
3.2.9. Program Kebijakan Dan Manajemen Pembangunan Kesehatan. .138
3.2.10. Program Pnelitian Dan Pengembangan Kesehatan......................139
BAB IV. KEPANITRAAN KLINIK SENIOR ILMU KESEHATAN
MASYARAKAT DI PUSKESMAS SIMPANG LIMUN
KECAMATAN MEDAN KOTA TAHUN 2014.....................................
4.1. Latar Belakang.....................................................................................140
4.2. Tujuan Kegiatan ..................................................................................141
4.2.1. Tujuan Umum................................................................................141
4.2.2. Tujuan Khusus...............................................................................141
4.2.3. Prosedur Kerja...............................................................................142
4.3. Pengertian, Fungsi dan Tujuan Puskesmas..........................................142
4.3.1. Pengertian Puskesmas....................................................................142
4.3.2. Fungsi Puskesmas...........................................................................143
4.3.3. Tujuan Puskesmas..........................................................................145
4.4. Visi dan Misi Puskesmas.....................................................................145
4.4.1. Visi Puskesmas...............................................................................145
4.4.2. Misi Puskesmas..............................................................................146
4.5. Asas dan Upaya Penyelengaraan Puskesmas.......................................146
4.5.1. Asas Penyelenggaraan Puskesmas..................................................146
4.5.2. Upaya Penyelenggaraan Puskesmas...............................................151
4.6. Kedudukan, Organisasi dan Tata Kerja Puskesmas.............................153
4.6.1. Kedudukan Puskesmas...................................................................153
4.6.2. Organisasi Puskesmas....................................................................154
4.6.3. Tata Kerja Puskesmas.....................................................................155
4.7. Gambaran Umum Puskesmas Simpang limun ....................................157
4.7.1. Sejarah Singkat Puskesmas Simpang Limun.................................157
4.7.2. Wilayah Kerja.................................................................................158
4.7.3. Data Wilayah / Data Geografis......................................................158

KKS Ilmu Kesehatan Masyarakat

Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

4.7.4. Data Kependudukan / Demografi...................................................158

4.7.5. Data Kesehatan...............................................................................164
4.7.5.1. Sarana Pendukung Kesehatan................................................165
4.7.6. Tenaga Kesehatan Puskesmas........................................................166
4.7.7. Struktur Organisasi Puskesmas Simpang Limun...........................169
4.7.8. Alur Pelayanan di Puskesmas Simpang Limun..............................170
4.7.9. Fasilitas Fisik Puskesmas...............................................................170
4.7.9.1. Fasilitas Gedung Puskesmas..................................................171
4.7.9.2. Sumber Daya Manusia...........................................................171
4.7.9.3. Fasilitas Administrasi.............................................................172
4.7.9.4. Fasilitas Imunisasi..................................................................172
4.7.9.5. Fasilitas Alat-Alat Kesehatan.................................................172
4.7.9.6. Fasilitas Obat-Obatan.............................................................173
4.8. Upaya Kesehatan Wajib dan Pengembangan
di Puskesmas Simpang Limun..........................................................176
4.8.1. Upaya Kesehatan Wajib.................................................................176
4.8.1.1. Upaya Promosi Kesehatan......................................................176
4.8.1.2. Upaya Kesehatan Lingkungan................................................179
4.8.1.3. Upaya Kesehatan Ibu dan Anak ( KIA )
dan Keluarga Berencana.........................................................181
4.8.1.4. Upaya Perbaikan Gizi.............................................................191
4.8.1.5. Upaya Pencegahan dan Pemberantsan Panyakit
Menular (P2M).......................................................................194
4.8.1.6. Upaya Pengobatan..................................................................199
4.8.1.7. Upaya Pencatatan dan Pelaporan...........................................202
4.8.2. Upaya Kesehatan Pengembangan..................................................203
4.8.2.1. Upaya Kesehatan Sekolah.....................................................203
4.8.2.2. Upaya Kesehatan Olahraga...................................................205
4.8.2.3. Upaya Perawatan Kesehatan Masyarakat.............................205
4.8.2.4. Upaya Kesehatan Karja.........................................................206
4.8.2.5. Upaya Kesehatan Gigi Dan Mulut........................................206
4.8.2.6. Upaya Kesehatan Jiwa..........................................................207
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

