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DAFTAR ISI

HALAMAN JUDUL ......................................................................................

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

ii

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

iv

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

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

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

BAB I

.....................................................................

Latar Belakang ..............................................................


Perumusan Masalah .........................................................
Tujuan Kegiatan ...............................................................
1. Tujuan Umum................................................................
2. Tujuan Khusus...............................................................
Manfaat Kegiatan..............................................................
Metodologi Kegiatan.........................................................

1
2
3
3
3
4
4

ANALISA SITUASI .....................................................................

Keadaan Geografi dan Lingkungan ..................................

1. Keadaan Geografi..........................................................

2. Keadaan Penduduk........................................................

3. Keadaan Sosial Budaya.................................................

10

4. Visi, Misi, Filosifi Puskesmas.......................................

11

5. Struktur Organisasi........................................................

13

6. Data 20 Besar Penyakit Terbanyak di Puskesmas.........

14

7. Data Sumber Daya Puskesmas......................................

15

Proses (Manajemen di Puskesmas)...................................


1. Perencanaan...................................................................
2. Penggerakan, Pelaksanaan dan Pengendalian...............
3. Pengawasan Penilaian dan Pertanggungjawaban..........

25
25
27
29

PENDAHULUAN
A
B
C
D
E

BAB II

BAB III

DATA KHUSUS UPAYA PUSKESMAS/PROGRAM PUSKESMAS


........................................................................................................

30

A.

30

Program Pokok Puskesmas..............................................

B.

Upaya Kesehatan Wajib Puskesmas................................

31

1. Kesehatan Ibu dan Anak serta KB...............................

31

2. Perbaikan Gizi Masyarakat..........................................

34

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

36

4. Upaya Pencegahan dan Pemberantasan Penyakit Menular 38


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

40

6. Upaya Pengobatan.......................................................

43

BAB IV ANALISA PENYEBAB MASALAH...........................................

47

BAB V

A.

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

47

B.

Analisa Penyebab Masalah..............................................

49

C.

Cakupan Program yang Masih Bermasalah.....................

51

D.

Teknik Prioritas Masalah.................................................

52

E.

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

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F.

Urutan Prioritas Masalah.................................................

65

ANALISA PEMECAHAN MASALAH.......................................

67

A.

Indikator Kegiatan yang Bermasalah...............................

67

B.

Analisa Penyebab Masalah..............................................

67

1. Input.............................................................................

67

2. Proses...........................................................................

70

3. Lingkungan..................................................................

72

C.

Rekapitulasi Analisa Penyebab Masalah.........................

74

D.

Konfirmasi Penyebab Masalah........................................

75

E.

Inventarisasi Kemungkinan Penyebab Masalah &


Penerapannya
.........................................................................................
.........................................................................................
75

F.
BAB VI

Alternatif Pemecahan Masalah........................................

77

KESIMPULAN DAN SARAN....................................................

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vi

A.

Kesimpulan......................................................................

85

B.

Saran................................................................................

86

BAB VII PENUTUP.......................................................................................

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


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

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DAFTAR TABEL
Tabel 2.1. Komposisi Penduduk Per Desa di Wilayah Puskesmas Salaman 1
Tahun
2013
.......................................................................................................
.......................................................................................................
9
Tabel 2.2. Data Pemeluk Agama di Wilayah KerjaPuskesmas Salaman 1.......

10

Tabel 2.3. Data Tingkat Pendidikan di Wilayah Kerja Puskesmas Salaman 1.

10

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Tabel 2.4. Data Mata Pencaharian Penduduk di Wilayah Kerja Puskesmas


Salaman
1
(10
tahun
ke
atas)
.......................................................................................................
.......................................................................................................
11
Tabel 2.5. Data 20 Besar Penyakit di Puskesmas Salaman 1 Kabupaten
Magelang,

Bulan

JanuariDesember

2015

(Diagnosis

Berdasarkan
ICD-X)
.......................................................................................................
.......................................................................................................
15
Tabel

2.6.
Tenaga Kerja di Puskesmas Salaman 1
.......................................................................................................
.......................................................................................................
15

Tabel 3.1. Hasil Kegiatan Program KIA Puskesmas Salaman 1 Januari Mei
2016
.......................................................................................................
.......................................................................................................
33
Tabel 3.2. Hasil Kegiatan Program Gizi Puskesmas Salaman I Periode
Januari

Mei
2016
.......................................................................................................
.......................................................................................................
35
Tabel 3.3. Hasil kegiatan Program Kesehatan LingkunganPuskesmas
Salaman
I
Periode
Januari-Mei
2016
.......................................................................................................
.......................................................................................................
37
Tabel 3.4. Hasil Kegiatan Penanggulangan Penyakit Menular Puskesmas
Salaman
I
Januari

Mei
2016
.......................................................................................................
.......................................................................................................
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Tabel 3.5. Hasil Kegiatan Upaya Promosi Kesehatan Puskesmas SalamanI


Periode
Januari

Mei
2016
.......................................................................................................
.......................................................................................................
42
Tabel 3.6. Hasil Kegiatan angkauan Pengobatan Rawat Jalan Puskesmas
Salaman
1
Januari

Mei
2016
.......................................................................................................
.......................................................................................................
45
Tabel 3.7. Hasil Keiatan Upaya Kesehatan Gigi Puskesmas Salaman I
Januari

Mei
2016
.......................................................................................................
.......................................................................................................
46
Tabel 3.8. Hasil Kegiatan Upaya Kesehatan Jiwa Puskesmas Salaman I
Januari

Mei
2016
.......................................................................................................
.......................................................................................................
46
Tabel 4.1. Daftar Masalah Manajemen Program Puskesmas Salaman 1
berdasarkan SPM Bulan Januari Mei 2016
.......................................................................................................
.......................................................................................................
51
Tabel 4.2. Hasil Besar Masalah Puskesmas Salaman 1 Berdasarkan SPM
Periode
Januari

Mei
2016
.......................................................................................................
.......................................................................................................
53
Tabel

4.3.
Skala
Interval
.......................................................................................................
.......................................................................................................
55

ix

Tabel

4.4.
Besarnya
Masalah
.......................................................................................................
.......................................................................................................
56

Tabel

4.5.
Kegawatan
Masalah
.......................................................................................................
.......................................................................................................
58

Tabel

4.6.
Kemudahan
dalam
Penanggulangan
.......................................................................................................
.......................................................................................................
60

Tabel

4.7.
PEARL
Faktor
.......................................................................................................
.......................................................................................................
62

Tabel 4.8. Urutan prioritas berdasarkan perhitungan Hanlon Kuantitatif


.......................................................................................................
.......................................................................................................
63
Tabel 5.1. Kriteria Input Fungsi Manajemen Program Puskesmas
.......................................................................................................
.......................................................................................................
67
Tabel 5.2. Kriteria Proses Fungsi Manajemen Program Puskesmas
.......................................................................................................
.......................................................................................................
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Tabel 5.3. Faktor Lingkungan yang mempengaruhi Program Puskesmas
.......................................................................................................
.......................................................................................................
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Tabel 5.4. Inventarisasi Kemungkinan Penyebab Masalah dan Penerapannya
.......................................................................................................
.......................................................................................................
76
x

Tabel 5.5. Penentuan Prioritas Pemecahan Masalah Berdasarkan Metode


MIV/C Hasil akhir penentuan prioritas pemecahan masalah
.......................................................................................................
.......................................................................................................
78
Tabel

5.6.
Plan
Of
Action
.......................................................................................................
.......................................................................................................
80

Tabel

5.7.
Gant
Chart
.......................................................................................................
.......................................................................................................
83

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DAFTAR GAMBAR
Gambar 2.1. Peta Kabupaten Magelang ..........................................................

Gambar 2.2. Peta Wilayah Kera Puskesmas Salaman 1 ..................................

Gambar 2.3. Struktur Organisasi Puskesmas Salaman 1 .................................

13

Gambar 4.1. Siklus Pemecahan Masalah .........................................................

47

Gambar 4.2. Diagram Fish Bone .....................................................................

49

Gambar 4.3. Kerangka Pikir Pendekatan Sistem .............................................

50

Gambar 5.1. Diagram Fish Bone .....................................................................

73