4.8.2.7. Upaya Kesehatan Mata.........................................................208

4.8.2.8. Upaya Kesehatan Lanjut Usia...............................................209
4.8.2.9. Upaya Pembinaan Pengobatan Tradisional dan
Pembinaan Tanaman Obat Keluarga ( TOGA )....................210
4.8.2.10. Upaya Penunjangan Puskesmas............................................211
BAB V. GAMBARAN KARAKTERISTIK, PENGETAHUAN DAN
SIKAP LANSIA TERHADAP PENYAKIT HIPERTENSI DI
DESA TANJUNG MUDA KECAMATAN AIR PUTIH
KABUPATEN BATU BARA PROVINSI SUMATERA UTARA
TAHUN 2014...............................................................................................
5.1. Latar Belakang......213
5.2. Perumusan Masalah...216
5.3. Tujuan Penelitian
216
5.3.1. Tujuan Umum
216
5.3.2. Tujuan Khusus

216
5.3.3. Manfaat Penelitian

216
5.4. Tinjauan Pustaka
217
5.4.1.
....................................................................................................
Masa Lanjut Usia
....................................................................................................
....................................................................................................
217
5.4.1.1. Pengertian Lanjut Usia
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

.........................................................................................
.........................................................................................
217
5.4.1.2. Permasalahan Lanjut Usia
.........................................................................................
.........................................................................................
219
5.4.2. Hipertensi
....................................................................................................
....................................................................................................
220
5.4.2.1. Definisi Hipertensi
.........................................................................................
.........................................................................................
220
5.4.2.2. Klasifikasi Hipertensi
.........................................................................................
.........................................................................................
220
5.4.2.3. Faktor Resiko
.........................................................................................
.........................................................................................
221
5.4.2.4. Manifestasi Klinik
.........................................................................................
.........................................................................................
221
5.4.2.5. Komplikasi
.........................................................................................
.........................................................................................
221
5.4.2.6. Diagnosis
.........................................................................................
.........................................................................................
222
5.4.2.7. Pencegahan
.........................................................................................
.........................................................................................
222
5.4.2.8. Penatalaksanaan
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

.........................................................................................
.........................................................................................
222
5.4.3. Pegnertian Pengetahuan
....................................................................................................
....................................................................................................
224
5.4.3.1. Proses Adopsi Prilaku
.........................................................................................
.........................................................................................
224
5.4.3.2. Tingkat Pengetahuan
.........................................................................................
.........................................................................................
225
5.4.3.3. Faktor - Faktor Yang Mempengaruhi Pengetahuan
.........................................................................................
.........................................................................................
227
5.4.4. Sikap (Attitude)
....................................................................................................
....................................................................................................
229
5.5. Metodologi Penelitian
230
5.5.1. Jenis Penelitian
....................................................................................................
....................................................................................................
230
5.5.2.

Lokasi dan Waktu Penelitian

....................................................................................................
....................................................................................................
231

5.5.2.1. Waktu Penelitian

.........................................................................................
.........................................................................................
231
5.5.2.2. Lokasi Penelitian
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

.........................................................................................
.........................................................................................
231
5.5.3. Sasaran Penelitian
....................................................................................................
....................................................................................................
231
5.5.4. Populasi dan Sampel Penelitian
....................................................................................................
....................................................................................................
231
5.5.4.1. Populasi Penelitian
.........................................................................................
.........................................................................................
231
5.5.4.2. Sampel Penelitian
.........................................................................................
.........................................................................................
231
5.5.4.2.1. Kriteria Sampel
............................................................................
............................................................................
231
5.5.4.2.2. Besar Sampel
............................................................................
............................................................................
232
5.5.5. Kerangka Konseptual
....................................................................................................
....................................................................................................
232
5.5.6. Definisi Operasional
....................................................................................................
....................................................................................................
232
5.5.7. Pengumpulan Data
....................................................................................................
....................................................................................................
233
....................................................................................................
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

5.5.7.1. Data Primer

.........................................................................................
.........................................................................................
233
5.5.7.2. Data Sekunder
.........................................................................................
.........................................................................................
233
5.5.8. Instrumen Penelitian
....................................................................................................
....................................................................................................
233
5.5.9. Pengelolaan dan Analisa Data
....................................................................................................
....................................................................................................
234
5.5.10. Langkah-Langkah Penelitian
....................................................................................................
....................................................................................................
236
....................................................................................................
5.6. Deskripsi Wilayah Penelitian dan Program Puskesmas
237
5.6.1. Deskripsi Wilayah Penelitian
....................................................................................................
....................................................................................................
237
5.6.1.1. Data Geografis dan Demografis Kecamatan Air Putih
.........................................................................................
.........................................................................................
237
5.6.1.1.1. Kondisi Georafis
............................................................................
............................................................................
237
5.6.1.1.2. Kondisi Demografis
............................................................................
............................................................................
238
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

5.6.1.1.3. Strukur Organisasi

............................................................................
............................................................................
243
5.6.1.2. Data Georafis dan Demografis Desa Tanjung Muda
.........................................................................................
.........................................................................................
243
5.6.1.2.1. Data Geografis Deaa Tanjung Muda
............................................................................
............................................................................
243
5.6.1.2.2. Data Demografis Desa Tanjung Muda
............................................................................
............................................................................
243
5.6.1.2.3. Struktur Organisasi Desa Tanjung Muda
............................................................................
............................................................................
243
5.6.2. Program Puskesmas Pematang Panjang
....................................................................................................
....................................................................................................
244
5.6.2.1. Struktur Organisasi Puskesmas Pematang Panjang
.........................................................................................
.........................................................................................
245
5.6.2.2. Penjelasan Program Kegiatan Puskesmas
.........................................................................................
.........................................................................................
245
5.6.2.2.1. Upaya Promosi Kesehatan
............................................................................
............................................................................
245
5.6.2.2.2. Kesehatan Lingkungan
............................................................................
............................................................................
246
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

5.6.2.2.3. Upaya Kesehatan Usia Lanjut

............................................................................
............................................................................
247
5.7. Hasil Penelitian
...........................................................................................................
...........................................................................................................
249
5.7.1. Gambaran Karakteristik Responden
....................................................................................................
....................................................................................................
249
5.7.1.1. Kelompok Umur Responden
.........................................................................................
.........................................................................................
249
5.7.1.2. Kelompok Pendidikan Responden
.........................................................................................
250
BAB VI. PERMASALAHAN DAN PEMECAHAN MASALAH
..........................................................................................................
268
6.1. Permasalahan Dan Pemecahan Masalah Program Puskesmas
Simpang Limun Kcamatan Medan Kota Tahun 2014
...........................................................................................................
268
6.1.1. Program Promosi Kesehatan
....................................................................................................
268
6.1.1.1. Permasalahan
....................................................................................................
268
6.1.1.2.Pemecahan Masalah
.............................................................................................................
268
6.1.2. Program kesehatan Ibu dan anak ( KIA ) dan keluarga
Berencana
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

....................................................................................................
268
6.1.2.1.Permasalahan
....................................................................................................
268
6.1.2.2 Pemecahan masalah
............................................................................................................................
269.
6.1.3 Program Upaya Perbaikan Gizi Masyarakat
............................................................................................................................
270
6.1.3.1. Permasalahan
............................................................................................................................
270
6.1.3.2. Pemecahan Masalah
............................................................................................................................
270
6.1.4. Program Pencegahan dan Pemberantasan Penyakit Menular
............................................................................................................................
270
6.1.4.1. Permasalahan
............................................................................................................................
270
6.1.4.2. Pemecahan Masalah
............................................................................................................................
271
6.2 Penelitian Gambaran Karakteristik Pengetahuan dan Sikap Lansia
Terhadap Penyakit Hipertensi di Desa Tanjung Muda Kecamatan Air Putih
Kabupaten Batu Bara Provinsi Sumatera Utara Tahun 2014
............................................................................................................................
271
6.2.1. Permasalah dan Pemecahan Masalah Pengetahuan
............................................................................................................................
271
6.2.2. Permasalahan dan Pemecahan Masalah Sikap
............................................................................................................................
272
KKS Ilmu Kesehatan Masyarakat
Fakultas Kedokteran Universitas Baiturrahmah Padang 2014

BAB VII. KESIMPULAN DAN SARAN

........................................................................................................
274
7.1. Puskesmas Simpang Limun Kecamatan Medan Kota
...........................................................................................................
274
7.1.1. Kesimpulan
....................................................................................................
274
7.1.2. Saran
. 274
7.2. Penelitian Gambaran Karakteristik, Pengetahuan dan Sikap Lansia
Terhadap Penyakit Hipertensi di Desa Tanjung Muda Kecamatan
Air Putih Kabupaten Batu Bara Provinsi Sumatera Utara Medan
2014
...........................................................................................................
275
7.2.1. Kesimpulan
275
7.2.2. Saran
276
LAMPIRAN
256

KKS Ilmu Kesehatan Masyarakat

Fakultas Kedokteran Universitas Baiturrahmah Padang 2014